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首页> 外文期刊>International journal of rehabilitation research: Internationale Zeitschrift fur Rehabilitationsforschungon >Vocational rehabilitation--early versus delayed. The effect of early vocational rehabilitation compared to delayed vocational rehabilitation among employed and unemployed, long-term sick-listed people.
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Vocational rehabilitation--early versus delayed. The effect of early vocational rehabilitation compared to delayed vocational rehabilitation among employed and unemployed, long-term sick-listed people.

机译:职业康复-早期与延迟与长期职业病患者相比,早期职业康复与延迟职业康复的效果相比。

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摘要

The aim of the present study was to examine whether the wait before vocational rehabilitation affected the outcome for employed and unemployed, long-term sick-listed people. The study is based on sick-leave cases 90 days or longer, which started during 1992-1994 in a rural area in Sweden. The study included all sick-leavers with non-malignant musculoskeletal diagnoses from the neck, shoulder and back regions and who had undergone vocational rehabilitation. Of these, 391 were employed and 78 unemployed. Our hypothesis was that those who undergo early vocational rehabilitation, irrespective of employment status, often get well sooner, have fewer sick days and lower benefit levels after vocational rehabilitation than those who have to wait a long time for their rehabilitation. Our hypothesis was supported only regarding the employed who mainly reported well at 6 and 12 months after vocational rehabilitation. In the longer term (24 months) the effect was however no longer evident. Earlier studies indicate that more factors than an early start to rehabilitation are important for a successful outcome. A more important factor is probably that the right measures have been initiated at the right time, that the measures are of high quality and that the sick-leaver is mentally prepared for the measure. Although early vocational rehabilitation did not prove to be a determining factor for a successful outcome there is still reason to emphasize early involvement in the case to guarantee rehabilitation of high quality.
机译:本研究的目的是检验职业康复之前的等待是否影响了已就业和失业的长期病患者。这项研究基于90天或更长时间的病假,该病始于1992年至1994年在瑞典的农村地区。这项研究包括所有颈部,肩部和背部区域患有非恶性肌肉骨骼疾病并经过职业康复治疗的病假者。其中,有391人就业,有78人失业。我们的假设是,与那些需要等待较长时间的康复者相比,无论其职业状况如何,接受早期职业康复的人往往早日康复,病假天数较少,职业康复后的福利水平较低。我们的假设仅针对主要在职业康复后6个月和12个月报告良好的就业者得到支持。但是,从更长的时间(24个月)开始,效果不再明显。较早的研究表明,康复要比早期康复更重要。一个更重要的因素可能是在正确的时间启动了正确的措施,这些措施是高质量的,并且病残者为该措施做好了心理准备。尽管早期职业康复并未被证明是成功结果的决定因素,但仍然有理由强调尽早介入此案以确保​​高质量的康复。

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