Costa-Black Kátia M, Durand Marie-José, Imbeau Daniel, Baril Raymond, Loisel Patrick
Department of Mathematics and Industrial Engineering, Ecole Polytechnique, Montreal, Quebec, Canada.
Work. 2007;28(3):249-65.
From both a social and cost-benefit perspective, disability prevention and associated management strategies for assisting employees with back pain are only successful if they address critical return-to-work (RTW) determining factors present in the workplace, including ergonomic factors. Despite our current knowledge of the importance of an integrated team approach targeting these factors, questions remain regarding the conceptual framework adopted by contemporary rehabilitation teams as it relates to work-oriented interventions to accommodate employees back to work. The purpose of this study was to explore and describe the work environment issues discussed by an interdisciplinary team engaged in the work rehabilitation process of low back disability cases. A qualitative content analysis was conducted for 10 sample cases that underwent a rehabilitation program in Quebec (Canada). Drawing on the results of these analyses, a framework representing a synopsis of practitioners' involvement in the person-environment dynamic is presented and discussed. This study makes a unique contribution to the understanding of the 'real-life' content of an interdisciplinary activity in disability management, thus, helping rehabilitation practitioners to build knowledge on the practical application of a cross-disciplinary framework to address work environment issues during the RTW process of those patients sick-listed due to back pain.
从社会和成本效益的角度来看，只有当残疾预防及相关管理策略解决了工作场所中存在的关键重返工作岗位（RTW）决定因素（包括人体工程学因素）时，帮助背痛员工的策略才会成功。尽管我们目前了解针对这些因素采取综合团队方法的重要性，但当代康复团队所采用的概念框架在涉及使员工重返工作岗位的工作导向干预方面仍存在问题。本研究的目的是探索和描述一个跨学科团队在处理下背部残疾病例的工作康复过程中所讨论的工作环境问题。对在加拿大魁北克省接受康复计划的10个样本案例进行了定性内容分析。基于这些分析结果，提出并讨论了一个框架，该框架概述了从业者在人 - 环境动态中的参与情况。本研究为理解残疾管理中跨学科活动的“实际”内容做出了独特贡献，从而帮助康复从业者积累有关跨学科框架实际应用的知识，以便在因背痛而被列入病假名单的患者的RTW过程中解决工作环境问题。
