Collaboration in work ability assessment for sick-listed persons in primary healthcare.
Sick leave
feasibility study
general
practitioners
health plan implementation
occupational therapists
Journal
Work (Reading, Mass.)
ISSN: 1875-9270
Titre abrégé: Work
Pays: Netherlands
ID NLM: 9204382
Informations de publication
Date de publication:
2020
2020
Historique:
pubmed:
3
2
2020
medline:
23
9
2020
entrez:
3
2
2020
Statut:
ppublish
Résumé
General practitioners (GPs) have expressed difficulties in issuing sickness certificates and problems may arise if this work is not performed in an adequate manner. There is scant knowledge about how collaboration with other professions could be organized to enhance this work. Evaluate the feasibility of occupational therapists (OTs) performing supplementary assessments for persons on sick leave. Four healthcare centres (HCs) tested a working approach intervention where sick-listed patients were offered a complementary occupational therapy assessment. The OT assessments were intended to provide useful information for GP issued extended sickness certificates. Data on sick leave, sickness certificates and patient questionnaires were collected at different HCs. Interviews were conducted with GPs and OTs and the Consolidated Framework for Implementation Research was used to analyse the intervention's implementation. No major differences in the sickness certificate quality was found. Available data on sick leave increased for all HCs during the project. Not all GPs used the OT assessments, which indicates that the implementation of the intervention was insufficient. Testing a new working approach in primary healthcare requires an implementation strategy. To improve sickness certification quality, this work needs to be prioritized as an important healthcare task.
Sections du résumé
BACKGROUND
BACKGROUND
General practitioners (GPs) have expressed difficulties in issuing sickness certificates and problems may arise if this work is not performed in an adequate manner. There is scant knowledge about how collaboration with other professions could be organized to enhance this work.
OBJECTIVE
OBJECTIVE
Evaluate the feasibility of occupational therapists (OTs) performing supplementary assessments for persons on sick leave.
METHODS
METHODS
Four healthcare centres (HCs) tested a working approach intervention where sick-listed patients were offered a complementary occupational therapy assessment. The OT assessments were intended to provide useful information for GP issued extended sickness certificates. Data on sick leave, sickness certificates and patient questionnaires were collected at different HCs. Interviews were conducted with GPs and OTs and the Consolidated Framework for Implementation Research was used to analyse the intervention's implementation.
RESULTS
RESULTS
No major differences in the sickness certificate quality was found. Available data on sick leave increased for all HCs during the project. Not all GPs used the OT assessments, which indicates that the implementation of the intervention was insufficient.
CONCLUSION
CONCLUSIONS
Testing a new working approach in primary healthcare requires an implementation strategy. To improve sickness certification quality, this work needs to be prioritized as an important healthcare task.
Identifiants
pubmed: 32007984
pii: WOR203093
doi: 10.3233/WOR-203093
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM