Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
BMC Public Health. 2012 Jan 24;12:77. doi: 10.1186/1471-2458-12-77.
Efforts undertaken during the return to work (RTW) process need to be sufficient to prevent unnecessary applications for disability benefits. The purpose of this study was to identify factors relevant to RTW Effort Sufficiency (RTW-ES) in cases of sick-listed employees with chronic low back pain (CLBP).
Using focus groups consisting of Labor Experts (LE's) working at the Dutch Social Insurance Institute, arguments and underlying grounds relevant to the assessment of RTW-ES were investigated. Factors were collected and categorized using the International Classification of Functioning, Disability and Health (ICF model).
Two focus groups yielded 19 factors, of which 12 are categorized in the ICF model under activities (e.g. functional capacity) and in the personal (e.g. age, tenure) and environmental domain (e.g. employer-employee relationship). The remaining 7 factors are categorized under intervention, job accommodation and measures.
This focus group study shows that 19 factors may be relevant to RTW-ES in sick-listed employees with CLBP. Providing these results to professionals assessing RTW-ES might contribute to a more transparent and systematic approach. Considering the importance of the quality of the RTW process, optimizing the RTW-ES assessment is essential.
重返工作岗位（RTW）过程中所做的努力必须足以防止不必要的残疾福利申请。本研究的目的是确定与慢性下背痛（CLBP）列病假员工的 RTW 努力充足性（RTW-ES）相关的因素。
使用由荷兰社会保险协会的劳动专家（LE）组成的焦点小组，研究了与 RTW-ES 评估相关的论点和基本依据。使用国际功能、残疾和健康分类（ICF 模型）收集和分类因素。
两个焦点小组产生了 19 个因素，其中 12 个在 ICF 模型中归类为活动（如功能能力）和个人（如年龄、任期）和环境领域（如雇主-员工关系）。其余 7 个因素归类于干预、工作适应和措施。
这项焦点小组研究表明，19 个因素可能与 CLBP 列病假员工的 RTW-ES 相关。向评估 RTW-ES 的专业人员提供这些结果可能有助于采用更透明和系统的方法。考虑到 RTW 过程的质量很重要，优化 RTW-ES 评估至关重要。
