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系统性多专业康复小组会议能否提高职业康复的效率?

Do systematic multiprofessional rehabilitation group meetings improve efficiency in vocational rehabilitation?

作者信息

Jakobsson Björn, Bergroth Alf, Schüldt Kristina, Ekholm Jan

机构信息

Centre for Studies on National Social Insurance, Department of Nursing and Health Sciences, Mid-Sweden University, Ostersund, Sweden.

出版信息

Work. 2005;24(3):279-90.

Abstract

PURPOSE

The aim of the present study was to investigate differences in the effects on employment between clients whose rehabilitation was coordinated in systematic multiprofessional rehabilitation group meetings and clients whose rehabilitation was coordinated in the "conventional" way.

METHOD

The study was based on a sample of 51 individuals who received systematic group meeting coordination. All individuals in the study group were unemployed before the rehabilitation intervention. Two different comparison groups were chosen: one at a local level and another at a national level. The groups were matched on an individual level based on records obtained from The National Labour Market Board (AMS) and The National Social Insurance Board (RFV). The data were analysed by an analysis of variance (ANOVA) for repeated measures for binary responses.

RESULTS

68.6% in the study group and 49% in both the local comparison group and national group had some form of employment 24 months after rehabilitation. The ANOVA analyses (in terms of odds ratio) found that when all measurement points (6, 12 and 24 months after the rehabilitation) were included in the calculations that there was twice as high a chance of becoming employed after having received rehabilitation services through the multiprofessional group than for both comparison groups. The majority of employment in all the groups was associated with some form of subsidy or sheltered employment.

摘要

目的

本研究旨在调查在系统性多专业康复小组会议中协调康复的客户与以“传统”方式协调康复的客户在就业影响方面的差异。

方法

该研究基于51名接受系统性小组会议协调的个体样本。研究组中的所有个体在康复干预前均处于失业状态。选择了两个不同的对照组:一个是地方层面的,另一个是国家层面的。根据从国家劳动力市场委员会(AMS)和国家社会保险委员会(RFV)获得的记录,在个体层面上对这些组进行匹配。通过对二元反应的重复测量方差分析(ANOVA)对数据进行分析。

结果

康复24个月后,研究组中有68.6%的人有某种形式的就业,地方对照组和国家组中的这一比例均为49%。方差分析(就优势比而言)发现,当将所有测量点(康复后6个月、12个月和24个月)纳入计算时,通过多专业小组接受康复服务后就业的机会是两个对照组的两倍。所有组中的大多数就业都与某种形式的补贴或庇护性就业有关。

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