van der Weide W E, Verbeek J H, van Dijk F J, Doef J
Coronel Institute for Occupational and Environmental Health, Faculty of Medicine, University of Amsterdam, The Netherlands.
Occup Med (Lond). 1997 Jul;47(5):294-300. doi: 10.1093/occmed/47.5.294.
Guidelines for occupational rehabilitation of workers with low-back pain were developed as part of a larger study. We have formulated criteria for good practice of occupational rehabilitation on the basis of these guidelines. To assess the quality of occupational rehabilitation in the Netherlands, these criteria were subsequently used in an audit of medical records. The number of patients who received care consistent with the guidelines was compared to the number of patients eligible to receive that kind of care (performance rate). Six performance rates were calculated from the medical files of 40 workers with 48 new episodes of low-back pain. Two performance rates proved to be below 25% and two almost 50%. The highest performance rate, that for curative policy was 90%. These results are discussed in the light of the reliability of the original data. We recommend construction of guidelines as well as reliable registration of the occupational rehabilitation process to increase the possibilities of auditing and to raise the quality of occupational health care.
作为一项更大规模研究的一部分，制定了腰痛工人职业康复指南。我们根据这些指南制定了职业康复良好实践标准。为评估荷兰职业康复的质量，这些标准随后被用于病历审核。将接受符合指南护理的患者数量与有资格接受此类护理的患者数量进行比较（执行率）。从40名患有48次新发腰痛的工人的医疗档案中计算出六个执行率。两个执行率证明低于25%，两个接近50%。最高的执行率，即治疗政策的执行率为90%。根据原始数据的可靠性对这些结果进行了讨论。我们建议构建指南以及对职业康复过程进行可靠登记，以增加审核的可能性并提高职业卫生保健的质量。
