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[参保人对不同形式医疗康复的看法——一项定性研究]

[Insurants' Views on Different Forms of Medical Rehabilitation - A Qualitative Study].

作者信息

Spies Maren, Kulisch Kristina, Streibelt Marco, Pohl Almut, Schulz Holger, Brütt AnnaLevke

机构信息

Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf.

Abteilung Rehabilitation, Deutsche Rentenversicherung Bund, Berlin.

出版信息

Rehabilitation (Stuttg). 2020 Oct;59(5):282-290. doi: 10.1055/a-1148-5051. Epub 2020 Sep 1.

DOI:10.1055/a-1148-5051
PMID:32871609
Abstract

OBJECTIVE

The aim of the study was to assess insurants' views on various forms of medical rehabilitation of the German Federal Pension Insurance (DRV).

METHODS

In ten focus groups, participants (n=78, 65% female, M=52.2 years) discussed the advantages and disadvantages of inpatient rehabilitation, outpatient rehabilitation, rehabilitation parallel to work, and case management. Central to discussion were treatment modalities such as setting, duration and cooperation with other actors in the health care system. The focus groups were transcribed and analyzed qualitatively (Mayring, 2008).

RESULTS

Many participants expressed the need to be removed from their daily routine in order to concentrate on rehabilitative treatment. The perceived lower treatment intensity and double pressure of outpatient rehabilitation are feared to have a negative effect on treatment outcome. According to participants, the fit between the rehabilitation form and the needs of the rehabilitant is crucial.

CONCLUSION

The qualitative data can be used to adjust rehabilitation treatment to insurants' needs.

摘要

目的

本研究旨在评估投保人对德国联邦养老保险(DRV)各种形式医疗康复的看法。

方法

在十个焦点小组中,参与者(n = 78,65%为女性,平均年龄52.2岁)讨论了住院康复、门诊康复、工作并行康复和病例管理的优缺点。讨论的核心是治疗方式,如环境、持续时间以及与医疗保健系统中其他行为者的合作。焦点小组讨论内容被转录并进行定性分析(迈林,2008年)。

结果

许多参与者表示需要暂时脱离日常生活,以便专注于康复治疗。门诊康复被认为治疗强度较低且存在双重压力,担心这会对治疗效果产生负面影响。参与者认为,康复形式与康复者需求之间的契合度至关重要。

结论

定性数据可用于根据投保人的需求调整康复治疗。

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