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支持职业康复专业人员提供量身定制的护理以惠及长期工作残疾受益人的决策辅助工具:一项可行性研究。

A Decision Aid to Support Vocational Rehabilitation Professionals Offering Tailored Care to Benefit Recipients with a Long-Term Work Disability: A Feasibility Study.

机构信息

Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, NL, 1081 BT, Amsterdam, The Netherlands.

Research Centre for Insurance Medicine, AMC-UMCG-VUmc-UWV, Amsterdam, The Netherlands.

出版信息

J Occup Rehabil. 2024 Mar;34(1):128-140. doi: 10.1007/s10926-023-10105-7. Epub 2023 Apr 10.

Abstract

PURPOSE

This feasibility study focusses on the implementation and use of a decision aid, which supports vocational rehabilitation (VR) professionals in helping clients with a disability pension return to work in practice. The decision aid shows an overview of the clients' return to work barriers and suggests suitable VR interventions based on these barriers.

METHODS

The study population consisted of VR professionals working at the Dutch Social Security Institute and their clients receiving a (partial) work disability pension. The feasibility was measured with concepts of the Linnan and Steckler framework and the attitude, social norm and self-efficacy model. Data were collected using questionnaires, checklists and qualitative interviews.

RESULTS

Ten professionals participated in this study. Fifty-four clients were asked to fill in the questionnaire of the decision aid and 32 clients received VR care based on the decision aid. In general, VR professionals and clients were satisfied with the decision aid and perceived a few barriers for using the decision aid.

CONCLUSIONS

This study showed that it is feasible to implement and use the decision aid. To improve the implementation of this decision aid, it should be implemented in digital systems used by professionals to improve efficiency of working with the decision aid.

摘要

目的

本可行性研究专注于决策辅助工具的实施和使用,该工具旨在帮助领残疾抚恤金的客户重返工作岗位。决策辅助工具展示了客户重返工作岗位的障碍概述,并根据这些障碍提出了合适的康复干预措施。

方法

研究人群包括在荷兰社会保障机构工作的康复专业人员及其接受(部分)工作残疾抚恤金的客户。使用 Linnan 和 Steckler 框架的概念以及态度、社会规范和自我效能模型来衡量可行性。使用问卷、清单和定性访谈收集数据。

结果

有 10 名专业人员参与了这项研究。有 54 名客户被要求填写决策辅助工具的问卷,有 32 名客户根据决策辅助工具接受了康复护理。总的来说,康复专业人员和客户对决策辅助工具感到满意,并认为使用决策辅助工具存在一些障碍。

结论

本研究表明,实施和使用决策辅助工具是可行的。为了提高该决策辅助工具的实施,应将其纳入专业人员使用的数字系统中,以提高使用该决策辅助工具的工作效率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adbb/10899301/dfb14c0b3b2b/10926_2023_10105_Fig1_HTML.jpg

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