Voelter-Mahlknecht Susanne, Stratil Jan M, Kaluscha Rainer, Krischak Gert, Rieger Monika A
Institute for Occupational Medicine, Social Medicine and Health Services Research (Institut fuer Arbeitsmedizin, Sozialmedizin und Versorgungsforschung), University Hospital Tuebingen, Germany.
Institute of Research in Rehabilitation Medicine at Ulm University (Institut fuer rehabilitationsmedizinische Forschung an der Universitaet Ulm), Bad Buchau, Germany.
BMJ Open. 2017 Apr 26;7(4):e014228. doi: 10.1136/bmjopen-2016-014228.
Rehabilitation measures for patients in the working age primarily aim at maintaining employability, restoring fitness for work or timely return to work (RTW). To facilitate RTW after long sick leave in Germany, both rehabilitation physicians' knowledge about the patients' workplace and communication between the rehabilitation physician and the occupational physician need to be improved. This research will record the experiences and attitudes of occupational physicians, rehabilitation physicians and general practitioners, as well as of rehabilitation patients, to indicate barriers and possibilities for improvement concerning the intersection between workplace and rehabilitation institution. As a previous literature review has shown, insufficient data on the experiences and attitudes of the stakeholders are available. Therefore, an exploratory qualitative approach was chosen.
8 focus group discussions will be conducted with occupational physicians, rehabilitation physicians, general practitioners and rehabilitation patients (2 focus groups with 6-8 interviewees per category). Qualitative content analysis will be used to evaluate the data, thus describing positive and negative experiences and attitudes, barriers and possibilities for improvement at the intersection of general and occupational medicine and rehabilitation with regard to the workplace. The data from the focus groups will be used to develop a standardised quantitative questionnaire for a survey of the medical groups and rehabilitation patients in a follow-up project.
The research will be undertaken with the approval of the Ethics Committee of the Medical Faculty and University Hospital of Tuebingen. The study participants' consent will be documented in written form. The names of all study participants and all other confidential information data fall under medical confidentiality. The results will be published in a peer-reviewed medical journal independent of the nature of the results.
针对工作年龄患者的康复措施主要旨在维持其就业能力、恢复工作适应性或及时重返工作岗位（RTW）。为促进德国长期病假后的RTW，康复医师对患者工作场所的了解以及康复医师与职业医师之间的沟通都需要改进。本研究将记录职业医师、康复医师、全科医生以及康复患者的经验和态度，以指出工作场所与康复机构交叉领域存在的障碍及改进的可能性。正如之前的文献综述所示，关于利益相关者经验和态度的数据不足。因此，选择了探索性定性研究方法。
将与职业医师、康复医师、全科医生和康复患者进行8次焦点小组讨论（每个类别2个焦点小组，每组6 - 8名受访者）。将采用定性内容分析法评估数据，从而描述在普通医学、职业医学与康复交叉领域中，关于工作场所的积极和消极经验、态度、障碍及改进可能性。焦点小组的数据将用于制定标准化定量问卷，以便在后续项目中对医疗群体和康复患者进行调查。
本研究将在图宾根大学医学院和大学医院伦理委员会批准下进行。将以书面形式记录研究参与者的同意书。所有研究参与者的姓名及所有其他机密信息数据均受医疗保密规定保护。无论结果如何，研究结果都将发表在同行评审的医学期刊上。
