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Purpose To investigate how completing vocational re-training influenced income and employment days of working-age people with disabilities in the first 8 years after program admission. The investigation also included the influence of vocational re-training on the likelihood of receiving an earnings incapacity pension and on social security benefit receipt. Methods This retrospective cohort study with 8 years follow up was based on data from 2399 individuals who had completed either a 1-year vocational re-training program (n = 278), or a 2-year vocational re-training program (n = 1754) or who were admitted into re-training but never completed the program (n = 367). A propensity score-based method was used to account for observed differences and establish comparability between program graduates and program dropouts. Changes in outcomes were examined using the inverse probability-weighted regression adjustment method. Results After controlling for other factors, over the 8 years after program admission, graduates of 1-year re-training, on average, were employed for an additional 405 days, 95% CI [249 days, 561 days], and had earned €24,260 more than without completed re-training, 95% CI [€12,805, €35,715]. Two-year program completers, on average, were employed for 441 additional days, 95% CI [349 days, 534 days], and had earned €35,972 more than without completed re-training, 95% CI [€27,743, €44,202]. The programs also significantly reduced the number of days on social-security and unemployment benefits and lowered the likelihood of an earnings incapacity pension. Conclusion Policies to promote the labor market re-integration of persons with disabilities should consider that vocational re-training may be an effective tool for sustainably improving work participation outcomes.
Mit dem Anspruch, die Qualität in der medizinischen Rehabilitation weiterzuentwickeln, haben sich im Jahr 2007 13 Kliniken von acht Trägern zusammengeschlossen. Heute, ein gutes Jahrzehnt später, vereint der Qualitätsverbund Gesundheit rund 30 Reha-Kliniken von elf Trägern, darunter kommunale und kirchliche Institutionen, Privatunternehmen und die Rehazentren der Deutschen Rentenversicherung Baden-Württemberg.
Management der Rehabilitation: Case Management im Handlungsfeld Rehabilitation. Band 1 - Grundlagen
(2017)
Mit dem Paradigmenwechsel im Verständnis von Rehabilitation, weg von der rein defizitorientierten, medizinischen Sichtweise hin zur selbstbestimmten Teilhabe am Leben in der Gesellschaft, der mit dem Inkrafttreten des SGB IX im Jahr 2001 in Deutschland, der Ratifizierung der UN-Behindertenrechtskonvention im Jahr 2009, der Weiterentwicklung des Behindertengleichstellungsrechts und der Verabschiedung des Bundesteilhabegesetztes im Jahr 2016 endgültig vollzogen wurde, haben sich die Anforderungen an die Strukturen und Prozesse derjenigen Institutionen verändert, die mit der Organisation, Durchführung und Finanzierung von Rehabilitation befasst sind. Rehabilitation entwickelt sich damit von einer nachgelagerten (Teil-)Leistung zu einer der Schlüsselstrategien für die gesundheitliche Versorgung und soziale Sicherung.