Ferrier S E, Lavis J N
Institute for Work & Health, Toronto, Ontario, Canada.
AIDS Care. 2003 Jun;15(3):423-35. doi: 10.1080/0954012031000105478.
Many people living with HIV/AIDS (PHAs) ham experienced significant improvements in their health over the last few years, to the point that many are considering returning to work. The objectives of this study were to develop a model of return to work which could apply to chronic illnesses with a fluctuating or uncertain course. Issues related to health, work and return to work were explored using in-depth interviews with 20 PHAs in Toronto, Canada, who had been on long-term disability for at least five years. Data were analyzed using a grounded theory approach. Contextual factors like the approach of disability and health (drug) insurance plans and intervening conditions like PHAs' current activities influenced their consideration of returning to work and the strategies they employed as a result of considering such a return. More than two-thirds of the sample had undertaken more activities as their health improved. The three study participants who had returned to work either had an opportunity for a low-risk trial of work or could return to their old job. Employers and disability compensation plan administrators, assisted by AIDS service organizations and governments, can facilitate return to work for PHAs by reducing the risks of and removing the barriers to returning to work.
在过去几年里，许多感染艾滋病毒/艾滋病的人（PLWHA）的健康状况有了显著改善，以至于许多人正在考虑重返工作岗位。本研究的目的是建立一个适用于病程波动或不确定的慢性病的重返工作模型。通过对加拿大多伦多20名感染艾滋病毒/艾滋病且长期残疾至少五年的人进行深入访谈，探讨了与健康、工作和重返工作相关的问题。采用扎根理论方法对数据进行了分析。诸如残疾和健康（药物）保险计划的方式等背景因素以及诸如感染艾滋病毒/艾滋病者目前的活动等干预条件影响了他们对重返工作的考虑以及他们因考虑重返工作而采取的策略。超过三分之二的样本随着健康状况的改善开展了更多活动。三名重返工作岗位的研究参与者要么有机会进行低风险的工作试验，要么能够回到原来的工作岗位。在艾滋病服务组织和政府的协助下，雇主和残疾补偿计划管理人员可以通过降低重返工作的风险和消除重返工作的障碍，促进感染艾滋病毒/艾滋病者重返工作岗位。
