Korzycki Monica, Korzycki Martha, Shaw Lynn
Faculty of Health Sciences, School of Occupational Therapy, The University of Western Ontario, Elborn College, London, Ontario, Canada.
Work. 2008;30(3):277-87.
This study examined system barriers that precluded injured workers from accessing services and supports in the return-to-work (RTW) process. A grounded theory approach was used to investigate injured worker experiences. Methods included in-depth telephone interviews and the constant comparative method to analyze the data. Findings revealed that consumers experienced tensions or a tug-of-war between the RTW system, the health care system, and in accessing and using knowledge. Over time consumers reflected upon these tensions and initiated strategies to enhance return to function and RTW. Insights from consumer-driven strategies that might inform future policy change and promote positive service delivery for injured workers are examined.
本研究调查了在工伤员工重返工作岗位（RTW）过程中阻碍他们获得服务与支持的系统障碍。采用扎根理论方法来探究工伤员工的经历。方法包括深入电话访谈以及运用持续比较法来分析数据。研究结果显示，工伤员工在重返工作岗位系统、医疗保健系统以及获取和运用知识方面经历了紧张局面或拉锯战。随着时间推移，工伤员工反思了这些紧张关系，并启动了增强功能恢复和重返工作岗位的策略。本文探讨了来自以工伤员工为主导的策略所获得见解，这些见解可能为未来政策变革提供参考，并促进为工伤员工提供积极的服务。
