Insurers' perspective on barriers and facilitators for return to work after occupational injuries.
Qualitative research
insurance
return to work
work disability
workers’ compensation
Journal
Work (Reading, Mass.)
ISSN: 1875-9270
Titre abrégé: Work
Pays: Netherlands
ID NLM: 9204382
Informations de publication
Date de publication:
2019
2019
Historique:
entrez:
26
5
2019
pubmed:
28
5
2019
medline:
16
7
2019
Statut:
ppublish
Résumé
Despite the importance of the legislative and insurance systems in the return to work process after an occupational injury, the perspective of the insurer on what influences return to work has rarely been documented. To understand the barriers or facilitators for return to work, from the perspective of the insurer. A comprehensive qualitative approach was used. Semi-directed interviews were done with nineteen (19) insurers (claims adjudicator and rehabilitation case manager) from a Canadian workers' compensation board. A thematic analysis was done using QDA Minor Software. Fourteen themes (e.g. family reaction, quality of work relationship) were classified into four categories representing the main stakeholders: worker with disability, workplace, healthcare system and compensation system. Emotional, cognitive, and adaptive reactions from the worker and his family were identified. We observed that good work relations and support practices, lack of access to medical resources, focus on the employee's ability, and complexity and consequences of the compensation process are the main barriers and facilitators from the insurers' perspective. Many of the perceived elements are coherent with the compensation system's administrative and legal context. The results enable us to better understand the insurers' perspective regarding what influences return to work. It reinforces the necessity to consider the administrative and legal context to better understand the insurers' perspective.
Sections du résumé
BACKGROUND
BACKGROUND
Despite the importance of the legislative and insurance systems in the return to work process after an occupational injury, the perspective of the insurer on what influences return to work has rarely been documented.
OBJECTIVE
OBJECTIVE
To understand the barriers or facilitators for return to work, from the perspective of the insurer.
METHODS
METHODS
A comprehensive qualitative approach was used. Semi-directed interviews were done with nineteen (19) insurers (claims adjudicator and rehabilitation case manager) from a Canadian workers' compensation board. A thematic analysis was done using QDA Minor Software.
RESULTS
RESULTS
Fourteen themes (e.g. family reaction, quality of work relationship) were classified into four categories representing the main stakeholders: worker with disability, workplace, healthcare system and compensation system. Emotional, cognitive, and adaptive reactions from the worker and his family were identified. We observed that good work relations and support practices, lack of access to medical resources, focus on the employee's ability, and complexity and consequences of the compensation process are the main barriers and facilitators from the insurers' perspective. Many of the perceived elements are coherent with the compensation system's administrative and legal context.
CONCLUSIONS
CONCLUSIONS
The results enable us to better understand the insurers' perspective regarding what influences return to work. It reinforces the necessity to consider the administrative and legal context to better understand the insurers' perspective.
Identifiants
pubmed: 31127747
pii: WOR192910
doi: 10.3233/WOR-192910
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM