Trägerübergreifendes projekt zur früherkennung von rehabilitationsbedarf bei versicherten mit muskuloskelettalen beschwerden durch auswertung von arbeitsunfähigkeitsdaten: Ergebnisse einer randomisierten, kontrollierten evaluationsstudie

Translated title of the contribution: Offering multidisciplinary medical rehabilitation to workers with work disability due to musculoskeletal disorders: Results of randomized controlled trial

Angelika Hüppe*, N. Glaser-Möller, H. Raspe

*Corresponding author for this work
27 Citations (Scopus)

Abstract

Aims: In Germany medical rehabilitation has to be initiated by members of statutory pension fund and health insurances. This often leads to delays in the application for and provision of rehabilitation services. Since January 2000 a regional statutory pension fund for blue collar workers (LVA Schleswig-Holstein), 4 statutory health insurances and their medical service MDK have been evaluating a pro-active system to offer rehabilitation to certain member groups. Its acceptance, performance and outcomes were evaluated within a randomized controlled study. Methods: Over one year actively insured (i.e. working) members of the a.m. institutions were screened for longer work disability due to musculoskeletal disorders (ICD-10: M05-25, M40-54, M60-99). Based on further inclusion criteria eligible persons were randomized either to an intervention (invitation, counselling, application support) or control (usual care) group. At baseline and six and 12 months all participants completed a postal questionnaire enquiring about various health status aspects (secondary outcomes). Information on sick leave (cases, days), hospital treatment and disability pension was based on administrative data (primary outcomes). Analyses were run on an intention to treat-, per protocol-, as actual-, and matched pairs-basis. Results: 230 persons gave written informed consent (IG: n = 134, KG: n = 96). Within 6 months after study entry 69% of the IG- and 20% of the KG-members participated in a 3 week in-patient multidisciplinary rehabilitation program. Compared to 6 months prior to the study the occurrence of sick leave due to musculoskeletal disorders was clearly reduced during follow-up between month 6 and 12, however with no significant difference between the two groups. Additionally, IG and CG did not differ in any other primary and secondary outcomes. Conclusion: Contrary to our expectations the IG-members do not seem to benefit from the PETRA-programme including inpatient rehabilitation.

Translated title of the contributionOffering multidisciplinary medical rehabilitation to workers with work disability due to musculoskeletal disorders: Results of randomized controlled trial
Original languageGerman
JournalGesundheitswesen
Volume68
Issue number6
Pages (from-to)347-356
Number of pages10
ISSN0941-3790
DOIs
Publication statusPublished - 06.2006

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