[How relevant are the benefits for participation at working life for psychosomatic inpatient rehabilitation].
Beside the stabilization of the health status the reintegration into employment are the main ambitions of the medical rehabilitation. Thereby occupational rehabilitation plays an important role in the rehabilitation system. To recommend occupational rehabilitation physicians have to know the requirements patients have to comply with. In addition formal conditions of the medical report upon discharge have to be accomplish that benefits for participation at working life will be provided by the pension insurance. In our study the differences of the amount of recommendation for occupational rehabilitation and the appraisal of the ability to work in the medical reports upon discharge of psychosomatic and orthopaedic patients are examined. The results show that psychosomatic patients achieved significantly less recommendations for occupational rehabilitation than orthopaedic patients. At the same time more psychosomatic patients who achieved the recommendation didn't claim benefits for participation at working life. In addition orthopaedic patients get a rehabilitation approval certification more often than psychosomatic patients. At the same time it appears that maybe the recommending clinics were insecure about the connection between the occupational capacity assessment and the recommendations for benefits for participation at work life. The outcomes presume that work place problems in medical rehabilitation are not taken into consideration adequately.
Kobelt
Axel
A
LVA Hannover, Arztlicher Dienst. axel.kobelt@lva-hannover.de
Grosch
Eberhard Virtus
EV
Gutenbrunner
Christoph
C
D004651:Employment; D006801:Humans; D007297:Inpatients; D007348:Insurance, Health; D009140:Musculoskeletal Diseases / Q000191:economics / Q000534:rehabilitation*; D009788:Occupational Therapy; D011602:Psychophysiologic Disorders / Q000191:economics / Q000534:rehabilitation*; D016896:Treatment Outcome