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Doctor proactive communication, return-to-work recommendation, and duration of disability after a workers' compensation low back injury


Autor/in:

Dasinger, Lisa K.; Krause, Niklas; Thompson, Pamela J. [u. a.]


Herausgeber/in:

American College of Occupational and Environmental Medicine


Quelle:

Journal of Occupational and Environmental Medicine (JOEM), 2001, Volume 43 (Number 6), Seite 515-525, Baltimore, Maryland: Lippincott Williams & Wilkins, ISSN: 1076-2752


Jahr:

2001



Abstract:


Although doctors are increasingly evaluated on the basis of return-to-work (RTW) outcomes, the effect of doctor-patient communication about the workplace and RTW after an occupational injury has received little research attention.

The effect of patient-reported doctor communication on duration of disability was examined retrospectively in a 3-year cohort of 325 claimants with a lost-time low back injury. Although doctor proactive communication was associated with a greater likelihood of RTW during the acute phase (< 30 days of disability), this effect disappeared when injury and workload characteristics were taken into account.

A positive RTW recommendation was associated with about a 60% higher RTW rate during the subacute/ chronic phase (> 30 days of disability) only. Prospective studies are needed to confirm this effect. The impact of physician communication on RTW is largely confounded by injury and workplace factors.


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Journal of Occupational and Environmental Medicine (JOEM)
Homepage: https://journals.lww.com/joem/pages/default.aspx

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Referenznummer:

R/ZA0962


Informationsstand: 25.02.2004

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