[Recommendations for the Stepwise Occupational Reintegration: Can the Characteristic of the Patients Explain the Differences Between the Rehabilitation Centers?].
BACKGROUND
The first step to initiate a stepwise occupational reintegration (SOR) is the recommendation of the rehabilitation centers. Therefore rehabilitation centers have a significant impact on the use of SOR. There is evidence that the recommendation rate between the rehabilitation centers differs clearly. The present survey therefore analyses in detail the differences of the recommendation rate and examines which patient-related factors could explain the differences.


METHODS
This study is based on analysis of routine data provided by the German pension insurance in Baden-Württemberg (Rehabilitationsstatistikdatenbasis 2013; RSD). In the analyses rehabilitation measures were included if they were conducted by employed patients (18-64 years) with a muscular-skeletal system disease or a disorder of the connective tissue. Logistic regression models were performed to explain the differences in the recommendation rate of the rehabilitation centers.


RESULTS
The data of 134 853 rehabilitation measures out of 32 rehabilitation centers were available. The recommendation rate differed between the rehabilitation centers from 1.36-18.53%. The logistic regression analysis showed that the period of working incapacity 12 month before the rehabilitation and the working capacity on the current job were the most important predictors for the recommendation of a SOR by the rehabilitation centers. Also the rehabilitation centers themselves have an important influence.


CONCLUSIONS
The results of this survey indicate that the characteristic of the patients is an important factor for the recommendation of SOR. Additionally the rehabilitation centers themselves have an influence on the recommendation of SOR. The results point to the fact that the rehabilitation centers use different criteria by making a recommendation.
Institut für Rehabilitationsmedizinische Forschung an der Universität Ulm (IFR Ulm), Bad Buchau.
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L
Schmid
Institut für Rehabilitationsmedizinische Forschung an der Universität Ulm (IFR Ulm), Bad Buchau.
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S
Jankowiak
Institut für Rehabilitationsmedizinische Forschung an der Universität Ulm (IFR Ulm), Bad Buchau.
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R
Kaluscha
Institut für Rehabilitationsmedizinische Forschung an der Universität Ulm (IFR Ulm), Bad Buchau.
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G
Krischak
D000293:Adolescent; D000328:Adult; D006233:Persons with Disabilities / Q000145:classification* / Q000534:rehabilitation* / Q000706:statistics & numerical data; D004518:Education, Professional, Retraining / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012047:Rehabilitation Centers / Q000706:statistics & numerical data*; D012050:Rehabilitation, Vocational / Q000706:statistics & numerical data*; D040841:Resource Allocation / Q000706:statistics & numerical data; D062707:Return to Work / Q000706:statistics & numerical data; D014829:Vocational Education / Q000706:statistics & numerical data; D055815:Young Adult