[在康复后病例管理计划中,不同诊断的参与者和非参与者:比较]
Denise Walther1, Matthias Morfeld2, Axel Kobelt-Poenicke3,4
1Institut für Sozialmedizin und Gesundheitssystemforschung, Medizinische Fakultät, Otto-von-Guericke-Universität Magdeburg.
Die Rehabilitation
|December 16, 2025
概括
德国养老保险 (DRV BS-H) 的病例管理 (CM) 是提供后康复. 患有精神疾病或工作预后较差的患者不太可能参与,尽管CM被那些参与者积极评价.
科学领域:
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
- 社会保险社会保险是什么
背景情况:
- 德国养老保险布朗施威格-汉诺威 (DRV BS-H) 提供病例管理 (CM) 医疗后康复.
- 了解患者接受和拒绝CM对于优化支持服务至关重要.
研究的目的:
- 为了比较DRV BS-H CM计划中的参与者和非参与者.
- 确定影响CM参与的因素和拒绝原因.
主要方法:
- 横截面研究 (2021-2023) 调查DRV BS-H成员推为CM.
- 关于健康,工作和康复结果的回顾性调查数据,补充了行政数据.
- 统计分析包括t测试,Chi2,曼-惠特尼U测试和二进制后勤回归.
主要成果:
- 在参与者和非参与者之间发现了显著的差异,通常效果大小小.
- 非参与者更频繁地患有精神疾病,感知健康状况较差,就业率较低,工作能力预后更差.
- 参与者报告了更好的医疗康复结果;参与者对CM的满意度很高.
- 拒绝的主要原因:渴望自我解决. 较低的工作表现 (<6小时) 增加了CM参与的概率.
结论:
- DRV BS-H CM为康复后各种需求的患者提供服务.
- 该计划适用于需要复杂支持的会员.
- 进一步的研究可能会探索在特定患者群体中增强CM吸收.
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