Center for Post-Rehabilitation Support: www.nachderReha.de
Successful medical rehabilitation needs aftercare (Koepke 2007)!
Nowadays all involved persons and stakeholders agree to this statement. Consequently post-rehabilitation support and aftercare became more and more important in medical rehabilitation, research and practice since the 1990s. However, actually there is a profound heterogeneity among the services offered with respect to indication, content, national availability and settlement of costs as well. Further, there is a lack of systematic and comprehensive data collection. In this context we currently build up a web-based Center for Post-Rehabilitation Support named ZeReNa.
The web-based Center for Post-Rehabilitation Support (http://www.nachderreha.de)
offers individuals who have completed a medical rehabilitation a systematic overview about rehabilitation-aftercare. Goal is to enable individuals to continue their rehabilitation efforts on the basis of scientific evidence. The web-based support center is focusing on three main topics: 1) information, 2) service and 3) scientific support, transparency and the overcome of gateways.
First step in building the web-based support center was a systematic review (screening) about national post-rehabilitation programs and aftercare. A systematic search for appropriate programs was carried out using different kinds of electronic databases like MEDLINE/ EMBASE/ PSYNDEX via OVID; CCTR93/ CDSR93/ SOMED/ AR96 via DIMDI; PUBMED and REHADAT. We further completed a hand-search in related publications, congress abstracts and reference sections of other relevant papers (‘footnote chasing’). Finally, all known rehabilitation facilities, research groups, health insurance companies and other paying authorities as well as providers of healthcare services were consulted.
The decision to include or exclude a publication (process of selection) was based on definitions which were a priori developed by the multidisciplinary project advisory committee. The next step then was to assess the methodological quality of evaluations (Level of Evidence, Validity), feasibility of programs and theme-specific criteria of quality by using checklists established through Delphi-Method . This was done to produce a comprehensive and comparable quality profile for each of the programs. To increase the scientific quality the selection of publication, data extraction and quality assessment was conducted by two independent researchers. The results of the review will be released on the web-based support center with help of a database. This allows presenting the information according to the needs of various target groups. To inform patients and their relatives in an adequate manner we established separate accesses for professionals and rehabilitants.