Versicherungsmedizin / herausgegeben von Verband der Lebensversicherungs-Unternehmen e.V. und Verband der Privaten Krankenversicherung e.V
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Data from private insurance companies make it possible to analyse how healthcare spending is distributed across individuals, how it depends on the age of the people and how it changes over time. Within age groups, healthcare spending is less concentrated if recipients are older. Over the analysed period of time, a considerable levelling of expenses takes place. These findings lead to the conclusion that the ageing population will result in a greater and more evenly spread utilisation of healthcare facilities.
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Versicherungsmedizin · Mar 2007
[The complex regional pain syndrome (CRPS) as differentiation from psychogenic disturbances].
In the course of recent years, after the conception of dystrophic disturbances of the extremities had been reassessed, the CRPS has been making increasing demands on medical treatment and assessment in all insurance classes. There is common agreement that the syndrome can also be triggered by minor trauma. A decisive factor for the expert opinion is first of all the presentation of definite proof that there is actually a dystrophic disturbance present on the affected extremities. ⋯ For a lot of patients, primary organic effects caused by the injury can be excluded, whereas psychogenically determined symptoms can be found. This leads to significant consequences for the medical assessment under the insurance aspect in the individual case. The differential diagnosis may turn out to be difficult and in individual cases will require the use of the entire available technical diagnostics equipment and the involvement of psychological expert opinions.