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Journal ArticleDOI

Uncomfortable bedfellows: employer perspectives on general practitioners' role in the return-to-work process

TLDR
Examination of the perspectives of a group of employers from Melbourne, Australia who have had experience with return to work and, specifically, their interactions with general practitioners during this process indicates that while employers view general practitioners as important decision-makers in the return-to-work process, they often have difficulty making contact with general Practitioners and working collaboratively on a return- to-work plan.
Abstract
Workers’ compensation authorities expect that various stakeholders — insurers, employers, injured workers and healthcare providers — work together to help return an injured worker to early, safe and sustainable employment. To date, research examining interactions between employers and healthcare providers, in the context of return to work, is limited. Based on data gathered via qualitative, in-depth interviews with employers, our paper addresses this gap. We examine the perspectives of a group of employers from Melbourne, Australia who have had experience with return to work and, specifically, their interactions with general practitioners during this process. Our findings indicate that while employers view general practitioners as important decision-makers in the return-to-work process, they often have difficulty making contact with general practitioners and working collaboratively on a return-to-work plan. They feel that general practitioners’ lack of engagement in the return-to-work process is d...

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Citations
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Journal ArticleDOI

General practitioners and sickness certification for injury in Australia

TL;DR: It is suggested that certification is an administrative and clinical task underpinned by a host of social and systemic factors that may be targeted to improve GP sickness certification behaviour and return to work outcomes in an Australian context.
Journal ArticleDOI

Is clinician refusal to treat an emerging problem in injury compensation systems

TL;DR: To understand the ethical implications of reluctance to treat there is a need to recognise the constraints of doctors working in complex systems and to consider how these constraints may influence reluctance, using the case of compensable injury in the Australian context.
Journal ArticleDOI

The structure and process of workers' compensation systems and the role of doctors: A comparison of Ontario and Québec.

TL;DR: Policy-makers should contextualize the sources of the "evidence" they rely on from intervention research because findings may reflect a system rather than an intervention effect.
Journal ArticleDOI

Communication and collaboration among return-to-work stakeholders.

TL;DR: Stakeholders should clarify the role of health care providers during rehabilitation and return-to-work and the appropriateness of early return- to-work to mitigate recurring challenges.
Journal ArticleDOI

Recovery Within Injury Compensation Schemes: A System Mapping Study

TL;DR: It is demonstrated that injury recovery is a complex process influenced by the decisions and actions of organisations and individuals operating across multiple levels of the compensation system.
References
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Journal ArticleDOI

Workplace-Based Return-to-Work Interventions: A Systematic Review of the Quantitative Literature

TL;DR: The evidence base supporting that workplace-based RTW interventions can reduce work disability duration and associated costs is provided, however the evidence regarding their impact on quality-of-life outcomes was much weaker.
Journal ArticleDOI

Systematic review of the qualitative literature on return to work after injury

TL;DR: It is found that return to work extends beyond concerns about managing physical function to the complexities related to beliefs, roles, and perceptions of many players.
Journal ArticleDOI

The "toxic dose" of system problems: why some injured workers don't return to work as expected.

TL;DR: Workers’ problems with extended workers’ compensation claims were linked to RTW policies that did not easily accommodate conflict or power imbalances among RTW parties and by social relations and processes that impeded communication about RTW situations and problems.
Journal ArticleDOI

Workers describe the effect of the workers' compensation process on their health: a Québec study.

TL;DR: How caseworkers, physicians, appeal tribunals, employers and compensation boards contribute to the positive or negative impacts on worker health is described and recommended to promote the therapeutic aspects of workers' compensation and to curtail those facets that are harmful to worker health.
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Employers’ feelings of exclusion, along with a view that some injured workers will ‘cheat the system’, make some employers suspicious of the doctor-patient relationship, making collaboration more difficult.