Schumann Nadine, Hoffmann Laura, Schröder Sara Lena, Richter Matthias
Institut für Medizinische Soziologie, Martin-Luther-Universität Halle-Wittenberg.
Rehabilitation (Stuttg). 2020 Feb;59(1):34-41. doi: 10.1055/a-0821-3410. Epub 2019 Feb 11.
The study explores barriers impeding the access to pediatric rehabilitation and potential for optimization from the pediatricians' perspective.
Semi-structured expert interviews (N=25) and focus groups (N=3) with pediatricians were conducted and analyzed according to the method of Meuser & Nagel. The results were discussed within an expert group consisting of representatives of the statutory pension insurance and the professional association of pediatricians.
Barriers appear due to information deficits regarding carrier-oriented access criteria. A perceived time-consuming application, high refusal rates with insufficient reasons and a lack of feedback from the carrier to the physician inhibit the application motivation. Mentioned improvements refer to a direct feedback of the application decision to the physician, case-specific reasons for refusal, physician oriented information as well as an increased presence of rehabilitation at pediatric congresses and medical trainings.
To strengthen the role of rehabilitation in pediatric care improved information and knowledge in the allocation and submission of rehabilitation applications of primary care physicians is needed as well as an enhanced communication between rehabilitation carriers and physicians.
本研究从儿科医生的角度探讨阻碍儿童康复治疗的障碍以及优化的可能性。
对儿科医生进行了25次半结构化专家访谈和3次焦点小组访谈，并根据梅泽尔和纳格尔的方法进行分析。研究结果在一个由法定养老保险代表和儿科医生专业协会代表组成的专家组内进行了讨论。
由于缺乏针对服务机构的准入标准信息，出现了障碍。申请过程耗时、拒绝率高且理由不充分以及服务机构缺乏向医生的反馈抑制了申请积极性。提到的改进措施包括向医生直接反馈申请决定、针对具体病例的拒绝理由、以医生为导向的信息以及在儿科大会和医学培训中增加康复治疗的介绍。
为加强康复治疗在儿科护理中的作用，需要改善基层医疗医生在康复治疗申请分配和提交方面的信息和知识，以及加强康复服务机构与医生之间的沟通。
