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荷兰康复机构中获得性脑损伤患者的职业康复服务的可及性。

Availability of vocational rehabilitation services for people with acquired brain injury in Dutch rehabilitation institutions.

机构信息

Department of Research and Development, Heliomare Rehabilitation Center , Wijk Aan Zee, The Netherlands.

Amsterdam UMC, University of Amsterdam, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute , Amsterdam, The Netherlands.

出版信息

Brain Inj. 2020 Aug 23;34(10):1401-1407. doi: 10.1080/02699052.2020.1802778. Epub 2020 Aug 13.

DOI:10.1080/02699052.2020.1802778
PMID:32791017
Abstract

OBJECTIVE

To provide an overview of the availability of and process involved in vocational rehabilitation (VR) services for people with acquired brain injury (ABI) provided in Dutch rehabilitation institutions.

METHODS

A survey on the availability and characteristics of the VR intervention process for people with ABI was conducted in all Dutch rehabilitation centers and rehabilitation departments of general and academic hospitals (n = 120). Different domains of the VR intervention process were included in the questionnaire, the number (and percentage) of respondents giving a certain answer within a domain was reported.

RESULTS

Fifty-five institutions replied (response rate 46%). VR services for ABI were provided in 34 (62%) of these, of which 20 (59%) used a VR protocol. The main similarities found among different organizations providing VR services were the involvement of different disciplines, determination of the gap between job requirements and the patient's abilities, goal-setting for VR, involvement of external partners, timing, and source of funding. The main differences found concerned start and stop criteria, and coordination of the VR process.

CONCLUSIONS

Currently, at least 30% of the Dutch rehabilitation institutions offer VR services for people with ABI; there is variation in processes.

摘要

目的

概述荷兰康复机构为后天性脑损伤(ABI)患者提供的职业康复(VR)服务的可及性和所涉及的流程。

方法

对所有荷兰康复中心和综合医院及学术医院的康复部门(n=120)中涉及 ABI 患者 VR 干预流程的可用性和特征进行了一项调查。调查问卷中包含了 VR 干预流程的不同领域,报告了在该领域中给出特定答案的受访者人数(和百分比)。

结果

55 家机构做出了回复(回复率 46%)。其中 34 家(62%)提供了针对 ABI 的 VR 服务,其中 20 家(59%)使用了 VR 方案。在提供 VR 服务的不同组织中发现的主要相似之处是不同学科的参与、确定工作要求和患者能力之间的差距、为 VR 制定目标、外部合作伙伴的参与、时间安排和资金来源。发现的主要差异涉及 VR 流程的启动和停止标准以及协调。

结论

目前,荷兰至少有 30%的康复机构为 ABI 患者提供 VR 服务;但流程存在差异。

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