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

J R Anema, A M Van Der Giezen, P C Buijs, W Van Mechelen

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

AIMS: To determine obstacles for return-to-work in disability management of low back pain patients sicklisted for 3-4 months.

METHODS: A cohort of 467 low back pain patients sicklisted for 3-4 months 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.

RESULTS: 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. Psychosocial obstacles for return-to-work such as mental blocks, a lack of job motivation, personal problems, and conflicts at work were all mentioned much less frequently by OPs. In only 19% of the patients was there communication between OP and treating physician. Communication almost always entailed an exchange of information, and less frequently an attempt to harmonise the management policy. 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. Communication was significantly associated with the following obstacles for return-to-work: passivity with regard to return-to-work and clinical waiting period; adjusted odds ratios were 3.35 and 2.23, respectively.

CONCLUSIONS: Medical management of treating physicians is often an obstacle for return to work regarding low back pain patients sicklisted for 3-4 months, in the opinion of OPs. Nevertheless communication between OPs and the treating physicians in disability management of these patients is limited. More attention to prevention of absenteeism and bilateral communication is needed in medical courses.

Original languageEnglish
Pages (from-to)729-33
Number of pages5
JournalOccupational and Environmental Medicine
Volume59
Issue number11
Publication statusPublished - Nov 2002

Cite this

@article{150d4d1a62594b40a49b644ee5b7d012,
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",
abstract = "AIMS: To determine obstacles for return-to-work in disability management of low back pain patients sicklisted for 3-4 months.METHODS: A cohort of 467 low back pain patients sicklisted for 3-4 months 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.RESULTS: 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. Psychosocial obstacles for return-to-work such as mental blocks, a lack of job motivation, personal problems, and conflicts at work were all mentioned much less frequently by OPs. In only 19{\%} of the patients was there communication between OP and treating physician. Communication almost always entailed an exchange of information, and less frequently an attempt to harmonise the management policy. 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. Communication was significantly associated with the following obstacles for return-to-work: passivity with regard to return-to-work and clinical waiting period; adjusted odds ratios were 3.35 and 2.23, respectively.CONCLUSIONS: Medical management of treating physicians is often an obstacle for return to work regarding low back pain patients sicklisted for 3-4 months, in the opinion of OPs. Nevertheless communication between OPs and the treating physicians in disability management of these patients is limited. More attention to prevention of absenteeism and bilateral communication is needed in medical courses.",
keywords = "Adolescent, Adult, Attitude of Health Personnel, Clinical Competence/standards, Cohort Studies, Employment, Family Practice/standards, Female, Follow-Up Studies, Humans, Interprofessional Relations, Low Back Pain/rehabilitation, Male, Middle Aged, Occupational Health Services/standards, Prospective Studies, Regression Analysis, Sick Leave, Surveys and Questionnaires",
author = "Anema, {J R} and {Van Der Giezen}, {A M} and Buijs, {P C} and {Van Mechelen}, W",
year = "2002",
month = "11",
language = "English",
volume = "59",
pages = "729--33",
journal = "Occupational and Environmental Medicine",
issn = "1351-0711",
publisher = "BMJ Publishing Group",
number = "11",

}

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. / Anema, J R; Van Der Giezen, A M; Buijs, P C; Van Mechelen, W.

In: Occupational and Environmental Medicine, Vol. 59, No. 11, 11.2002, p. 729-33.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Ineffective disability management by doctors is an obstacle for return-to-work

T2 - a cohort study on low back pain patients sicklisted for 3-4 months

AU - Anema, J R

AU - Van Der Giezen, A M

AU - Buijs, P C

AU - Van Mechelen, W

PY - 2002/11

Y1 - 2002/11

N2 - AIMS: To determine obstacles for return-to-work in disability management of low back pain patients sicklisted for 3-4 months.METHODS: A cohort of 467 low back pain patients sicklisted for 3-4 months 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.RESULTS: 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. Psychosocial obstacles for return-to-work such as mental blocks, a lack of job motivation, personal problems, and conflicts at work were all mentioned much less frequently by OPs. In only 19% of the patients was there communication between OP and treating physician. Communication almost always entailed an exchange of information, and less frequently an attempt to harmonise the management policy. 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. Communication was significantly associated with the following obstacles for return-to-work: passivity with regard to return-to-work and clinical waiting period; adjusted odds ratios were 3.35 and 2.23, respectively.CONCLUSIONS: Medical management of treating physicians is often an obstacle for return to work regarding low back pain patients sicklisted for 3-4 months, in the opinion of OPs. Nevertheless communication between OPs and the treating physicians in disability management of these patients is limited. More attention to prevention of absenteeism and bilateral communication is needed in medical courses.

AB - AIMS: To determine obstacles for return-to-work in disability management of low back pain patients sicklisted for 3-4 months.METHODS: A cohort of 467 low back pain patients sicklisted for 3-4 months 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.RESULTS: 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. Psychosocial obstacles for return-to-work such as mental blocks, a lack of job motivation, personal problems, and conflicts at work were all mentioned much less frequently by OPs. In only 19% of the patients was there communication between OP and treating physician. Communication almost always entailed an exchange of information, and less frequently an attempt to harmonise the management policy. 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. Communication was significantly associated with the following obstacles for return-to-work: passivity with regard to return-to-work and clinical waiting period; adjusted odds ratios were 3.35 and 2.23, respectively.CONCLUSIONS: Medical management of treating physicians is often an obstacle for return to work regarding low back pain patients sicklisted for 3-4 months, in the opinion of OPs. Nevertheless communication between OPs and the treating physicians in disability management of these patients is limited. More attention to prevention of absenteeism and bilateral communication is needed in medical courses.

KW - Adolescent

KW - Adult

KW - Attitude of Health Personnel

KW - Clinical Competence/standards

KW - Cohort Studies

KW - Employment

KW - Family Practice/standards

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Interprofessional Relations

KW - Low Back Pain/rehabilitation

KW - Male

KW - Middle Aged

KW - Occupational Health Services/standards

KW - Prospective Studies

KW - Regression Analysis

KW - Sick Leave

KW - Surveys and Questionnaires

M3 - Article

VL - 59

SP - 729

EP - 733

JO - Occupational and Environmental Medicine

JF - Occupational and Environmental Medicine

SN - 1351-0711

IS - 11

ER -