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Return to work after occupational injury: Family physicians' perspectives on soft-tissue injuries


Autor/in:

Guzman, J.; Yassi, Annalee; Cooper, J. E. [u. a.]


Herausgeber/in:

College of Family Physicians of Canada; College of General Practice of Canada


Quelle:

Canadian family physician - Médecin de famille canadien, 2002, Number 48, Seite 1912-1919, Mississauga, Ontario: Eigenverlag, ISSN: 0008-350X


Jahr:

2002



Abstract:


Objective:

To document physicians' views about facilitating factors for and barriers to their helping workers recover after occupational soft-tissue injuries and to ascertain physicians' knowledge and attitudinal barriers to their involvement in return to work.

Design:

Faxed survey.

Setting:

Manitoba family practices and emergency departments.

Participants:

General practitioners, family physicians, and emergency physicians regularly caring for injured workers.

Main outcome measures:

Physicians' ranking of facilitating factors and barriers, changes to help their involvement in return to work, and their attitudes and knowledge about return to work.

Results:

Respondents and nonrespondents were demographically similar, 232 physicians (51.3%) responded. Respondents believed the main facilitating factors were physicians' ability to explain the nature and prognosis of injuries to workers (69%) and the willingness of workplaces to accommodate injured workers (26%) . The main barriers were workers' misunderstandings and fears about their injuries (70.7%) and non-supportive supervisors and co-workers (20.8%).

The most frequently requested change was better workplace job accommodation (48%). Most physicians agreed they had a role in planning return to work and were aware of the effect of job satisfaction, psychosocial elements, and work-related factors. Despite supporting evidence, only one third of physicians stated they would say 'try to continue usual activities' to patients with occupational low back pain.

Conclusion:

Most physicians seemed aware of their role in return to work and the effect of occupational factors, but their advice on activity after injury differed from that in practice guidelines.


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Referenznummer:

R/ZA1863


Informationsstand: 20.04.2004

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