ArticleGesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))2026
[From functional status to level of care: The Barthel Index as an approximation to level of care needs].
Article in Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Based on anonymized inpatient service data from 2023 using the InEK-DatenBrowser (according to § 21 KHEntgG), the correlation between restrictions in the activities of daily living - measured with the Barthel Index - and the assigned level of care was examined. The aim was to demonstrate that the Barthel Index can be used as a practical tool for assessing the need for care in everyday medical practice. The results show that a lower Barthel Index is significantly associated with a higher level of care. Using ordinal logistic regression analyses (OR for level of care>1 are between 1.40 and 14.52) and the Kendall correlation test (τ=0.32; p<0.001; Cohen's d=1.10) we were able to demonstrate a statistically significant correlation. Thus, the Barthel Index can be used as an indicator for care needs - especially in cases where no formal level of care has yet been assigned. These findings can support medical decision-making and contribute to more needs-based care. Additionally, they could potentially ease physicians' daily routines by enabling the early identification of a need for long-term care.
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