Wengemuth Eileen, Kleist Lara, Kühn Lukas, Choi Kyung-Eun Anna
Center for Health Services Research, Brandenburg Medical School Theodor Fontane, Seebad 82/83, Rüdersdorf bei Berlin, 15558, Germany.
Health Services Research Group, Research Center Medical Imaging and Artificial Intelligence (MIAAI), Danube Private University (DPU) GmbH, Steiner Landstraße 124, Krems-Stein, 3500, Austria.
BMC Health Serv Res. 2025 Jan 31;25(1):184. doi: 10.1186/s12913-024-12055-z.
Rehabilitation aims to empower people to cope with their chronic conditions, to ensure societal and vocational participation and to prevent health-related early retirement. In Germany, medical and vocational rehabilitation are unconnected services. Expenditures on health-related early retirement in Germany rise while expenditures on vocational rehabilitation do not. Since the use of rehabilitation services often depends on the transition between services, the present study aims to shed light on barriers and facilitators for the transition between medical and vocational rehabilitation from the perspective of service providers working in different institutions.
In this sub-study we made use of a qualitative approach and conducted semi-structured focus groups with service providers, namely employees of rehabilitation institutions which we analyzed using Qualitative Content analysis and an inductive-deductive Coding System.
Twenty-four employees of rehabilitation institutions participated in five different focus groups. Especially the pension funds as institutions and medical rehabilitation clinics' employees of different professions are considered to be relevant professional actors to ensure the continuity of care between medical and vocational rehabilitation. Facilitating and hindering factors include the labour market situation, the Covid-19-pandemic, feedback for employees, an interdisciplinary assessment, different time-related aspects as well as individual factors such as the rehabilitants' diagnoses.
The findings are largely in line with previous research and point to the difficulty and importance of continuity of care between different rehabilitation services as well as the varying agency and responsibility attributed to different actors. The rehabilitation employees' view will later be integrated with the perspective of the rehabilitants.
康复旨在使人们有能力应对慢性病，确保社会和职业参与，并防止与健康相关的提前退休。在德国，医疗康复和职业康复是互不相关的服务。德国与健康相关的提前退休支出在增加，而职业康复支出却没有。由于康复服务的使用往往取决于服务之间的过渡，本研究旨在从在不同机构工作的服务提供者的角度，阐明医疗康复和职业康复之间过渡的障碍和促进因素。
在这项子研究中，我们采用定性方法，与服务提供者（即康复机构的员工）进行了半结构化焦点小组访谈，并使用定性内容分析法和归纳 - 演绎编码系统对访谈结果进行分析。
24名康复机构员工参加了五个不同的焦点小组。特别是养老基金作为机构以及不同职业的医疗康复诊所员工，被认为是确保医疗康复和职业康复之间护理连续性的相关专业行为主体。促进和阻碍因素包括劳动力市场状况、新冠疫情、对员工的反馈、跨学科评估、不同的时间相关因素以及个体因素，如康复者的诊断。
研究结果在很大程度上与先前的研究一致，指出了不同康复服务之间护理连续性的困难和重要性，以及不同行为主体所具有的不同作用和责任。康复员工的观点随后将与康复者的观点相结合。
