title: [How many work-related therapeutic services do patients with severe restrictions of work ability receive? Analysis of a representative rehabilitation sample across indications].
abstract: OBJECTIVE
  The aim of the study was to analyze how many work-related interventions were realized during medical rehabilitation on behalf of the German Federal Pension Insurance, whether persons with severe restrictions of work ability (SRWA) received more work-related treatments and if the requirements of the Implementation Guideline for work-related rehabilitation were met.
  
  
  METHODS
  A representative sample of working age persons insured in the German Federal Pension Insurance stratified by main diagnosis groups fulfilled a postal questionnaire before admission to their rehabilitation centre. Work-related interventions were measured by the Classification of Therapeutic Services (KTL), a German classification of treatments during medical rehabilitation.
  
  
  RESULTS
  The sample consisted of 2232 persons with full data. Persons with SRWA received work-related interventions by an average of 6.1 h. The standardized mean differences for the treatment dose of persons with and without SRWA were between 0.12 and 0.34 for different work-related modules. In none of the modules the required minimum level was met. There were no considerable differences in persons with and without SRWA receiving the required minimum level.
  
  
  CONCLUSIONS
  The analysis clearly stated the insufficient frequency and intensity of work-related treatments in medical rehabilitation. Especially the missing link between SRWA and work-related treatments indicates the strong need to further disseminate recently published guideline recommendations on the provision of work-related treatments.
authors.forename: M
authors.initials: M
authors.lastname: Streibelt
authors.forename: M
authors.initials: M
authors.lastname: Brünger
mesh_terms: D000328:Adult; D000368:Aged; D006233:Persons with Disabilities / Q000534:rehabilitation* / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010415:Pensions / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D012050:Rehabilitation, Vocational / Q000592:standards* / Q000706:statistics & numerical data*; D014600:Utilization Review