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Neben der Verbesserung des Gesundheitszustandes sind der Erhalt der Beschäftigungsfähigkeit und die berufliche (Wieder-)Eingliederung zentrale Ziele der Rehabilitationsleistungen der Deutschen Rentenversicherung. In der „Reha-QM-Outcome-Studie“ konnten Rehabilitanden anhand von Routinedaten der Deutschen Rentenversicherung Baden-Württemberg über nunmehr vier Jahre nachbeobachtet werden. Dass eine erfolgreiche Rehabilitation die Beitragszahlung in die Sozialsysteme stabilisiert und das Risiko für eine Erwerbsminderung senkt, wurde für den Dreijahreszeitraum nach Rehabilitation bereits gezeigt (Kaluscha 2017). Hier wird nun der Frage nachgegangen, ob sich die Effekte im vierten Jahr weiterhin zeigen.
Die Diskussion um die Nachhaltigkeit von Dienstleistungen im öffentlichen Sektor steht in einem engen Zusammenhang mit der Frage, ob sich der Einsatz finanzieller Mittel für die Beteiligten lohnt. Daher besteht ein breites Interesse, herauszufinden, ob der Nutzen von Rehabilitationsarbeit auch finanziell messbar ist, und falls ja, wie hoch das ökonomische Potential der Investitionen ist. Um diese Frage zu beantworten, ist es notwendig Leistungen sowie die dadurch anfallenden Ausgaben statistisch zu erfassen und in einem ökonomischen Modell zu bewerten.
Eine wesentliche Zielgröße zur Erfassung der Ergebnisqualität medizinischer Rehabilitationsleistungen sind „Patient Reported Outcomes“ (PROs; Brettschneider et al, 2011; Calvert et al, 2013). Dabei besteht eine hohe Korrespondenz zwischen PROs und SV-Beitragszahlungen der Versicherten in die Sozialversicherung für den Zeitpunkt 1 Jahr nach der Reha (Nübling et al., 2017). Die Beitragszahlungen sind dabei ein zentraler Indikator für Return to Work (RTW). Im vorliegenden Beitrag wird untersucht, inwieweit sich auch SV-Beiträge 3 Jahre nach der Reha aufgrund der bei 1-Jahres-Katamnese erhobenen PROs vorhersagen lassen.
Persons with disabilities have much lower employment rates than the population as a whole and are at a significantly higher risk of living in poverty (OECD, 2011, pp. 50-56 and WHO, 2011, pp. 237-239). However, many of the barriers people with disabilities face, with regards to labor market reintegration, are in fact avoidable. There has for quite some time been evidence that differences in employment and wages, between disabled and non-disabled workers, can only to a limited extent be explained by differences in human capital endowments and productivity (Kidd, Sloane, & Ferko, 2000). Instead, factors such as the absence of access to education and training, and the lack of financial assistance provided are actually significant drivers of labor market exclusion (OECD, 2009, p.15; WHO, 2011, p.239).
Die vorliegende Forschungsarbeit setzt sich mit nachhaltigem Verhalten in Bezug auf die Nutzung von Kaffeebehältern an der HBRS auseinander. Anlass dafür ist, dass Pappbecher aufgrund einer Plastikbeschichtung nur schwer recycelbar sind und somit die Umwelt erheblich beeinträchtigen. In diesem Zusammenhang nahmen 204 Studierende an einer Online-Befragung teil. Den Ergebnissen zufolge kommen derzeit vor allem Einweg-Pappbecher zum Einsatz. Zur Modifizierung dieses umweltschädlichen Verhaltens bedarf es an geeigneten Interventionsstrategien. Basierend auf den Ergebnissen sind Maßnahmen zu implementieren, die dem Defizit an Handlungswissen und dem hohen Aufwand entgegenwirken, welcher mit der Verwendung eigens mitgebrachter Becher und den vorhandenen Porzellantassen assoziiert wird. Nach Sicherstellung der ökologischen Vorteile und finanziellen Umsetzbarkeit sollte das bestehende Pfandsystem um praktischere Becher sowie flexible Rückgabemöglichkeiten erweitert werden. Unterstützend ist eine Belohnung in Form von Freigetränken oder einem geringen finanziellen Rabatt sinnvoll, um den automatischen Verbrauch von Pappbechern zu unterbinden.
Ethik im Medizintourismus
(2018)