Title
Ineffective disability management by doctors is an obstacle for return-to-work: A cohort study on low back pain patients sicklisted for 3-4 months
Author
Anema, J.R.
van der Giezen, A.M.
Buijs, P.C.
van Mechelen, W.
Publication year
2002
Abstract
The aim of this article is to determine obstacles for return-to-work in disability management of low back pain patients sicklisted for three till four months. A cohort of 467 low back pain patients was recruited. A questionnaire was sent to their occupational physicians (OPs) concerning the medical management, obstacles to return-to-work, and the communication with treating physicians. The OPs of 300 of 467 patients participated in this study. In many cases OPs regarded the clinical waiting period (43%), duration of treatment (41%), and view (25%) of the treating physicians as obstacles for return-to-work. In only 19% of the patients there was communication between OP and treating physician. Surprisingly communication was also limited, when OPs felt that the waiting period (32%), duration of treatment (30%), and view (28%) of treating physicians inhibited return-to-work. Medical management of treating physicians is often an obstacle for return to work regarding low back pain patients sicklisted for three till four months, in the opinion of OPs. Nevertheless communication between OPs and the treating physicians in disability management of these patients is limited.
Subject
Workplace
Beroepsrehabilitatie
Rugklachten
Hernia
Bedrijfsartsen
Bedrijfsverpleegkundigen
Reintegratie
Arbeidsgehandicapten
Interne communicatie
Rapportage
Verslaglegging
Adolescent
Adult
Attitude of Health Personnel
Clinical Competence
Cohort Studies
Employment
Family Practice
Female
Follow-Up Studies
Humans
Interprofessional Relations
Low Back Pain
Male
Middle Aged
Occupational Health Services
Prospective Studies
Questionnaires
Regression Analysis
Sick Leave absenteeism
Cohort analysis
Conflict
Disability
Information
Interpersonal communication
Major clinical study
Motivation
Occupational physician
Physician
Risk
Social psychology
Work resumption
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http://resolver.tudelft.nl/uuid:14eb4ff3-c663-4ed7-a4f3-1c50705c5882
DOI
https://doi.org/10.1136/oem.59.11.729
TNO identifier
276813
Source
Occupational and environmental medicine, 59 (11), 729-733
Document type
article