ArticleBMC health services research2024
Sequences of vocational rehabilitation services in Germany: a cohort study.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed, 5 citations in OpenAlex.
- The transition from medical to vocational rehabilitation in Germany: an exploratory mixed methods study on rehabilitants' experiences.Frontiers in rehabilitation sciences · 2026Article
- The evolution and improvement of medical-vocational education policies: a perspective based on the IAD framework.Frontiers in public health · 2026Article
- Psychological Service Utilization and its Impact on Return to Work in Vocational Retraining Centers: A Cohort Study.Journal of occupational rehabilitation · 2025Article
- Challenges in the transition between medical and vocational rehabilitation: a qualitative focus group study with service providers in Germany.BMC health services research · 2025Article
- Innovation through networking: the single contact points for employers in the German vocational rehabilitation and participation system.Frontiers in rehabilitation sciences · 2025Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to describe sequences of vocational rehabilitation services among individuals with approved vocational rehabilitation in Germany and to identify typical service sequences.
methodsWe used administrative data on vocational rehabilitation services and questionnaire data on health and work ability to describe frequencies and sequences of vocational rehabilitation services financed by the Federal German Pension Insurance. Through sequence analysis, we were able to map the service sequences. We did cluster analyses to identify typical different service sequences.
resultsOur sample included 1,652 individuals with 2,584 services. Integration services and two-year vocational retraining were the most common services. We could identify three different service clusters around integration services: shorter ones, followed by employer benefits and without employer benefits. We found two different clusters around two-year vocational retraining: shorter and longer clusters. Two-year vocational retraining was more often initiated by preparatory services and followed by employer benefits than integration services. Longer services in both clusters were associated with better baseline data for physical health, work ability, risk of future work disability, and younger age than shorter services. People in two-year-vocational retraining reported at baseline better general health, better work ability, low risk of future work disability, and less mental illness compared to people in integration services.
conclusionsMultiple services, that is, sequences of services, were more likely to occur among individuals with more complex services like two-year vocational retraining. Utilization of complex services and longer services was influenced by health, age, risk of future work disability, and education.
trial registrationGerman Clinical Trials Register DRKS00009910, registration 25/01/2016.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.