Vocational rehabilitation of patients after injury or with chronic illness
Authors:
Petr Džambasov 1,2; Pavla Povolná 3
Authors‘ workplace:
Zdravotně sociální fakulta JČU v Českých Budějovicích
1; Asociace pracovní rehabilitace, z. ú.
2; Fakulta zdravotnických studií UJEP v Ústí nad Labem
3
Published in:
Čas. Lék. čes. 2024; 163: 155-158
Category:
Review Articles
Overview
Vocational rehabilitation plays a key role in the overall improvement of the quality of life for patients with chronic illness or after injury. Physicians have an important role in identifying suitable patients and recommending vocational rehabilitation as part of a comprehensive rehabilitation treatment.
This article provides an overview of the use of vocational rehabilitation in the treatment of various patients with different types of illnesses and suggests criteria for selecting appropriate patients for involvement in vocational rehabilitation. The review presents the current state of vocational rehabilitation, its possibilities, limitations, and challenges for further development. One of the main challenges is the potential use of vocational rehabilitation for patients on temporary disability leave. Although employment law has allowed this possibility for 20 years, in practice, the tool of vocational rehabilitation has not yet been used for this group of individuals.
The article also brings new findings revealed by research conducted within an experimental project that pilot tested the concept of so-called "vocational rehabilitation centers." The research showed, among other things, that the early involvement of individuals with disabilities in vocational rehabilitation, combined with a multidisciplinary approach, more than triples their chances of obtaining or retaining employment.
Keywords:
rehabilitation, vocational rehabilitation, vocational rehabilitation centers, individuals with disabilities, disability, work incapacity
Sources
- Disability and Health. WHO. Dostupné na: www.who.int/news-room/fact-sheets/detail/disability-and-health
- Seidl Z, Obenberger J. Neurologie pro studium i praxi (2. vyd.). Grada, Praha, 2004.
- Zákon č. 435/2004 Sb., o zaměstnanosti.
- Bruthansová D, Jeřábková V. Koordinovaná rehabilitace. Výzkumný ústav práce a sociálních věcí, v. v.i ., Praha, 2012.
- Džambasov P, Remr, J, Ďurďa O a kol. Vývoj a pilotní ověření konceptu „Pracovně rehabilitačního střediska“. Závěrečná evaluační zpráva. Institut evaluací a sociálních analýz, Praha, 2023.
- Pruett SR, Swett EA, Chan F et al. Empirical evidence supporting the effectiveness of vocational rehabilitation. J Rehab 2008; 74: 56–63.
- Krinesová L. Politika zaměstnanosti osob se zdravotním postižením ve Finsku a ve Španělsku. Výzkumný ústav práce a sociálních věcí, v. v. i., Praha, 2013.
- Zpráva o činnosti Úřadu práce ČR. Úřad práce ČR. Dostupné na: www.uradprace.cz/zprava-o-cinnosti
- Sternberg A, Fauser D, Banaschak H, Bethge M. Sequences of vocational rehabilitation services in Germany: a cohort study. BMC Health Serv Res 2024; 24: 74.
- Metodika standardů a postupů pracovní rehabilitace v praxi. Ministerstvo práce a sociálních věcí ČR. Dostupné na: www.aprcr.cz/pracovni-rehabilitace
- Švestková O, Maršálek P, Svěcená K a kol. Metodika standardů ergodiagnostiky pro účely hodnocení pracovního potenciálu OZP. Ministerstvo práce a sociálních věcí ČR, Praha, 2014.
- Lambeek LC, van Mechelen W, Knol DL et al. Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life. BMJ 2010; 340: c1035.
- Evans L, Lund C, Massazza A et al. The impact of employment programs on common mental disorders: a systematic review. Int J Soc Psychiatry 2022; 68: 1315–1323.
- Möller MC, Lexell J, Ramsay KW. Effectiveness of specialized rehabilitation after mild traumatic brain injury: a systematic review and meta-analysis. J Rehab Med 2021; 53: 2751.
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
Journal of Czech Physicians
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