[Integration of hospital social services in the rehabilitation of accident patients by the statutory accident insurance. Results of a one-year model project].
In accident patient care, there is a substantial overlap between the scope of duties of hospital social services and tasks fulfilled by the German statutory accident insurances' visiting staff that regularly takes care of accident patients. Therefore, a project on the integration of hospital social services into the organizational structures of the German statutory accident insurance was initiated which aimed at optimising communication and realising synergy effects. A formative evaluation of the project was conducted that provided process- and outcome-related data for a comprehensive evaluation of the strengths and potentials of the project. Report forms containing patient-related information were completed by hospital social services. Forms were evaluated in terms of their utility for case management by accident insurance administrators using a checklist. Project implementation and procedures were documented and evaluated using semi-structured interviews with social services staff and accident insurance employees. Through the model, a comprehensive care for accident patients could be reached. In one third of all cases reviewed, rehabilitation management could be improved by including hospital social services. Moreover, in one third of all cases, care-related activities initiated by accident insurance funds could be reduced by involving local hospital social services. The report form used by hospital social services was evaluated as a useful tool in the context of patient care and rehabilitation management. The model was evaluated by interview participants as a highly targeted approach in accident patients' care management. Implications of the study for improving health care are discussed.
Lukasczik
M
M
Universität Würzburg, Institut für Psychotherapie und Medizinische Psychologie, Arbeitsbereich Rehabilitationswissenschaften, 97070 Würzburg. matthias.lukasczik@uniwuerzburg.de
Geyer
S
S
Neuderth
S
S
Gerlich
C
C
Weis
I
I
Raiber
I
I
Weber-Falkensammer
H
H
Vogel
H
H
D000059:Accidents / Q000706:statistics & numerical data*; D019033:Delivery of Health Care, Integrated / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000706:statistics & numerical data; D005858:Germany; D006801:Humans; D017146:Models, Organizational; D009313:National Health Programs / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000706:statistics & numerical data; D010043:Outcome and Process Assessment, Health Care; D010865:Pilot Projects; D015397:Program Evaluation; D012947:Social Work / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000706:statistics & numerical data; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000534:rehabilitation*