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Titel der Veröffentlichung: Relation between indicators for quality of occupational rehabilitation of employees with low back pain

Autor/in:

van der Weide, W. E.; Verbeek, Jos H.; van Dijk, Frank J. H.

Herausgeber/in:

k. A.

Quelle:

Occupational and Environmental Medicine, 1999, Volume 56 (Issue 7), Seite 488-493, London: BMJ British Publishing Group, ISSN: 1351-0711

Jahr:

1999

Der Text ist von:
van der Weide, W. E.; Verbeek, Jos H.; van Dijk, Frank J. H.

Der Text steht in der Zeitschrift:
Occupational and Environmental Medicine, Volume 56 (Issue 7), Seite 488-493

Den Text gibt es seit:
1999

Wo bekommen Sie den Text?

Occupational and Environmental Medicine
https://oem.bmj.com/

Occupational and Environmental Medicine
https://oem.bmj.com/

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Relation between indicators for quality of occupational rehabilitation of employees with low back pain

Objectives:

To assess if the implementation of guidelines for occupational rehabilitation of patients with low back pain by means of process variables--a set of objective criteria for technical performance and continuity of care--led to a better outcome in clinical and return to work variables.

Methods:

The study group consisted of 59 patients with at least 10 days of sick leave because of low back pain. Univariate analyses as well as multiple logistic regression and Cox's regression analyses were performed to assess the relation between quality of care and outcome.

Results:

Process indicators for technical competence, continuity of care, and total performance were all significantly related to satisfaction of employees. Continuity of care and total performance were significantly related to working status at 3 months, and time to return to work. None of the process indicators was related to pain or disability after 3 months follow up. Satisfaction was not related to any of the other outcome variables. This indicates that if guidelines for occupational rehabilitation are met, outcome is better.

Conclusion:

Quality of the process of care was related to outcome. Interventions of occupational physicians need improvement in the areas of continuity of care and communication with treating physicians. The effectiveness of an improved intervention should be studied in a subsequent randomised clinical trial.

Referenznummer:

R/ZA0148/0008

Informationsstand: 27.02.2004