[Specific work-related problems: do they matter in access to work-related medical rehabilitation?]
M Bethge1, S Löffler2, B Schwarz1
1Koordinierungsstelle Angewandte Rehabilitationsforschung, Klinik für Rehabilitationsmedizin, Medizinische Hochschule Hannover.
Background:
The study determined if need for rehabilitation in work-related medical rehabilitation (WMR) is more frequently characterised by specific work-related problems than in conventional medical rehabilitation (MR).
Methods:
In 6 rehabilitation centres, persons with back pain (M50, M51, M53, M54) were surveyed about work-related restrictions of work ability at begin of their rehabilitation.
Results:
Differences in work ability of WMR and MR patients confirmed need-related access. However, these differences were exclusively explained by screening-based access decisions. If access was not supported by a screening, WMR and MR patients did not differ. Decisions by rehabilitation centres compared with decisions by insurance agencies resulted in similar differences between WMR and MR patients.
Conclusion:
Screening-based decisions about access enable a more need-related access to WMR. As there were no differences between access decisions by rehabilitation centres and insurance agencies, access decisions can be realised already by the insurance agency.
