[19大流行病时期的职业康复]。

IF 1.4 4区 医学 Q3 REHABILITATION Rehabilitation Pub Date : 2024-10-01 Epub Date: 2024-08-28 DOI:10.1055/a-2374-2467
Angela Rauch, Nancy Reims
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引用次数: 0

摘要

目的:Covid-19 大流行给残疾人职业康复(VR)的参与者带来了新的挑战。在这项研究中,我们对以下问题感兴趣:残疾人职业康复的服务提供者和资助者(此处为德国联邦就业局(FEA))等参与者是如何开展工作的?德国联邦就业局(FEA)等行为者是如何经历 Covid-19 大流行的,发生了哪些流程变化和延误,以及这可能会对残疾人职业康复的未来产生哪些影响?2020 年 7 月至 2021 年 7 月期间,在 24 次有指导的专家访谈过程中,共询问了 29 位残疾人职业康复计划服务提供者(人数=16)和联邦经济管理局代表(人数=8)在 Covid-19 大流行期间的经历。访谈由 MAXQDA 记录、转录和编码;对转录材料的分析基于归纳和演绎分类系统:结果:虚拟现实项目必须远程进行,必须创造数字可能性。因此,虚拟现实技术也被迫在技术上不断发展,这揭示了机会(在提供项目方面)和局限性(如获得社交技能或评估心理健康)。因此,服务提供者必须持续提供额外支持,以控制心理危机,确保对计划内容的理解,并避免辍学。与学校一样,职业介绍所和就业中心也长期关闭,既没有提供职业康复和一般职业咨询,也没有在联邦就业局的医疗和心理服务机构开展评估程序以确定职业康复需求。一段时间以来,获得职业康复服务的机会明显减少,但这种情况越来越明显,特别是在 2021/22 年度。来自贫困家庭的个人更容易受到影响,因为他们更难保持联系:结论:尽管虚拟现实技术在数字化方面取得了重大进展,但大流行病的经验表明,以面对面的形式提供社会接触的项目对年轻人和智障人士尤为重要。然而,虚拟现实技术必须随着工作环境的变化而变化,以防止残疾人被进一步抛在后面。
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[Vocational Rehabilitation in Times of the Covid-19 Pandemic].

Purpose: The Covid-19 pandemic has posed new challenges to actors in vocational rehabilitation (VR) for people with disabilities. In this study, we were interested in the following: How did actors like service providers and financers of VR (here: German Federal Employment Agency (FEA)) experience the Covid-19 pandemic, which process changes and delays have occurred, and what impact will this possibly have on the future of vocational rehabilitation for people with disabilities?

Methods: Between July 2020 und July 2021, a total of 29 persons from service providers of VR programs (n=16) and representatives of the FEA (n=8) were asked about their experiences during the Covid-19 pandemic in the course of 24 guided expert interviews. The interviews were recorded, transcribed, coded in MAXQDA; the analyses of the transcribed material are based on a system developed from inductive and deductive categories.

Results: VR programs had to be conducted remotely, digital possibilities had to be created. As a result, VR was also forced to evolve technologically, revealing opportunities (in the provision of programs) and limitations (e. g. acquisition of social skills or assessment of mental health). Thus, continuous additional support by the service providers was indispensable to contain psychological crises, to ensure the understanding of the program contents and to avoid dropouts. Just like schools, the employment agencies and job centers closed their doors for a long time and VR and general vocational counseling did not take place nor did assessment procedures carried out at the medical and psychological services of the FEA for determining VR needs. A decline in access to VR had been apparent for some time, but it became increasingly evident, particularly for 2021/22. Individuals from poor households were more likely to be affected because they were more difficult to keep in touch with.

Conclusion: Even though VR has experienced a major digital boost, experience from the pandemic has shown that programs in face-to-face formats with social contact are particularly important for young people and people with mental disabilities. Nevertheless, VR must change with the working environment in order to prevent people with disabilities from being left behind even further.

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来源期刊
Rehabilitation
Rehabilitation REHABILITATION-
CiteScore
0.90
自引率
11.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift Die Rehabilitation richtet sich an Mitarbeiterinnen und Mitarbeiter in Einrichtungen, Forschungsinstitutionen und Trägern der Rehabilitation. Sie berichtet über die medizinischen, gesetzlichen, politischen und gesellschaftlichen Grundlagen und Rahmenbedingungen der Rehabilitation und über internationale Entwicklungen auf diesem Gebiet. Schwerpunkte sind dabei Beiträge zu Rehabilitationspraxis (medizinische, berufliche und soziale Rehabilitation, Qualitätsmanagement, neue Konzepte und Versorgungsmodelle zur Anwendung der ICF, Bewegungstherapie etc.), Rehabilitationsforschung (praxisrelevante Ergebnisse, Methoden und Assessments, Leitlinienentwicklung, sozialmedizinische Fragen), Public Health, Sozialmedizin Gesundheits-System-Forschung sowie die daraus resultierenden Probleme.
期刊最新文献
[Results of a Survey Regarding the Implementation of Work-Related Medical Rehabilitation for Patients with Musculoskeletal Disorders: Evaluation and Training of Work-Related Functional Capacity]. [Quality Criteria of Qualitative Studies in Rehabilitation Research]. [Measuring Disability in Participation Survey and Social Reporting]. [What is the Impact of Early Rehabilitation and Rehabilitation Management on Outcome after Polytrauma?] [Vocational Rehabilitation in Times of the Covid-19 Pandemic].
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