Klosterhuis H, Stallmann M, Löffler H E, Wegscheider K
Abteilung Rehabilitation, Bundesversicherungsanstalt für Angestellte, Berlin.
Rehabilitation (Stuttg). 1999 Dec;38 Suppl 2:S128-33.
There were substantial changes within the rehabilitation framework due to new laws as well as internal need for more flexibility. In connection with this process, the BfA and the LVA Sachsen initiated a survey among their insured persons, the main points being the need for and use of rehabilitative care. The results of a West/East comparison are presented. A questionnaire was send to approximately 29,000 insured persons, the overall response rate was 43%. White collar workers in the East reported a better state of health compared with those in the West, with the most profound differences found in females. Subjective health status and subjective working capability were highly associated. The proportion of persons who reported a need for rehabilitation amounts to 24% among the insured with the LVA Sachsen (blue collar workers, East) and 12% among the white collar workers in the East. Independent of the state of health there was also an association between work stress and the need for rehabilitation. Persons from the East were less informed about rehabilitative care than persons from the West. Financial and workplace problems were among the major reasons not to apply for a rehabilitation measure even if there is a need. These reasons were mentioned more often in the East. In conclusion, there are substantial differences between West and East concerning the rehabilitative health sector. A prominent role is played by the employment situation.
由于新法律以及内部对更大灵活性的需求，康复框架发生了重大变化。在此过程中，联邦劳动局（BfA）和萨克森州就业局（LVA Sachsen）对其参保人员开展了一项调查，主要内容是康复护理的需求和使用情况。本文呈现了东西部对比的结果。一份问卷被发送给约29,000名参保人员，总体回复率为43%。东部的白领工人报告的健康状况优于西部，女性中的差异最为显著。主观健康状况和主观工作能力高度相关。在萨克森州就业局的参保人员（东部蓝领工人）中，报告有康复需求的比例为24%，东部白领工人中这一比例为12%。无论健康状况如何，工作压力与康复需求之间也存在关联。东部的人比西部的人对康复护理的了解更少。即使有需求，经济和工作场所问题也是不申请康复措施的主要原因。这些原因在东部被提及得更频繁。总之，东西部在康复健康领域存在重大差异。就业情况起着重要作用。
