[Insured Persons with High and Moderate Risk of Reduced Earning Capacity - Identification, Analysis of the Use of a Counselling Service and Illustration of their Health and Occupational Situation].

IF 1.4 4区 医学 Q3 REHABILITATION
Rehabilitation Pub Date : 2024-06-01 Epub Date: 2023-11-03 DOI:10.1055/a-2157-2368
Ines Passier, Christoph Kröger, Axel Kobelt-Pönicke
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引用次数: 0

Abstract

Purpose: The aim of this study was to investigate the life situation, and analyse the need for rehabilitative interventions as well as the use of counselling service offered to persons insured by the German Pension Insurance Braunschweig - Hannover (DRV BS-H), using the moderate and high risk index for temporary disability penson (RI-EMR).

Method: This is a cross-sectional study. The participants were generated from a random sample of the total insured persons of the DRV BS-H. 1778 persons were contacted offering telephone consultation and a request for participation in a questionnaire survey that recorded, among others, symptoms, burdens and impairments. Employed persons were asked about their stress at work, non-employed persons about their motivation to return to work. 391 (24.5%) participated in the questionnaire survey and 157 (9.8%) of those contacted responded to the offer of counselling service. The contents of the counselling sessions were evaluated descriptively. The questionnaire data were analysed comparatively (ANOVA, χ2-test).

Results: The offer of the telephone counselling was not used as expected in advance. Insured persons with a high RI-EMR showed more clearly complaints as well as burdens and impairments due to contextual factors than persons with a moderate RI-EMR. The majority of non-employed persons in both groups showed up in the motivational stage of forming intentions with regard to a possible return to employment.

Conclusion: The question arises as to how insured persons with prognostically limited participation can be better reached with offers of assistance. The goal of early offer of support services is confronted with the problem that delays occur in the application of the routine data of the DRV and thus of the RI-EMR. Future studies should investigate how to improve insured persons' participation in counselling services and also their motivation to return to work.

[具有收入能力降低的高风险和中等风险的被保险人——识别、分析咨询服务的使用及其健康和职业状况的说明]。
目的:本研究的目的是调查生活状况,并分析康复干预的必要性以及德国布伦瑞克-汉诺威养老保险公司(DRV BS-H)为投保人提供的咨询服务的使用情况,使用临时残疾抚恤金的中高风险指数(RI-EMR)。方法:这是一项横断面研究。参与者是从DRV BS-H的总参保人员中随机抽取的。联系了1778人,他们提供电话咨询并要求参加一项问卷调查,该调查记录了症状、负担和障碍等。就业人员被问及他们在工作中的压力,非就业人员被询问他们重返工作岗位的动机。391人(24.5%)参加了问卷调查,157人(9.8%)接受了咨询服务。对咨询会议的内容进行了描述性评价。对问卷数据进行比较分析(方差分析,χ2检验)。结果:电话咨询服务并没有像预期的那样提前使用。与中度RI-EMR的人相比,RI-EMR高的被保险人表现出更明显的抱怨以及由于环境因素造成的负担和损伤。这两组人中的大多数非就业人员都处于形成可能重返就业意向的动机阶段。结论:出现的问题是,如何通过提供援助更好地接触到参与预测有限的被保险人。早期提供支持服务的目标面临的问题是,DRV的常规数据应用出现延迟,因此RI-EMR也出现延迟。未来的研究应调查如何提高被保险人对咨询服务的参与程度,以及他们重返工作岗位的动机。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Rehabilitation
Rehabilitation REHABILITATION-
CiteScore
0.90
自引率
11.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift Die Rehabilitation richtet sich an Mitarbeiterinnen und Mitarbeiter in Einrichtungen, Forschungsinstitutionen und Trägern der Rehabilitation. Sie berichtet über die medizinischen, gesetzlichen, politischen und gesellschaftlichen Grundlagen und Rahmenbedingungen der Rehabilitation und über internationale Entwicklungen auf diesem Gebiet. Schwerpunkte sind dabei Beiträge zu Rehabilitationspraxis (medizinische, berufliche und soziale Rehabilitation, Qualitätsmanagement, neue Konzepte und Versorgungsmodelle zur Anwendung der ICF, Bewegungstherapie etc.), Rehabilitationsforschung (praxisrelevante Ergebnisse, Methoden und Assessments, Leitlinienentwicklung, sozialmedizinische Fragen), Public Health, Sozialmedizin Gesundheits-System-Forschung sowie die daraus resultierenden Probleme.
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