Mapping first‐line health care providers' roles, practices, and impacts on care for workers with compensable musculoskeletal disorders in four jurisdictions: A critical interpretive synthesis

Hudon, Anne; Lippel, Katherine; MacEachen, Ellen

doi:10.1002/ajim.22972

Cited by 7 publications

(7 citation statements)

References 54 publications

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“…This approach allowed us to appraise and critique a complex body of literature, irrespective of method, found by a systematic search. This method is particularly appropriate when there is a large body of diverse evidence on a subject [26,27].…”

Section: Methodsmentioning

confidence: 99%

“…The final sample of 18 articles was examined following Dixon-Woods and colleagues' processes of quality assessment, data extraction, and data synthesis [26,27]. They underline the importance of assessing the quality of the articles to be included in the review and analysis in terms of examining their overall relevance to facilitating understanding of the topic under study.…”

Section: Critical Interpretive Synthesis Processesmentioning

confidence: 99%

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Self-employment, work and health: A critical narrative review

Khan

MacEachen

Hopwood

et al. 2021

WOR

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BACKGROUND: Self-employment (SE) is a growing precarious and non-standard work arrangement internationally. Economically advanced countries that favor digital labor markets may be promoting the growth of a demographic of self-employed (SE’d) workers who are exposed to particular occupational diseases, sickness, and injury. However, little is known about how SE’d workers are supported when they are unable to work due to illness, injury, and disability. OBJECTIVE: Our objective was to critically review peer-reviewed literature focusing on advanced economies to understand how SE’d workers navigate, experience, or manage their injuries and illness when unable to work. METHODS: Using a critical interpretive lens, a systematic search was conducted of five databases. The search yielded 18 relevant articles, which were critically examined and synthesized. RESULTS: Five major themes emerged from the review: (i) conceptualizing SE; (ii) double-edged sword; (iii) dynamics of illness, injury, and disability; (iv) formal and informal health management support systems; and (v) occupational health services and rehabilitation. CONCLUSION: We find a lack of research distinguishing the work and health needs of different kinds of SE’d workers, taking into consideration class, gender, sector, and gig workers. Many articles noted poor social security system supports. Drawing on a social justice lens, we argue that SE’d workers make significant contributions to economies and are deserving of support from social security systems when ill or injured.

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Section: Methodsmentioning

confidence: 99%

Section: Critical Interpretive Synthesis Processesmentioning

confidence: 99%

Self-employment, work and health: A critical narrative review

Khan

MacEachen

Hopwood

et al. 2021

WOR

Self Cite

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“…Hudon, et al [59] Comparing critical literature on the practices of first-line providers for workers with musculoskeletal injuries.…”

Section: Review Uk Any Typementioning

confidence: 99%

“…The final selected documents obtained from both searches-systematic and non-systematic were examined following Dixon-Woods and colleagues' processes of quality assessment, data extraction, and data synthesis [58,59]. They underline the importance of assessing the quality of the articles to be included in the review and analysis in terms of their overall relevance to facilitating understanding of the topic under study [3].…”

Section: Policy Analysis Canada Any Typementioning

confidence: 99%

What Social Supports Are Available to Self-Employed People When Ill or Injured? A Comparative Policy Analysis of Canada and Australia

Khan

MacEachen

Dunstan

2022

IJERPH

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Self-employment (SE) is a growing precarious work arrangement internationally. In the current digital age, SE appears in configurations and contours that differ from the labor market of 50 years ago and is part of a ‘paradigm shift’ from manufacturing/managerial capitalism to entrepreneurial capitalism. Our purpose in this paper is to reflect on how a growing working population of self-employed people accesses social support systems when they are not working due to injury and sickness in the two comparable countries of Canada and Australia. We adopted ‘interpretive policy analysis’ as a methodological framework and searched a wide range of documents related to work disability policy and practice, including official data, legal and policy texts from both countries, and five prominent academic databases. Three major themes emerged from the policy review and analysis: (i) defining self-employment: contested views; (ii) the relationship between misclassification of SE and social security systems; (iii) existing social security systems for workers and self-employed workers: Ontario and NSW. Our comparative discussion leads us toward conclusions about what might need to be done to better protect self-employed workers in terms of reforming the existing social security systems for the countries. Because of similarities and differences in support available for SE’d workers in the two countries, our study provides insights into what might be required to move the different countries toward sustainable labour markets for their respective self-employed populations.

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“…and are influenced by a number of internal (within the person) and external (outside the person) factors. These factors may include comorbidities [2], cognition and mood [2], socioeconomic and social status [3,4], and care timing and provider specialization [5][6][7]. Targeted treatment/interventions may also influence outcomes but are commonly moderated and/or mediated by factors such as expectations [8,9], the patient-clinician relationship [10], legal status [11], workers compensation [11], social risk variables [3,4], common factors [12], and natural history [13].…”

Section: Introductionmentioning

confidence: 99%

An International Consensus Definition for Contextual Factors: Findings from a Nominal Group Technique

Cook

Bailliard

Bent

et al. 2022

Preprint

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Emerging literature suggests contextual factors are important components of therapeutic encounters and may substantially influence clinical outcomes of a treatment intervention. At present, a single consensus definition of contextual factors, which is universal across all health-related conditions is lacking. The objective of this study was to create a consensus definition of contextual factors to better refine this concept for clinicians and researchers. The study used a multi-stage virtual Nominal Group Technique (vNGT) to create and rank contextual factor definitions. Nominal group techniques are a form of consensus-based research, and are beneficial for identifying problems, exploring solutions and establishing priorities. The 10 international vNGT participants had a variety of clinical backgrounds and research specializations and were all specialists in contextual factors research. The initial stages of the vNGT resulted in the creation of 14 independent contextual factor definitions. After a prolonged discussion period, the initial definitions were heavily modified, and 12 final definitions were rank ordered by the vNGT participants from first to last. A sixth round was used to identify a final consensus, which reflected the complexity of contextual factors and included three primary domains: 1) an overall definition; 2) qualifiers that serve as examples of the key areas of the definition; and 3) how contextual factors may influence clinical outcomes. Our consensus definition of contextual factors seeks to improve the understanding and communication between clinicians and researchers. These are especially important in recognizing their potential role in moderating/mediating clinical outcomes.

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Mapping first‐line health care providers' roles, practices, and impacts on care for workers with compensable musculoskeletal disorders in four jurisdictions: A critical interpretive synthesis

Cited by 7 publications

References 54 publications

Self-employment, work and health: A critical narrative review

Self-employment, work and health: A critical narrative review

What Social Supports Are Available to Self-Employed People When Ill or Injured? A Comparative Policy Analysis of Canada and Australia

An International Consensus Definition for Contextual Factors: Findings from a Nominal Group Technique

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