[Specific work-related problems: do they matter in access to work-related medical rehabilitation?].
BACKGROUND
The study determined if need for rehabilitation in work-related medical rehabilitation (WMR) is more frequently characterised by specific work-related problems than in conventional medical rehabilitation (MR).


METHODS
In 6 rehabilitation centres, persons with back pain (M50, M51, M53, M54) were surveyed about work-related restrictions of work ability at begin of their rehabilitation.


RESULTS
Differences in work ability of WMR and MR patients confirmed need-related access. However, these differences were exclusively explained by screening-based access decisions. If access was not supported by a screening, WMR and MR patients did not differ. Decisions by rehabilitation centres compared with decisions by insurance agencies resulted in similar differences between WMR and MR patients.


CONCLUSIONS
Screening-based decisions about access enable a more need-related access to WMR. As there were no differences between access decisions by rehabilitation centres and insurance agencies, access decisions can be realised already by the insurance agency.
Koordinierungsstelle Angewandte Rehabilitationsforschung, Klinik für Rehabilitationsmedizin, Medizinische Hochschule Hannover.
M
M
Bethge
Abteilung für Medizinische Psychologie und Rehabilitationswissenschaften, Universität Würzburg.
S
S
Löffler
Koordinierungsstelle Angewandte Rehabilitationsforschung, Klinik für Rehabilitationsmedizin, Medizinische Hochschule Hannover.
B
B
Schwarz
Abteilung für Medizinische Psychologie und Rehabilitationswissenschaften, Universität Würzburg.
H
H
Vogel
Koordinierungsstelle Angewandte Rehabilitationsforschung, Klinik für Rehabilitationsmedizin, Medizinische Hochschule Hannover.
M
M
Schwarze
Abteilung für Medizinische Psychologie und Rehabilitationswissenschaften, Universität Würzburg.
S
S
Neuderth
D004185:Disability Evaluation; D005260:Female; D005858:Germany / Q000453:epidemiology; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D017116:Low Back Pain / Q000453:epidemiology* / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment / Q000706:statistics & numerical data*; D009784:Occupational Diseases / Q000453:epidemiology* / Q000534:rehabilitation*; D012307:Risk Factors; D014938:Work Capacity Evaluation