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Occupational Physicians' Reasoning about Recommending Early Return to Work with Work Modifications.
PLoS One. 2016; 11(7):e0158588.Plos

Abstract

Previous research indicates that work modifications can effectively enhance return to work (RTW) at an early stage of work disability. We aimed to examine how occupational physicians (OPs) reason about recommending early return to work (RTW) with work modifications. Pre-defined propositions regarding the use of work modifications in promoting early RTW were discussed in four focus groups with altogether 11 Finnish OPs. Discussions were audio recorded, and the transcribed data were analyzed using qualitative content analysis. Five different rationales for supporting early RTW were identified: to manage medical conditions, to enhance employee well-being, to help workplace stakeholders, to reduce costs to society, and to enhance OP's own professional fulfillment. However, OPs identified situations and conditions in which early RTW may not be suitable. In addition, there were differences between the OPs in the interpretation of the rationales, suggesting variation in clinical practice. In conclusion, encouraging early RTW with work modifications was perceived by OPs as a meaningful task and, to a large extent, beneficial for employees and several stakeholders. However, this practice was not accepted without consideration to the RTW situation and context. If early RTW and work modifications are to be promoted, OPs should be offered education that addresses their views regarding this practice.

Authors+Show Affiliations

Prevention of Work Disability, Finnish Institute of Occupational Health, Helsinki, Finland.Prevention of Work Disability, Finnish Institute of Occupational Health, Helsinki, Finland.Prevention of Work Disability, Finnish Institute of Occupational Health, Helsinki, Finland.Prevention of Work Disability, Finnish Institute of Occupational Health, Helsinki, Finland.School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada. Centre for Research on Work Disability Policy, Institute for Work & Health, Toronto, Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27367908

Citation

Horppu, Ritva, et al. "Occupational Physicians' Reasoning About Recommending Early Return to Work With Work Modifications." PloS One, vol. 11, no. 7, 2016, pp. e0158588.
Horppu R, Martimo KP, Viikari-Juntura E, et al. Occupational Physicians' Reasoning about Recommending Early Return to Work with Work Modifications. PLoS ONE. 2016;11(7):e0158588.
Horppu, R., Martimo, K. P., Viikari-Juntura, E., Lallukka, T., & MacEachen, E. (2016). Occupational Physicians' Reasoning about Recommending Early Return to Work with Work Modifications. PloS One, 11(7), e0158588. https://doi.org/10.1371/journal.pone.0158588
Horppu R, et al. Occupational Physicians' Reasoning About Recommending Early Return to Work With Work Modifications. PLoS ONE. 2016;11(7):e0158588. PubMed PMID: 27367908.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Occupational Physicians' Reasoning about Recommending Early Return to Work with Work Modifications. AU - Horppu,Ritva, AU - Martimo,Kari-Pekka, AU - Viikari-Juntura,Eira, AU - Lallukka,Tea, AU - MacEachen,Ellen, Y1 - 2016/07/01/ PY - 2015/11/06/received PY - 2016/06/17/accepted PY - 2016/7/2/entrez PY - 2016/7/2/pubmed PY - 2017/8/9/medline SP - e0158588 EP - e0158588 JF - PloS one JO - PLoS ONE VL - 11 IS - 7 N2 - Previous research indicates that work modifications can effectively enhance return to work (RTW) at an early stage of work disability. We aimed to examine how occupational physicians (OPs) reason about recommending early return to work (RTW) with work modifications. Pre-defined propositions regarding the use of work modifications in promoting early RTW were discussed in four focus groups with altogether 11 Finnish OPs. Discussions were audio recorded, and the transcribed data were analyzed using qualitative content analysis. Five different rationales for supporting early RTW were identified: to manage medical conditions, to enhance employee well-being, to help workplace stakeholders, to reduce costs to society, and to enhance OP's own professional fulfillment. However, OPs identified situations and conditions in which early RTW may not be suitable. In addition, there were differences between the OPs in the interpretation of the rationales, suggesting variation in clinical practice. In conclusion, encouraging early RTW with work modifications was perceived by OPs as a meaningful task and, to a large extent, beneficial for employees and several stakeholders. However, this practice was not accepted without consideration to the RTW situation and context. If early RTW and work modifications are to be promoted, OPs should be offered education that addresses their views regarding this practice. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/27367908/Occupational_Physicians'_Reasoning_about_Recommending_Early_Return_to_Work_with_Work_Modifications_ L2 - http://dx.plos.org/10.1371/journal.pone.0158588 DB - PRIME DP - Unbound Medicine ER -