...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Occupational and environmental medicine >Does enhanced information exchange between social insurance physicians and occupational physicians improve patient work resumption? A controlled intervention study.
【24h】

Does enhanced information exchange between social insurance physicians and occupational physicians improve patient work resumption? A controlled intervention study.

机译：社会保险医生和职业医生之间增强的信息交流是否可以改善患者的工作恢复？对照干预研究。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Patient work resumption after sickness absence varies even among patients with similar pathologies and characteristics. Explanations remain uncertain. One newly investigated field is "information asymmetry", a situation in which critical information is not appropriately exchanged between stakeholders in disability management. It is hypothesised that information asymmetry between social insurance physicians and occupational physicians prolongs sickness absence. OBJECTIVES: To assess the influence of enhanced information exchange between these physicians on patient outcome. METHODS: Non-randomised controlled intervention study. The setting was the work inability assessment consultation of social insurance physicians in Belgium. Inclusion criteria were: employee, age 18-50, and subacute (more than one month) sickness absence. The intervention was a structured information exchange (through the use of a communication form) between the patient's social insurance physician and occupational physician. The intervention started when the patient's sickness absence reached the subacute stage, and ended when the sickness absence benefit was ceased or the duration exceeded one year. The primary outcome measure was the sickness absence benefit status of the patient assessed one year after benefit onset. RESULTS: Of the 1883 patients asked to enroll in the study, 1564 (84%) participated; 505 (32%) of 1564 patients were assigned to the intervention group and 1059 (68%) to the control group; 1553 (99%) of 1564 patients completed the study. In the intervention group, 86% received no sickness absence benefit at the end of the study, versus 84% in the control group (95% CI 0.91-1.15). No significant differences in other outcome parameters were obtained. CONCLUSIONS: Information exchange between physicians may not be enough to influence work resumption among patients on sickness absence. Further research on stakeholders' information asymmetry and its effect on the outcome of patients are necessary. The complexity of information asymmetry in disability management cannot be underestimated.
机译：背景：即使在病情和特征相似的患者中，病假后患者的恢复工作也有所不同。解释仍然不确定。一个新近研究的领域是“信息不对称”，在这种情况下，残疾管理的利益相关者之间无法正确交换关键信息。假设社会保险医生和职业医生之间的信息不对称会延长疾病缺席时间。目的：评估这些医生之间加强信息交流对患者预后的影响。方法：非随机对照干预研究。设置是比利时社会保险医生的工作能力评估咨询。入选标准为：雇员，18-50岁以及亚急性（超过一个月）疾病缺席。干预是患者的社会保险医生和职业医生之间的结构化信息交换（通过使用通讯表格）。当患者的疾病缺席达到亚急性阶段时开始干预，当患者的疾病缺席补助停止或持续时间超过一年时终止干预。主要结局指标是受益开始后一年评估的患者的疾病缺席受益状态。结果：在1883名被要求参加该研究的患者中，有1564名（84％）参加了研究。 1564例患者中有505例（32％）被分配到干预组，1059例（68％）被分配到对照组; 1564名患者中有1553名（99％）完成了研究。在干预组中，有86％的人在研究结束时没有得到病假补偿，而对照组的这一比例为84％（95％的CI 0.91-1.15）。在其他结局参数方面未获得显着差异。结论：医生之间的信息交流可能不足以影响因病缺席的患者恢复工作。有必要对利益相关者的信息不对称及其对患者预后的影响进行进一步研究。残疾管理中信息不对称的复杂性不可低估。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号