Work Reintegration and Cardiovascular Disease: Medical and Rehabilitation Influences

O’Hagan, Fergal; Coutu, Marie‐France; Thomas, Scott; Mertens, Donald J.

doi:10.1007/s10926-011-9345-x

Cited by 25 publications

(39 citation statements)

References 38 publications

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“…Positive Return to Work (RTW) improves patients' quality of life, economic security and psychological health, and, in terms of increased productivity and cost reductions, it has financial benefits for the society [3][4][5][6]. However, RTW after a long-term sick leave may be stressful and emotionally demanding because it can be associated with patients' reduced physical capacities or changes in their work employment, such as reduction in working hours or in job tasks, decrease in self-reported responsibility and involvement [7][8][9]. Several studies have investigated the health-related qua lity of life (HRQL) after cardiac interventions [10][11][12][13].…”

Section: Methodsmentioning

confidence: 99%

Return to work after coronary revascularization procedures and a patient’s job satisfaction: A prospective study

Fiabane¹,

Giorgi²,

Candura³

et al. 2014

IJOMEH

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Objectives: Research into work reintegration following invasive cardiac procedures is limited. The aim of this prospective study was to explore predictors of job satisfaction among cardiac patients who have returned to work after cardiac rehabilitation (CR). Material and Methods: The study population consisted of 90 cardiac patients who have recently been treated with coronary angioplasty or heart surgery. They were evaluated during their CR and 12 months after the discharge using validated self-report questionnaires measuring job satisfaction, work stress-related factors, emotional distress and illness perception. Information on socio-demographic, medical and occupational factors has also been collected. Results: After adjusting for demographic, occupational and medical variables, baseline job satisfaction (p < 0.001), depression (p < 0.01) and ambition (p < 0.05) turned out to be independent, significant predictors of job satisfaction following return to work (RTW). Patients who had a partial RTW were more satisfied with their job than those who had a full RTW, controlling for baseline job satisfaction. Conclusions: These findings recommend an early assessment of patients' psychosocial work environment and emotional distress, with particular emphasis on job satisfaction and depressive symptoms, in order to promote satisfying and healthy RTW after cardiac interventions.

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Section: Methodsmentioning

confidence: 99%

Return to work after coronary revascularization procedures and a patient’s job satisfaction: A prospective study

Fiabane¹,

Giorgi²,

Candura³

et al. 2014

IJOMEH

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“…As suggested by O'Hagan et al . (), key roles to enhance cardiac patients' feeling of personal control and adaptive illness beliefs are played by physicians, psychologists and occupational health personnel, resulting also in better work adjustment and lower job stress after long‐term sick leave.…”

Section: Discussionmentioning

confidence: 99%

“…Return to work is a main goal of CR in order to promote the social and psychological reintegration of heart patients (O'Hagan, Coutu, Thomas, & Mertens, 2012). Previous studies showed that patients who could successfully RTW following a cardiac event reported higher levels of emotional well-being than those who could not (Sykes et al, 2000).…”

Section: Occupational Stress and Work Adjustment After Cardiac Intervmentioning

confidence: 99%

Psychological and Work Stress Assessment of Patients following Angioplasty or Heart Surgery: Results of 1‐year Follow‐up Study

et al. 2014

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The aim of this study was to explore changes in subjective psychological health and perceived work stress among patients who returned to work (RTW) after a multidisciplinary cardiac rehabilitation (CR) following cardiac interventions. A total of 108 patients were evaluated at the beginning of their CR, at 6 and 12 months after discharge. Self-report questionnaires were used to assess depression, anxiety, illness perception and work stress at each time stage. Results showed reports of depressive symptoms significantly decreased (p < 0.05) and subjective mental (p = 0.001) and physical health (p < 0.001) improved over time. Patients revealed a decrease in Type A behaviour pattern (p < 0.001) and in job satisfaction levels (p = 0.01), greater internal locus of control (p < 0.01) and increased use of the coping strategy 'Involvement' (p < 0.01). Major findings are that cardiac patients had an improvement in subjective psychological health and did not perceive increased work stress after their RTW. Patients' psychological health and work stress need to be assessed during the CR and should be also carefully monitored after the RTW in order to identify patients' psychological and work-related barriers and facilitate a safe and successful work reintegration.

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“…The role of workplace interventions for promoting RTW has been emphasized in several studies [1,2,4-6], and the use of OH services has been specifically pointed out as beneficial [3,12,13], although the structure for such services varies greatly between countries. The present study adds an emphasis on the complexity of involving such services in employers’ RTW routines, especially within a market-based system where their involvement is based on voluntary contracts with employers.…”

Section: Discussionmentioning

confidence: 99%

“…Using OH services in rehabilitation may promote early RTW through OH service providers’ knowledge of and connection with workplaces [12,13]. While workplace-based interventions in RTW have been studied quite extensively, the use and role of OH services in such interventions has received less attention.…”

Section: Introductionmentioning

confidence: 99%

Promoting occupational health interventions in early return to work by implementing financial subsidies: a Swedish case study

et al. 2013

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BackgroundIn 2010, the Swedish government introduced a system of subsidies for occupational health (OH) service interventions, as a part in a general policy promoting early return to work. The aim of this study was to analyse the implementation of these subsidies, regarding how they were used and perceived.MethodsThe study was carried out using a mixed-methods approach, and comprises material from six sub-studies: a register study of the use of the subsidies, one survey to OH service providers, one survey to employers, one document analysis of the documentation from interventions, interviews with stakeholders, and case interviews with actors involved in coordinated interventions.ResultsThe subsidized services were generally perceived as positive but were modestly used. The most extensive subsidy – for coordinated interventions – was rarely used. Employers and OH service providers reported few or no effects on services and contracts. OH service providers explained the modest use in terms of already having less bureaucratic routines in place, where applying for subsidies would involve additional costs. Information about the subsidies was primarily communicated to OH service providers, while employers were not informed.ConclusionsThe study highlights the complexity of promoting interventions through financial incentives, since their implementation requires that they are perceived by the stakeholders involved as purposeful, manageable and cost-effective. There are inherent political challenges in influencing stakeholders who act on a free market, in that the impact of policies may be limited, unless they are enforced by law.

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Work Reintegration and Cardiovascular Disease: Medical and Rehabilitation Influences

Cited by 25 publications

References 38 publications

Return to work after coronary revascularization procedures and a patient’s job satisfaction: A prospective study

Return to work after coronary revascularization procedures and a patient’s job satisfaction: A prospective study

Psychological and Work Stress Assessment of Patients following Angioplasty or Heart Surgery: Results of 1‐year Follow‐up Study

Promoting occupational health interventions in early return to work by implementing financial subsidies: a Swedish case study

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