[专家对在照顾有复杂健康障碍的年轻人时使用(交叉指示)移动康复的需求和潜力的看法:定性研究]。

IF 1.4 Q4 HEALTH POLICY & SERVICES
Christoph Armbruster, Nicole Wimmesberger, Erik Farin-Glattacker
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引用次数: 0

摘要

导言:在德国的康复系统中,医疗服务存在缺口,尤其影响到 60 岁以下有复杂障碍的人群。家庭康复作为门诊康复的一种外展形式,可以为这部分患者提供康复机会,从而弥补这一不足。迄今为止,德国几乎没有相应的设施。考虑到这一群体可能存在的复杂性和相关问题,以需求为基础的护理可能还需要一种跨适应症的方法,以充分满足不同器官系统的康复需求。本研究的目的是评估:1)家庭康复的一般需求和相关潜力;2)对跨适应症方法的态度;3)从专家角度看这种方法的适应症和分配标准:方法:从 2022 年 8 月至 2022 年 10 月,通过对康复领域专家进行半结构化个人电话访谈收集数据。根据库卡茨(Kuckartz)和雷迪克(Rädiker)的方法,采用定性内容分析法对数据进行了分析:共有 n = 22 名专家接受了访谈。专家们认为,60 岁以下有复杂健康障碍的人非常需要家庭康复服务,以弥补目前康复服务中的不足。居家康复的潜力主要包括灵活性、参与导向和社会环境(如亲属)的参与。大多数专家认为,跨适应症的方法具有相关性,特别是为了以全面和以需求为基础的方式满足更复杂的需求(如在多病共患的情况下):研究结果表明了这一课题的相关性以及在德国扩大(跨indication)家庭康复的必要性。专家们认为,(跨病种)居家康复有助于确保 60 岁以下有复杂和严重损伤的患者群体的参与。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Expert*innensichtweisen zum Bedarf und zu den Potenzialen (indikationsübergreifender) mobiler Rehabilitation in der Versorgung jüngerer Menschen mit komplexen gesundheitlichen Beeinträchtigungen: eine qualitative Studie

Introduction

In the German rehabilitation system, gaps in care exist that particularly affect people with complex impairments under 60 years of age. Home-based rehabilitation, an outreach form of outpatient rehabilitation, could bridge this gap by providing access to rehabilitation for this group of patients. Corresponding facilities so far barely exist in Germany. In view of the likely complexity and the associated problems of this group of people, needs-based care may also require a cross-indication approach in order to adequately address rehabilitation needs across different organ systems. The aim of this study is to assess 1) the general need for home-based rehabilitation and associated potentials, 2) attitudes towards a cross-indication approach, and 3) indication and allocation criteria for this approach from an expert perspective.

Methods

Data was collected from 08/2022 to 10/2022 through semi-structured individual telephone interviews with experts in the field of rehabilitation. Data were analyzed using qualitative content analysis according to Kuckartz and Rädiker.

Results

A total of n = 22 experts were interviewed. The experts see a high need for home-based rehabilitation for people with complex health impairments under the age of 60 in order to counteract existing care gaps within current rehabilitative offers. The potentials offered by home-based rehabilitation include, amongst others, flexibility, participation orientation and involvement of the social environment (e. g., of relatives). A cross-indication approach is considered relevant by the majority of the experts, especially in order to meet more complex needs (e. g., in the case of multimorbidity) in a holistic and needs-based manner.

Conclusion

The results demonstrate the relevance of this topic and the necessity of expanding (cross-indication) home-based rehabilitation in Germany. According to the experts, (cross-indication) home-based rehabilitation can help to ensure the participation of a group of patients with complex and severe impairments under the age of 60.

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CiteScore
1.90
自引率
18.20%
发文量
129
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