Department of Rehabilitation Medicine, Coordination Centre for Applied Rehabilitation Research, Hannover Medical School, Hannover, Germany.
Int Arch Occup Environ Health. 2013 Aug;86(6):699-708. doi: 10.1007/s00420-012-0805-1. Epub 2012 Aug 14.
Systematic collaboration between occupational physicians (OPs) and rehabilitation physicians (RPs) can improve occupational rehabilitation processes and outcomes. The JobReha discharge letter (JR-DL) is a key element of JobReha, a multilevel intervention for specific occupational rehabilitation of workers with musculoskeletal disorders. This feasibility study aims to analyse the perceived benefit and acceptance of the JR-DL as an instrument for improving the communication interface between RPs and OPs.
On the day of discharge from rehabilitation, the rehabilitation physician completed a JR-DL form containing relevant information on the rehabilitation measures undertaken during treatment and recommendations for return to work. The JR-DL was either transmitted to the patient's occupational physician directly or given to the patients to bring to the OP to support the reintegration process. The JR-DL as an instrument for improving the communication interface was evaluated using data from patient questionnaires (n = 250), JR-DLs (n = 247), OP questionnaires (n = 224) and RP questionnaires (n = 232).
All rehabilitation physicians sent a JR-DL to the respective occupational physician on the day of discharge. OPs received the reports a median 2 days after discharge. The content quality and relevance of the JR-DL for the reintegration process were rated high to moderate by more than 97.0 % of the OPs; 92.3 % of the patients received a recommendation to return to their previous workplace; 43.3 % returned with minor limitation; and the remaining 31.6 % with a recommendation for individual reintegration; 74.0 % of the workers returned to work within 3 days of discharge.
Use of the JR-DL for the improvement of communication and exchange of relevant information is feasible and supportive for both rehabilitation and occupational physicians. Its positive impact on reintegration and return to work was apparent. Delays in receipt of the JR-DL should be eliminated by appropriate quality assurance measures.
职业医生（OP）与康复医生（RP）之间的系统协作可以改善职业康复流程和结果。JobReha 出院信（JR-DL）是 JobReha 的一个关键要素，JobReha 是一种针对肌肉骨骼疾病患者特定职业康复的多层次干预措施。本可行性研究旨在分析 JR-DL 作为改善 RP 和 OP 之间沟通界面的工具的感知益处和接受程度。
在康复治疗结束当天，康复医生填写 JR-DL 表格，其中包含治疗期间所采取的康复措施相关信息和重返工作岗位的建议。JR-DL 要么直接传输给患者的职业医生，要么交给患者带到 OP 以支持重新融入过程。通过对 250 名患者的问卷、247 份 JR-DL、224 名 OP 问卷和 232 名 RP 问卷的数据评估 JR-DL 作为改善沟通界面的工具。
所有康复医生在出院当天都将 JR-DL 发送给了相应的职业医生。OP 大约在出院后第 2 天收到报告。超过 97.0%的 OP 对 JR-DL 对重新融入过程的内容质量和相关性评价为高到中等；92.3%的患者收到了返回之前工作场所的建议；43.3%的患者以较小的限制返回；其余 31.6%的患者收到了个性化融入的建议；74.0%的员工在出院后 3 天内重返工作岗位。
使用 JR-DL 改善沟通和交换相关信息是可行的，并且对康复医生和职业医生都有支持作用。它对重新融入和重返工作的积极影响是明显的。应通过适当的质量保证措施消除 JR-DL 延迟接收的问题。
