From Evidence to Community Practice in Work Rehabilitation: The Quebec Experience

Loisel, Patrick; Durand, Marie-José; Diallo, Binta; Vachon, Brigitte; Charpentier, Nicole; Labelle, Josée

doi:10.1097/00002508-200303000-00005

Cited by 60 publications

(29 citation statements)

References 27 publications

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“…validity and cost-effectiveness (5) and an implementation plan (6), the model failed to be included in the healthcare system in Québec (7). Other failures of implementation and sustainability of work disability prevention interventions have been reported (7).…”

Section: Feasibility Of Implementing the Sherbrooke Model In Francementioning

confidence: 99%

Results of a feasibility study: barriers and facilitators in implementing the Sherbrooke model in France

Fassier¹,

Durand²,

Caillard³

et al. 2015

Scand J Work Environ Health

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Work disability prevention interventions are complex innovations competing against usual care, workplace habits, and social insurance systems' complexity. The trial effectiveness of these interventions does not guarantee their implementation and sustainability. Multilevel barriers in the healthcare, workplace and insurance systems must be identified and tackled, and implementation strategies must be evaluated to monitor the implementation process and fidelity.

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Section: Feasibility Of Implementing the Sherbrooke Model In Francementioning

confidence: 99%

Results of a feasibility study: barriers and facilitators in implementing the Sherbrooke model in France

Fassier¹,

Durand²,

Caillard³

et al. 2015

Scand J Work Environ Health

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“…(outcome = productivity loss >1.6 hours per day, OR = odds ratio, 95% CI = 95% confidence interval, MSD = musculoskeletal disorder, LBP = low-back pain) Determinant Health supervisor should be engaged in the return-to-work process of the employee in order to guarantee an early and sustainable return to work. Recent studies have already emphasized the necessity of such occupational management strategies at the workplace in bringing the worker back to work in a more efficient way (26,27).…”

Section: Reduced Productivity After Return To Workmentioning

confidence: 99%

Reduced productivity after sickness absence due to musculoskeletal disorders and its relation to health outcomes

Lötters¹,

Meerding²,

Burdorf³

2005

Scand J Work Environ Health

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A. Reduced productivity after sickness absence due to musculoskeletal disorders and its relation to health outcomes. Scand J Work Environ Health 2005;31(5):367-374.Objectives This prospective cohort study quantified the reduced productivity of workers on full duty after sickness absence from a musculoskeletal disorder and determined the effect of health parameters such as perceived pain, functional disability, and general health on reduced productivity.Methods Workers were included who were returning to work from 2-to 6-week sickness absence due to a musculoskeletal disorder. Self-administered questionnaires at baseline, after return to work, and at a 12-month follow-up were used to collect information on productivity and health status. Logistic regression analyses evaluated the determinants of reduced productivity and determined the level of productivity loss shortly after return to work. ResultsReduced productivity was prevalent for 60% of the workers after they returned to work, and for 40% still at the 12-month follow-up. The initial musculoskeletal disorder caused 75% of the productivity loss shortly after return to work and 60% at the follow-up. Among those with productivity loss, the median loss for an 8-hour workday was 1.6 hours shortly after return to work and also at the follow-up. Worse physical health, more functional disability, and poorer relations with the supervisor were associated with productivity loss shortly after return to work, whereas recurrent sick leave was the greatest predictor of productivity loss at the follow-up. ConclusionsReduced productivity was common among workers returning to full duty after sickness absence due to a musculoskeletal disorder. Productivity loss illustrates the importance of the timing of return to work, especially among workers with residual functional disability after return to work. Moreover, the supervisor should be engaged early in the return-to-work process to guarantee an early, sustainable, and productive return to work for the employee.Key terms return to work; presenteeism; productivity costs. Musculoskeletal disorders are well recognized as a major public health problem with substantial human and economic costs (1, 2). In the general Dutch population the 12-month prevalence for musculoskeletal disorders has been estimated to be around 75%, of which 44% is due to low-back pain and 45% to neck and shoulder complaints (3). These high prevalences lead to substantial costs, such as hospital care, general practice costs, and paramedical costs. These direct costs were estimated to be 7.3% of the allocated health care costs in The Netherlands, thereby being one of most expensive health areas (4). In addition, indirect costs due to sickness absence and work disability are substantial since musculoskeletal disorders account for 31% of the total costs of long-term work disability.However, the aforementioned aspects of direct and indirect costs do not cover the full burden of musculoskeletal disorders, because a health problem may also affect work ability, causi...

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“…As Fordyce [107] has argued, workers with persistent LBP might better be construed as having activity intolerance than as having a medical condition that is amenable to medical therapy. From this perspective, it might be more appropriate for rehabilitation of injured workers to occur in a worklike setting than in a medical setting [108][109][110].…”

Section: The Optimal Setting For Multidisciplinary Rehabilitative Trementioning

confidence: 99%

Rehabilitative Treatment for Chronic Pain

Robinson

Leo

Wallach

et al. 2010

Evidence‐Based Chronic Pain Management

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From Evidence to Community Practice in Work Rehabilitation: The Quebec Experience

Cited by 60 publications

References 27 publications

Results of a feasibility study: barriers and facilitators in implementing the Sherbrooke model in France

Results of a feasibility study: barriers and facilitators in implementing the Sherbrooke model in France

Reduced productivity after sickness absence due to musculoskeletal disorders and its relation to health outcomes

Rehabilitative Treatment for Chronic Pain

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