对永久性工作残疾高风险人群进行病例管理干预的过程评估,以改善康复覆盖和工作参与率
Johanna Prehn1, Lea Remus, Marei Grope
1Section Rehabilitation and Work, Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.
一项新的干预措施改善了长期劳动残疾风险的个人获得康复服务的机会. 该计划增加了对选择的了解,并鼓励更多的人申请所需的支持.
科学领域:
- 社会法 社会法 社会法 法律
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 德国社会法提供了维护工作能力和恢复工作的服务.
- 患有健康障碍的个人经常面临障碍,无法获得这些康复服务.
- 不充分利用服务可能导致永久性工作残疾.
研究的目的:
- 评估实施一项多要素战略,以改善获得康复的机会.
- 促进那些面临永久性工作残疾高风险的人持续参与工作.
主要方法:
- 实施了一项涉及查,邮政联系,电话咨询和病例管理的多元干预措施.
- 使用行政数据风险评分 (≥60分) 确定高风险个体.
- 过程评估评估了覆盖范围,忠实性,输送/接收剂量以及参与者的满意度.
主要成果:
- 在5300名接触者中,干预达到了277人,实现忠实度高 (>80%) 和满意度高.
- 参与者报告说,他们对康复服务的知识显著增加 (P < 0.001).
- 在案例管理后,55.6%的参与者申请了康复服务.
结论:
- 干预成功地到达了目标人群,并以高保真度和满意度实施.
- 人们对康复服务的了解和使用率的提高表明了这项干预的潜力.
- 这一战略可能会加强对面临劳动残疾风险的个人获得关键支持的机会.
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