Episodic disability and adjustments for work: the 'rehabilitative work' of returning to employment with Long Covid
Episodic disability and adjustments for work: the 'rehabilitative work' of returning to employment with Long Covid
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DOI：
10.1080/09687599.2024.2331722
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发表时间：
2024-03-16
影响因子：
2.4
通讯作者：
MacLean，Alice
中科院分区：
文献类型：
--
作者：
Anderson，Eilidh;Hunt，Kate;MacLean，Alice
长期Covid是一种限制活动的疾病，会导致严重的长期损害，可能持续长达一年或更长时间，并影响劳动参与。“偶发性残疾”是一个恰当的概念框架，可以理解长Covid患者的波动性损伤以及他们在重返就业时遇到的障碍。根据2021年至2022年期间进行的65次叙述性访谈，这篇文章展示了参与者如何经历“被宠坏的身份”，他们的“残疾”地位因现有的中间（残疾）能力分类而受到挑战，并经历了他们与工作环境的“身体不协调”。额外的“调整”和“管理”工作导航禁用系统要求参与者平衡工作量，以避免复发。使用“偶发性残疾”表明，目前的病假、重返工作岗位和福利政策是致残的，不适合目的，要求参与者承担额外的“康复工作”，包括重返工作岗位。
Long Covid is an activity-limiting condition that causes significant long-term impairment that can last up to one year or longer and impacts labour participation. ‘Episodic disability’ is an apt conceptual framework to comprehend the fluctuating impairments of those with Long Covid and the barriers they encounter when returning to employment. Drawing on 65 narrative interviews, conducted between 2021 and 2022, from three UK studies involving adults with Long Covid, this article demonstrates how participants experienced a ‘spoiled identity’, had their ‘disability’ status challenged due to existing in-between (dis)ability classifications and experienced their ‘bodies-at-odds’ with their working environment. The additional ‘adjustment’ and ‘administrative’ work of navigating disabling systems required participants to balance workloads to avoid relapse. Utilising ‘episodic disability’ demonstrates that current sickness absence, return to work and welfare policies are disabling and unfit for purpose, requiring participants to take sole responsibility for the additional ‘rehabilitative work’ involved in returning to employment.