Inhalt

in Literatur blättern

  • Detailansicht

Bibliographische Angaben zur Publikation

Evaluation der MBOR-Strategie der Deutschen Rentenversicherung Bund in der Orthopädie


Autor/in:

Neuderth, Silke; Schwarz, Betje; Gerlich, Christian [u. a.]


Herausgeber/in:

k. A.


Quelle:

BMC Public Health, 2016, 16:804, London: BioMed Central, Online-Ressource, ISSN: 1471-2458 (online)


Jahr:

2016



Link(s):


Link zu dem Beitrag (HTML; Sprache: Englisch).


Abstract:


Die Medizinisch-beruflich orientierte Rehabilitation (MBOR) ist ein Angebot der Deutschen Rentenversicherung (DRV), das sich an Personen mit sogenannten besonderen beruflichen Problemlagen (unter anderem lange Arbeitsunfähigkeit und ungünstige Erwerbsprognose) richtet. Ziel der MBOR ist es, mit Hilfe eines verstärkten Berufsbezugs während der Rehabilitation, die Arbeitsfähigkeit und berufliche Teilhabe dieser Personen nachhaltig zu verbessern. Studien, die die Wirksamkeit der MBOR unter Idealbedingungen untersucht haben, konnten ihren Erfolg hinsichtlich verschiedener Zielgrößen (zum Beispiel Arbeitsunfähigkeitszeiten oder Schmerzen) bestätigen. Eine Überprüfung der Wirksamkeit unter realen Versorgungsbedingungen steht jedoch noch aus. Dies ist Ziel der Studie.

DRKS-ID der Studie: DRKS00009780 (Eintrag im Deutschen Register Klinischer Studien).


Weitere Informationen:


Englisches Abstract:

Work-related medical rehabilitation in patients with musculoskeletal disorders: The protocol of a propensity score matched effectiveness study


Abstract:


Background:

Musculoskeletal disorders are one of the most important causes of work disability. Various rehabilitation services and return-to-work programs have been developed in order to reduce sickness absence and increase sustainable return-to-work. As the effects of conventional medical rehabilitation programs on sickness absence duration were shown to be slight, work-related medical rehabilitation programs have been developed and tested. While such studies proved the efficacy of work-related medical rehabilitation compared with conventional medical rehabilitation in well-conducted randomized controlled trials, its effectiveness under real-life conditions has yet to be proved.

Methods/Design:

The cohort study will be performed under real-life conditions with two parallel groups. Participants will receive either a conventional or a work-related medical rehabilitation program. Propensity score matching will be used to identify controls that are comparable to treated work-related medical rehabilitation patients. Over a period of three months, about 18,000 insured patients with permission to undergo a musculoskeletal rehabilitation program will be contacted. Of these, 15,000 will receive a conventional and 3,000 a work-related medical rehabilitation. We expect a participation rate of 40 % at baseline. Patients will be aged 18 to 65 years and have chronic musculoskeletal disorders, usually back pain. The control group will receive a conventional medical rehabilitation program without any explicit focus on work, work ability and return to work in diagnostics and therapy. The intervention group will receive a work-related medical rehabilitation program that in addition to common rehabilitation treatments contains 11 to 25 h of work-related treatment modules. Follow-up data will be assessed three and ten months after patients' discharge from the rehabilitation center. Additionally, department characteristics will be assessed and administrative data records used. The primary outcomes are sick leave duration, stable return to work and subjective work ability. Secondary outcomes cover several dimensions of health, functioning and coping strategies.

Discussion:

This study will determine the relative effectiveness of a complex, newly implemented work-related rehabilitation strategy for patients with musculoskeletal disorders.


Schlagworte:
Informationen in der ICF:


Dokumentart:


Zeitschriftenbeitrag / Forschungsergebnis / Online-Publikation




Bezugsmöglichkeit:


BMC Public Health
Homepage: https://www.springer.com/public+health/journal/12889
***Open access / Freier Zugang zu den Beiträgen der Zeitschrift***

Um Literatur zu beziehen, wenden Sie sich bitte an Bibliotheken, die Herausgeber, den Verlag oder an den Buch- und Zeitschriftenhandel.



Referenznummer:

R/ZA4743


Informationsstand: 24.07.2018

in Literatur blättern