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Case management training needs to support vocational rehabilitation for case managers and general practitioners: a survey study

机译：案例管理培训需要支持案例管理者和全科医生的职业康复：一项调查研究

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Background The use of the biopsychosocial model of health and case management for effective vocational rehabilitation (VR) has been confirmed for many health conditions. While Case and Condition Managers (CCMPs) use this approach in their everyday work, little is known about their views on training needs. A review of the training curriculum for General Practitioners’ (GPs) revealed little training in VR and the biopsychosocial model of care. This study aims to identify Case and Condition Managers and GPs perceptions of their training needs in relation to employability and VR. Methods 80 Case and Condition Managers and 304 GPs working in NHS Lanarkshire, providing a comparison group, were invited to participate in this study. A self-completion questionnaire was developed and circulated for online completion with a second round of hardcopy questionnaires distributed. Results In total 45 responses were obtained from CCMPs, 5 from occupational health nurses (62% response rate) and 60 from GPs (20% response rate). CCMPs and the nursing group expressed a need for training but to a lesser extent than GP’s. The GP responses demonstrated a need for high levels of training in case/condition management, the biopsychosocial model, legal and ethical issues associated with employment and VR, and management training. Conclusions This survey confirms a need for further training of CCMPs and that respondent GPs in one health board are not fully equipped to deal with patients employability and vocational needs. GPs also reported a lack of understanding about the role of Case and Condition managers. Training for these professional groups and others involved in multidisciplinary VR could improve competencies and mutual understanding among those advising patients on return-to-work.
机译：背景技术已针对许多健康状况确认了将健康和病例管理的生物心理社会模型用于有效的职业康复（VR）的用途。尽管案例和条件经理（CCMP）在日常工作中使用这种方法，但对于他们对培训需求的看法知之甚少。对全科医生（GP）的培训课程的回顾表明，几乎没有VR和生物心理社会护理模式方面的培训。本研究旨在确定案例和条件经理以及全科医生对他们与就业能力和虚拟现实相关的培训需求的看法。方法邀请在NHS Lanarkshire的80名病例和病情经理和304名GPs（作为比较组）参加本研究。编写了一份自我完成的调查表并分发给在线完成，并分发了第二轮硬拷贝调查表。结果总共从CCMP中获得45个响应，从职业健康护士那里获得5个响应（62％响应率），从全科医生那里获得60个响应（20％响应率）。 CCMP和护理小组表示需要培训，但培训程度比GP少。全科医生的回答表明，需要对病例/病情管理，生物心理社会模型，与就业和虚拟现实相关的法律和道德问题以及管理培训进行高水平的培训。结论该调查证实需要对CCMP进行进一步的培训，并且一个医疗委员会中的响应GP不具备充分的能力来应对患者的就业能力和职业需求。全科医生还报告说，对案件和条件经理的角色缺乏了解。对这些专业团体以及参与多学科VR的其他人进行培训可以提高建议患者重返工作岗位的能力和相互了解。

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