{"title":"[The Master of Advanced Studies in Insurance Medicine, a Postgraduate Program at the University of Basel].","authors":"Yvonne Bollag, Antje Welge Lüssen","doi":"10.1024/0040-5930/a001419","DOIUrl":"https://doi.org/10.1024/0040-5930/a001419","url":null,"abstract":"<p><p>The Master of Advanced Studies in Insurance Medicine, a Postgraduate Program at the University of Basel <b>Abstract.</b> The MAS Insurance Medicine, a multi-faceted, interdisciplinary postgraduate program at the University of Basel, currently offers the most comprehensive qualification for insurance physicians on three levels (Master, Diploma, and Certificate of Advanced Studies). Individual learning formats allow for optimal alignment with individual professional needs. In addition to specific insurance medicine topics, the course content includes important disease patterns, evidence-based insurance medicine and public health, as well as health economics, ethical and legal topics.</p>","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"80 2","pages":"98-100"},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9316694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Instruments and Tools in the Medical Evaluation of Work Capacity].","authors":"Andreas Klipstein, Maurizio Trippolini","doi":"10.1024/0040-5930/a001412","DOIUrl":"https://doi.org/10.1024/0040-5930/a001412","url":null,"abstract":"<p><p>Instruments and Tools in the Medical Evaluation of Work Capacity <b>Abstract.</b> In the event of absence from work due to illness or accident, the attending physician is responsible for confirming the connection between absence from work (or, if applicable, reduced performance) and a health disorder (illness or accident) and subsequently issuing a certificate of incapacity for work. The certificates have the legal status of a deed and must accordingly satisfy certain legal requirements. This article presents suitable tools and instruments for this important medical task.</p>","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"80 2","pages":"69-73"},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9317649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Lower Back Pain - Specific or Non-Specific?]","authors":"Franziska Graf, Adrian Forster","doi":"10.1024/0040-5930/a001431","DOIUrl":"https://doi.org/10.1024/0040-5930/a001431","url":null,"abstract":"<p><p>Lower Back Pain - Specific or Non-Specific? <b>Abstract.</b> Lower back pain is a challenge. A diagnosis that is as accurate as possible is significant for both the treating physician and the patient. With a precise examination, it is often possible to narrow down even the less specific back pain (the so-called \"non-specific back pain\") and assign it to a clinical syndrome.</p>","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"80 4","pages":"167-173"},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9745158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elena Ernst, Gustav Andreisek, Alexander A Fingerle
{"title":"[An MRI for Every Patient with Back Pain?]","authors":"Elena Ernst, Gustav Andreisek, Alexander A Fingerle","doi":"10.1024/0040-5930/a001437","DOIUrl":"https://doi.org/10.1024/0040-5930/a001437","url":null,"abstract":"<p><p>An MRI for Every Patient with Back Pain? <b>Abstract.</b> Imaging in spinal disorders has changed in the past years. Improved MRI techniques allow for better image interpretation. Unchanged, however, close correlation between clinical evaluation and imaging results remains crucial for correct diagnoses and subsequent therapeutical decisions. Reimbursement cuts have made MRI more affordable in Switzerland while being widely available. This allows - if used according to guidelines - for optimal treatment of patients with spinal disorders.</p>","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"80 4","pages":"204-208"},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9760794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Tasks and Expectations of the Medical Officer in the Statutory Health Insurance System].","authors":"Ursula Schafroth, Markus Bonelli","doi":"10.1024/0040-5930/a001420","DOIUrl":"https://doi.org/10.1024/0040-5930/a001420","url":null,"abstract":"<p><p>Tasks and Expectations of the Medical Officer in the Statutory Health Insurance System <b>Abstract.</b> The statutory health insurance OKP is based on the principle that all insured persons have equal access to the approved services. If so, why does it actually need the \"medical officer\"? What role is assigned to this professional title? What requirements must be met for working as a medical officer? What are the special challenges? This article will provide you with answers to these questions.</p>","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"80 2","pages":"101-104"},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9317653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Birgit H P M Donker-Cools, Coen A M van Bennekom, Regina Kunz
{"title":"[Acquired Brain Injury and Work Participation - A Dutch Interdisciplinary Guideline for Occupational and Insurance Physicians].","authors":"Birgit H P M Donker-Cools, Coen A M van Bennekom, Regina Kunz","doi":"10.1024/0040-5930/a001410","DOIUrl":"https://doi.org/10.1024/0040-5930/a001410","url":null,"abstract":"<p><p>Acquired Brain Injury and Work Participation - A Dutch Interdisciplinary Guideline for Occupational and Insurance Physicians <b>Abstract.</b> This article discusses the Dutch interdisciplinary guideline 'Acquired brain injury and work participation'. Its development follows the methodology of evidence-based medicine and supports all professionals involved in the vocational re-integration of workers with traumatic (e.g., traffic accident) and non-traumatic (e.g., stroke) acquired brain injury.</p>","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"80 2","pages":"61-66"},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9317654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Low Back Pain - Value of Prevention and Physiotherapy?]","authors":"Hannu Luomajoki, Fabian Pfeiffer, Thomas Benz","doi":"10.1024/0040-5930/a001432","DOIUrl":"https://doi.org/10.1024/0040-5930/a001432","url":null,"abstract":"<p><p>Low Back Pain - Value of Prevention and Physiotherapy? <b>Abstract.</b> Physiotherapy plays a central role in the prevention and treatment of lumbar back pain. There is no clear evidence in science on the effectiveness of individual preventive measures; however, movement and active training as central elements are indispensable here. In the treatment of lumbar back pain, however, the picture is clear: while passive measures such as heat or cold applications as well as ultrasound and electrotherapy should no longer be used alone due to the lack of evidence, the combination of active exercises and patient education shows promising success. If these are supplemented by sporadically applied manual therapy methods, the result is an evidence-based management of both acute and chronic lumbar back pain. One example of a successful implementation of current evidence for the treatment of back pain is GLA:D<sup>®</sup>, which is also in use in Switzerland since 2021.</p>","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"80 4","pages":"175-182"},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9745157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Timm Rosburg, Regine Lohss, Monica S Bachmann, Brigitte Walter Meyer, Wout de Boer, Katrin Fischer, Regina Kunz
{"title":"[Integration of the Insured Person's Perspective in the Quality Assessment of Medical Evaluations].","authors":"Timm Rosburg, Regine Lohss, Monica S Bachmann, Brigitte Walter Meyer, Wout de Boer, Katrin Fischer, Regina Kunz","doi":"10.1024/0040-5930/a001414","DOIUrl":"https://doi.org/10.1024/0040-5930/a001414","url":null,"abstract":"<p><p>Integration of the Insured Person's Perspective in the Quality Assessment of Medical Evaluations <b>Abstract.</b> In the current practice of medical work disability evaluations and other pension assessments, insured persons in Switzerland lack the possibility to routinely provide feedback on the extent to which they felt treated with dignity and respect by medical experts, which, according to occasional complaints, does not always seem to be the case. In order to be able to systematically capture such aspects of interactive fairness, we developed a questionnaire, the Basel Fairness Questionnaire (BFQ). The BFQ contains 30 statements such as «The reviewer listened to me.», which the insured person can agree to on four levels (from «I do not agree at all.» to «I fully agree.»). For validating the questionnaire, 305 claimants for disability pensions completed the BFQ after their medical work disability evaluation. A factor analysis conducted on the answered questions confirmed our assumption that the BFQ questions covered the areas of 1) <i>respect and trust</i>, 2) <i>participation</i>, 3) <i>case familiarity of the expert</i>, and 4) <i>transparency of the evaluation process</i>. Furthermore, our study demonstrated divergent and convergent validity of the BFQ with other questionnaire instruments. The BFF opens up the possibility to capture the abstract concept of fairness by means of assessments of concrete expert behavior. We expect that the questionnaire can thus contribute to quality assurance in this sensitive area.</p>","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"80 2","pages":"78-84"},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9317652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Interventional Pain Management - Are Targeted Infiltrations Efficient?]","authors":"Jan Triebel","doi":"10.1024/0040-5930/a001434","DOIUrl":"https://doi.org/10.1024/0040-5930/a001434","url":null,"abstract":"<p><p>Interventional Pain Management - Are Targeted Infiltrations Efficient? <b>Abstract.</b> Interventional Pain Management offers a low-risk, partially invasive, but ultimately non-structurally altering targeted intervention option. It has the potential to point on the nociceptive structure and to relieve pain and improve function. Thereby spine surgery can be regularly avoided.</p>","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"80 4","pages":"187-191"},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9745156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[When Does the Patient with Low Back Pain Need Rehabilitation?]","authors":"Stefan Bachmann, Björn Janssen, Peter Oesch","doi":"10.1024/0040-5930/a001436","DOIUrl":"https://doi.org/10.1024/0040-5930/a001436","url":null,"abstract":"<p><p>When Does the Patient with Low Back Pain Need Rehabilitation? <b>Abstract.</b> If functional impairments or participation restrictions persist in patients with low back pain after completion of acute therapy, a rehabilitation is indicated. Rehabilitation refers to the coordinated use of medical, social, professional, technical, and educational measures in order to optimize a patient's functional health and to achieve an independent participation in everyday life. Rehabilitation is also indicated when return to work is at risk, or when the affected person is unable to return to their usual work. The functional limitations of the patient require the use of an interdisciplinary team and a multimodal therapeutic approach. In addition to a function-oriented therapy, Pilates and McKenzie exercises also seem to be effective to improve functional capacities in the context of rehabilitation. On the other hand, passive modalities play only a minor role.</p>","PeriodicalId":44874,"journal":{"name":"THERAPEUTISCHE UMSCHAU","volume":"80 4","pages":"199-203"},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9745155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}