Haig A J, Penha S
Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee.
West J Med. 1991 May;154(5):528-31.
A few worker rehabilitation programs have had outstanding success in improving ability to function for persons with occupational back pain. Local programs must show that they have similar success. Because the definitions of terms such as "back school," "work hardening," and "functional restoration" are blurred at a local level, the choice of a program for an individual patient must depend primarily on the program's demonstrated success rate with similar patients. The chances of returning to work decrease as a function of time after injury. Therefore, referring physicians, insurers, and employers must be provided with information regarding results in terms of acute (0 to 6 weeks), subacute (7 to 12 weeks), and chronic (more than 12 weeks) back pain. Other important variables include selection criteria, program cost, and dropout rate. We advocate standardized reporting of such data for all worker rehabilitation programs. A model "report to consumers," described here, is a minimal obligation. The validity of a number of important internal quality assurance issues is uncertain. Ethical and legal pressures must be recognized.
一些工人康复项目在提高职业性背痛患者的功能能力方面取得了显著成功。地方项目必须证明它们也有类似的成功案例。由于在地方层面，“背疼学校”“工作强化训练”和“功能恢复”等术语的定义并不明确，为个体患者选择项目时，必须主要依据该项目在类似患者身上已证明的成功率。受伤后，重返工作岗位的几率会随着时间的推移而降低。因此，必须向转诊医生、保险公司和雇主提供有关急性（0至6周）、亚急性（7至12周）和慢性（超过12周）背痛患者康复结果的信息。其他重要变量包括选择标准、项目成本和辍学率。我们主张对所有工人康复项目的此类数据进行标准化报告。这里描述的“给消费者的报告”模板是最低要求。一些重要的内部质量保证问题的有效性尚不确定。必须认识到伦理和法律方面的压力。
