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Inhaltsverzeichnis (Table of Contents)

• Summary
• Introduction
• Discrepancies between objective findings and subjective state of health in the health sector
• The disease paradox and the health dilemma in the rehabilitation process
• Discussion
• Conclusion

Zielsetzung und Themenschwerpunkte (Objectives and Key Themes)

The article aims to investigate the discrepancies between objective assessments of functional capacity made by experts and subjective evaluations of health by patients, particularly in the context of rehabilitation. This research explores the impact of these discrepancies on patients' health-related quality of life (HrQol) and proposes a theoretical model for understanding these differences.

• The relationship between objective and subjective health assessments
• The "disease paradox" and the "health dilemma" as contrasting scenarios
• The impact of these discrepancies on HrQoL
• The significance of timely identification of these patient categories for effective rehabilitation
• The application of these concepts in the context of total hip arthroplasty

Zusammenfassung der Kapitel (Chapter Summaries)

• Summary: This chapter introduces the research question and provides an overview of studies comparing objective and subjective assessments of functional capacity. It highlights the limited associations found and introduces a theoretical model for classifying patients based on the concurrence or discrepancy between these assessments.
• Introduction: This chapter reviews existing theories and models related to discrepancies between medical expert evaluations and patient perceptions of health. It discusses the concepts of "inappropriate illness behavior" and "abnormal illness behavior" and presents the original model of Filipp and Ferring (1991) for understanding subjective and objective evaluations of quality of life.
• Discrepancies between objective findings and subjective state of health in the health sector: This chapter explores the limited associations between doctors' estimations of health-related stresses and patients' evaluations of their health, drawing on empirical studies and research findings. It emphasizes the need to acknowledge these discrepancies in healthcare practice.
• The disease paradox and the health dilemma in the rehabilitation process: This chapter presents the results of a study examining HrQoL in patients who received a total hip replacement. It explores the influence of the "disease paradox" and the "health dilemma" on HrQoL and highlights the importance of early identification of these categories for successful rehabilitation.
• Discussion: This chapter delves into the implications of the findings for clinical practice and research. It explores the practical applications of the proposed theoretical model, discusses its limitations, and suggests future research directions.

Schlüsselwörter (Keywords)

The key words and concepts within the text revolve around the complex relationship between objective and subjective assessments of health, particularly in the context of rehabilitation. This includes concepts like health-related quality of life (HrQoL), the Nottingham Health Profile, functional capacity, total hip arthroplasty, "disease paradox", and "health dilemma". The research aims to understand the discrepancies between these assessments and their impact on patient outcomes, ultimately seeking to improve rehabilitation practices and patient well-being.