Hesse B, Heuer J, Gebauer E
Institut für Rehabilitationsforschung Norderney, Abteilung Sozialmedizin, Münster.
Rehabilitation (Stuttg). 2008 Dec;47(6):324-33. doi: 10.1055/s-0028-1102951. Epub 2008 Dec 15.
The experiences of small and midsized enterprises (SME) with medical rehabilitation were investigated in the KoRB-Study (KoRB= KOoperation Rehabilitation und Betrieb) for the first time. Opportunities for a targeted cooperation between the statutory pension insurance and these enterprises were explored. Based on explorative interviews, Westphalian employers, members of the works council, occupational health practitioners and employees were interrogated about the image of and their appreciation of medical rehabilitation in the work setting. Experience with rehabilitation and the level of information on rehabilitation were recorded as well as the compatibility of rehabilitation with operative processes in the working site. In addition rehab hospitals were asked about their experience in cooperating with enterprises. 697 employers of small and midsized enterprises, 458 members of the works councils, 73 occupational health practitioners, 47 rehab hospitals and 3 509 employees, who are members of the German Pension Fund of Westphalia, took part in the survey.
Especially employers perceived rehabilitation positively and reported good experiences. Among the employees, those who had taken part in rehabilitation showed the highest appreciation. Occupational health practitioners were more restrained in their appraisal. Some of them complained about a lack of sustainability. The different target groups of the survey felt differently well informed about rehabilitation - best ratings came from the occupational health practitioners, worst ratings from the employees. All groups would welcome more accessible information in case of need. Medical rehabilitation in its standard form of "3 weeks full-time" often causes severe logistic problems in SME (e. g., replacement of employee, loss of experience). However the financial burden is perceived as less problematic. Employers favour alternative rehab models, which allow part-time working. Many employees, who expressed a need for rehabilitation, refrained from applying for rehabilitation on account of worries about loosing their employment. Both rehab clinicians and occupational health practitioners argued in favour of improved communication and cooperation in order to adapt medical rehab to the specific requirements of the working place and to assure a smooth reintegration into work.
在“KoRB研究”（KoRB=康复与企业合作）中，首次对中小企业在医疗康复方面的经历进行了调查。探索了法定养老保险与这些企业进行有针对性合作的机会。基于探索性访谈，询问了威斯特法伦州的雇主、企业委员会成员、职业健康从业者和员工对工作场所中医疗康复的印象和评价。记录了康复经历、康复信息水平以及康复与工作场所操作流程的兼容性。此外，还询问了康复医院与企业合作的经验。697名中小企业雇主、458名企业委员会成员、73名职业健康从业者、47家康复医院以及3509名作为威斯特法伦州德国养老基金成员的员工参与了调查。
尤其是雇主对康复持积极看法并报告了良好的经历。在员工中，参与过康复的人评价最高。职业健康从业者的评价较为保守。他们中的一些人抱怨缺乏可持续性。调查的不同目标群体对康复信息的了解程度感受不同——评价最高的是职业健康从业者，最低的是员工。所有群体都希望在需要时能有更易获取的信息。标准形式为“3周全日制”的医疗康复在中小企业中常常会引发严重的后勤问题（例如，员工替代、经验流失）。然而，财务负担被认为问题较小。雇主倾向于允许兼职工作的替代康复模式。许多表示需要康复的员工因担心失去工作而没有申请康复。康复临床医生和职业健康从业者都主张改善沟通与合作，以便使医疗康复适应工作场所的特定要求，并确保顺利重返工作岗位。
