A QUALITATIVE STUDY OF PERPETUATING FACTORS FOR LONG-TERM SICK LEAVE AND PROMOTING FACTORS FOR RETURN TO WORK: CHRONIC WORK DISABLED PATIENTS IN THEIR OWN WORDS
A QUALITATIVE STUDY OF PERPETUATING FACTORS FOR LONG-TERM SICK LEAVE AND PROMOTING FACTORS FOR RETURN TO WORK: CHRONIC WORK DISABLED PATIENTS IN THEIR OWN WORDS
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DOI：
10.2340/16501977-0544
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发表时间：
2010-06-01
影响因子：
3.5
通讯作者：
Frings-Dresen, Monique H. W.
中科院分区：
文献类型：
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作者：
Dekkers-Sanchez, Patricia M.;Wind, Haije;Frings-Dresen, Monique H. W.
目的：长期丧失工作能力给社会带来高昂的经济成本，并给病人及其家人带来个人痛苦;然而，人们仍然缺乏关于长期病假相关因素的重要知识。本研究提供了洞察力，从慢性工作残疾患者的角度来看，长期病假和促进因素返回work.Patients和方法：五个焦点小组访谈进行了27例不同的疾病谁一直在长期病假缺席（18个月或以上）的永久化因素。定性数据分析进行了使用一个概念框架，以确定返回work.Results的障碍和使能因素：四个主题的长期病假的重要永久性因素确定：健康相关的障碍，个人障碍，社会障碍，和工作相关的障碍。四个主题的重要促进因素返回工作确定：有利的工作条件，积极的个人特征的员工，社会环境的影响，和个人的经济状况的影响。结论：除了疾病，一些非医疗因素是公认的障碍返回工作。据报道，疾病的看法和自我效能的期望等因素是促进重返工作岗位的因素。
Objective: Chronic work disability generates high financial costs for society and causes personal suffering to patients and their families; however, crucial knowledge about the factors associated with long-term sick leave is still missing. This study provides insight, from the perspective of chronic work disabled patients, into the perpetuating factors for long-term sick leave and promoting factors for return to work.Patients and methods: Five focus group interviews were conducted with 27 patients with different disorders who had been on long-term sickness absence (18 months or more). Qualitative data analysis was performed using a conceptual framework to identify barriers and enablers for return to work.Results: Four main themes of important perpetuating factors for long-term sick leave were identified: health-related obstacles, personal obstacles, social obstacles, and work-related obstacles. Four main themes of important promoting factors for return to work were identified: favourable working conditions, positive personal characteristics of the employee, the influence of the social environment, and the influence of the personal economic situation.Conclusion: Besides sickness, several non-medical factors are recognized barriers for return to work. Factors such as illness perceptions and self-efficacy expectations are reported to be promoting factors for return to work.