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对多重问题残疾福利受益人 (CARm) 重新融入劳动力市场的综合方法的过程评估
Kor Brongers1,2,3, Tialda Hoekstra1,4, Loes Wilming1,4
1Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Disability and rehabilitation
|October 9, 2023
概括
由于实施不善,多重问题客户 (CARm) 重新整合的综合方法干预失败了. 让所有利益相关者参与并澄清组织影响对于成功的项目交付至关重要.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 就业服务就业服务.
背景情况:
- 随机对照试验 (RCT) 对于评估干预的有效性至关重要.
- 针对多重问题客户的综合性再融入方法 (CARm) 旨在改善就业再融入.
- 之前的RCT显示,相对于通常的护理,CARm没有优越的效果.
研究的目的:
- 进行CARm干预的过程评估.
- 评估CARm干预是否按照协议实施.
主要方法:
- 数据通过问卷从40名劳工专家和166名残疾福利领取者收集.
- 评估了招聘,覆盖范围,输送/接收剂量,忠实性,上下文和满意度.
- 干预组与常规护理组进行了比较.
主要成果:
- 很少有劳动力专家提供了关键的干预要素.
- 两组之间接收的剂量没有显著差异.
- 超过一半的干预组劳工专家报告了组织变化.
结论:
- 实施失败可能是CARm干预缺乏效果的原因.
- 强调利益相关者参与干预开发和实施的重要性.
- 强调需要明确的组织后果,以确保遵守协议.
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