Workplace-based return-to-work interventions: Optimizing the role of stakeholders in implementation and research
Workplace-based return-to-work interventions: Optimizing the role of stakeholders in implementation and research
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DOI：
10.1007/s10926-005-8032-1
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发表时间：
2005-12-01
影响因子：
3.3
通讯作者：
Loisel, P
中科院分区：
文献类型：
--
作者：
Franche, RL;Baril, R;Loisel, P
导言：让利益攸关方参与重返工作(RTW)干预和研究的挑战尚未得到很好的记录。方法：在实施和研究基于工作场所的RTW干预措施时，本文对比了工人、雇主、保险公司、劳工代表和医疗保健提供者的不同范式。结果：对RTW利益相关者利益的分析表明，摩擦是不可避免的；然而，有可能鼓励利益相关者在参与协作解决问题以实现共同目标的同时容忍范式不和谐。我们回顾了RTW干预的具体方面如何有助于解决由不同范式引起的冲突：校正利益相关者的参与、监督者和保险案件经理的角色，以及RTW干预的程序方面。讨论了研究人员在利益相关者参与中的作用，以及与这一过程相关的伦理问题。结论：对未来研究的建议包括制定让利益相关者参与的方法，确定利益相关者参与的最佳水平和时机，将RTW研究扩展到更多样化的工作环境，以及制定反映所有利益相关者利益的RTW干预措施。
Introduction: The challenges of engaging and involving stakeholders in return-to-work (RTW) intervention and research have not been well documented. Methods: This article contrasts the diverse paradigms of workers, employers, insurers, labor representatives, and healthcare providers when implementing and studying workplace-based RTW interventions. Results: Analysis of RTW stakeholder interests suggests that friction is inevitable; however, it is possible to encourage stakeholders to tolerate paradigm dissonance while engaging in collaborative problem solving to meet common goals. We review how specific aspects of RTW interventions can be instrumental in resolving conflicts arising from differing paradigms: calibration of stakeholders' involvement, the role of supervisors and of insurance case managers, and procedural aspects of RTW interventions. The role of the researcher in engaging stakeholders, and ethical aspects associated with that process are discussed. Conclusions: Recommendations for future research include developing methods for engaging stakeholders, determining the optimal level and timing of stakeholder involvement, expanding RTW research to more diverse work settings, and developing RTW interventions reflecting all stakeholders' interests.