Zimmermann M, Glaser-Möller N, Deck R, Raspe H
Institut für Sozialmedizin, Medizinische Universität zu Lübeck.
Rehabilitation (Stuttg). 1999 Dec;38 Suppl 2:S122-7.
The survey "Determinants in Applying for Medical Rehabilitation" intended to examine the interest of using rehabilitation services among workers in need of rehabilitation and clarify the reasons for the decline in applications for rehabilitation since 1995. For this reason 4400 blue collar workers of the regional pension fund (2% of the LVA population aged 40-59 years) were asked with a postal questionnaire. The response rate was 64%. In order to ensure the validity of the intentions stated, the pension fund verified how many workers actually filed an application for medical rehabilitation during the following twelve months. A quarter of the workers answering considered themselves in need for rehabilitation. Of these, 41% intended to file an application, 34% intended not to do so and 25% were undecided. The main reasons for intending to apply were encouragement by the GP and family members as well as the expectation of improving the working capacity. After one year, only 11% of the workers who claimed themselves to be in need for rehabilitation had filed an application for rehabilitation. This low number of applications from workers in subjective need for rehabilitation indicates a deficit in medical rehabilitation provision.
“申请医疗康复的决定因素”调查旨在研究有康复需求的工人使用康复服务的意愿，并阐明自1995年以来康复申请减少的原因。为此，通过邮政问卷对地区养老基金的4400名蓝领工人（占40至59岁LVA人口的2%）进行了调查。回复率为64%。为确保所表明意愿的有效性，养老基金核实了在接下来的十二个月中有多少工人实际提交了医疗康复申请。四分之一的回复工人认为自己需要康复。其中，41%打算提交申请，34%打算不提交申请，25%尚未决定。打算申请的主要原因是全科医生和家庭成员的鼓励以及对提高工作能力的期望。一年后，自称需要康复的工人中只有11%提交了康复申请。主观上有康复需求的工人申请数量如此之低，表明医疗康复服务存在不足。
