Evidence map›Paper›PMID 39468506›Full record

ArticleBMC health services research2024

Lessons learned from implementing a digital rehabilitation care planning platform to improve care access for patients with work disability: qualitative process evaluation of the RehaPro-SERVE study.

Kristina Buch, Viktoria Hamme, Annette Becker, Ulf Seifart, Catharina Maulbecker-Armstrong, Karin Moser, Pellumbesha Seferi, Antonia Keller, Veronika van der Wardt

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In one paragraph

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kristina BuchDepartment of Primary Care, Philipps-University of Marburg, Karl- von-Frisch-Straße 4, Marburg, 35032, Germany. kristina.buch@uni-marburg.de.
Viktoria HammeDepartment of Primary Care, Philipps-University of Marburg, Karl- von-Frisch-Straße 4, Marburg, 35032, Germany.
Annette BeckerDepartment of Primary Care, Philipps-University of Marburg, Karl- von-Frisch-Straße 4, Marburg, 35032, Germany.
Ulf SeifartSonnenblick Medical Rehabilitation Centre, German Pension Insurance, Amöneburger Straße 1-6, Marburg, 35043, Germany.
Catharina Maulbecker-ArmstrongFaculty of Health Sciences, University of Applied Sciences Central Hesse, Wiesenstraße 14, Giessen, 35390, Germany.
Karin MoserFaculty of Health Sciences, University of Applied Sciences Central Hesse, Wiesenstraße 14, Giessen, 35390, Germany.
Pellumbesha SeferiFaculty of Health Sciences, University of Applied Sciences Central Hesse, Wiesenstraße 14, Giessen, 35390, Germany.
Antonia KellerGerman Pension Insurance of Hesse, Städelstraße 28, Frankfurt am Main, 60596, Germany.
Veronika van der WardtDepartment of Primary Care, Philipps-University of Marburg, Karl- von-Frisch-Straße 4, Marburg, 35032, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInpatient rehabilitation therapies can be applied for in Germany by patients of working age to support their return to work. However, there are some problems that impede an easy and uncomplicated application process. An interdisciplinary case management approach for rehabilitation care planning was developed to facilitate the access to rehabilitation. Case conferences (CCs) were held with relevant stakeholders and took place on a digital communication platform. We conducted a qualitative process evaluation to understand the implementation of the intervention and to identify contextual factors as well as mechanisms for a successful implementation in the context of primary care.

methodsThe process evaluation included interviews with primary care physicians (PCPs), patients and stakeholders involved in the intervention process. Reflexive thematic analysis was used to analyse the data. Emerging themes were structured according to the Donabedian framework of structure, process and outcomes.

resultsA total of 18 interviews were conducted. Important results included the desire for more patient involvement and case management. Patients especially valued the opportunity to receive support from a social worker. Limitations of the platform related to usability and limited opportunities for stakeholder communication. Despite training for PCPs, several problems arose regarding the clarity of the intervention process. Patients were satisfied with their application process and the treatments offered, while PCPs reported an increase in workload.

conclusionsA digitalisation of the application procedure for rehabilitation and further treatment options is acceptable to patients and personal support of a social worker is particularly valued. However, patients should be included in the CC in terms of a shared decision-making process. The digital platform requires sufficient training and adjustments have to be made to enhance usability and to improve the efficiency of the process for PCPs. Overall, the exchange between the various stakeholders in the CC is considered particularly useful in more complex cases.

trial registrationDRKS German Clinical Trials Register, DRKS0 00242 07. Registered on 22 March 2021.

Indexed as

Qualitative ResearchAdultCase ManagementFemaleGermanyHealth Services AccessibilityHumansInterviews as TopicMaleMiddle AgedPatient Care PlanningPersons with DisabilitiesReturn to WorkCase conferencesCase managementComplex interventionDigital platformInterdisciplinary care planningPrimary careProcess evaluationRehabilitation

Identifiers

PMID39468506
PMCPMC11520423

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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.