title: [ReIntra--a model for rehabilitation of severely injured accident victims].
abstract: ReIntra is a medical/occupational counselling and reintegration service launched in 1997 with the aim of supporting seriously injured accident victims along their path towards, hopefully, social and professional rehabilitation. We have analysed 109 patients with severe injuries for whom previous attempts at reintegration left something to be desired. ReIntra's findings, collated after an average period in care of around 17 months, show that the patients' main problems have less to do with the system of medical care than with the reintegration process. Problems seem to occur, in particular, at the interface between the various care centres involved. Following numerous interventions on the part of ReIntra, initial signs of success are now apparent. In 9% of cases, reintegration was no longer possible owing to the severity of the injuries sustained. 17% of the patients were still undergoing medical rehabilitation preventing any observations with regard to the likelihood of full vocational rehabilitation. 58% of accident victims were in the vocational reorientation phase. A further 16% had been fully integrated into professional life.
authors.affiliation: Aus der Bayerischen Rückversicherung AG, München.
authors.forename: S
authors.initials: S
authors.lastname: Hinterstrasser-Irmer
authors.forename: U
authors.initials: U
authors.lastname: Wandl
mesh_terms: D000063:Accidents, Traffic; D003131:Combined Modality Therapy; D005858:Germany; D006801:Humans; D009104:Multiple Trauma / Q000534:rehabilitation*; D010043:Outcome and Process Assessment, Health Care; D010348:Patient Care Team; D012017:Referral and Consultation; D012050:Rehabilitation, Vocational; D017749:Total Quality Management