Schmidt C, Froböse I, Schian H-M
Institut für Qualitätssicherung in Prävention und Rehabilitation GmbH (IQPR) an der Deutschen Sporthochschule Köln.
Rehabilitation (Stuttg). 2006 Aug;45(4):194-202. doi: 10.1055/s-2006-940028.
The present article outlines the challenges in occupational rehabilitation arising from the successive erosion of the financial foundations of the welfare system, from changes in industry as well as in health, education and labour-market policy. Five perspectives are discussed to design and develop strategies in occupational rehabilitation. Among these are: (1) Rehabilitation in companies is mostly based on miscarried efforts to prevent separation. The discontinuance and the re-integration in a position or in a company have therefore to be regarded as an interlocking process between vocational training centre, social insurance agencies and employers; (2) Regional vocational rehabilitation centres with the objective to promote participation in work life may advance to institutionalized junctions to connect the rehabilitation landscape and would represent the logistic context; (3) The development of participation benefits should mainly be directed towards individualized allocation of resources as well as the possibility of direct transfer to work in close cooperation with employers; (4) Structural solutions and process-innovation could be supported by application-orientated research; (5) A new consensus to assign future tasks and objectives should be defined among the responsible bodies and service organisations involved in occupational rehabilitation.
本文概述了因福利体系财政基础的持续削弱、行业变化以及健康、教育和劳动力市场政策变化而在职业康复中产生的挑战。讨论了五个视角，以设计和制定职业康复策略。其中包括：（1）公司中的康复大多基于防止离职的失败努力。因此，离职和重新融入某个职位或公司应被视为职业培训中心、社会保险机构和雇主之间的一个相互关联的过程；（2）旨在促进工作生活参与的区域职业康复中心可能会发展成为连接康复领域的制度化枢纽，并将代表后勤环境；（3）参与福利的发展应主要针对资源的个性化分配以及与雇主密切合作直接转入工作的可能性；（4）以应用为导向的研究可以支持结构性解决方案和流程创新；（5）应在参与职业康复的责任机构和服务组织之间确定一项关于分配未来任务和目标的新共识。
