Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
BMC Public Health. 2012 Feb 6;12:103. doi: 10.1186/1471-2458-12-103.
Efforts undertaken during the Return-to-Work (RTW) process need to be sufficient in order to optimize the quality of the RTW process. The purpose of this study was to explore factors relevant to Return-to-Work Effort Sufficiency (RTW-ES) in cases of sick-listed employees with a Depressive Disorder (DD).
A case of a long-term sick-listed employee with a DD applying for disability benefits was used to gather arguments and grounds relevant to the assessment of RTW-ES. Two focus group meetings were held, consisting of Labor Experts working at the Dutch Social Insurance Institute. Factors were collected and categorized using the International Classification of Functioning, Disability and Health (ICF model).
Sixteen factors relevant to RTW-ES assessment in a case of DD were found, categorized in the ICF-model under activities (e.g. functional capacity), personal (e.g. competencies, attitude) and environmental domain (e.g. employer-employee relationship), or categorized under interventions, job accommodations and measures.
This study shows that 16 factors are relevant in the assessment of RTW-ES in employees sick-listed due to DD. Further research is necessary to expand this knowledge to other health conditions, and to investigate the impact of these results on the quality of the RTW-ES assessment.
为了优化重返工作岗位（RTW）的质量，在 RTW 过程中所付出的努力必须是充分的。本研究的目的是探讨与抑郁障碍（DD）患者的重返工作岗位努力充足性（RTW-ES）相关的因素。
使用一个长期请病假且患有 DD 的员工申请残疾津贴的案例来收集与评估 RTW-ES 相关的论据和依据。进行了两次焦点小组会议，参与者为荷兰社会保险研究所的劳动专家。使用国际功能、残疾和健康分类（ICF 模型）收集和分类因素。
在 DD 病例中发现了 16 个与 RTW-ES 评估相关的因素，这些因素被归类在 ICF 模型的活动（例如：功能能力）、个人（例如：能力、态度）和环境领域（例如：雇主-员工关系）下，或者归类在干预措施、工作调整和措施下。
本研究表明，在评估因 DD 请病假的员工的 RTW-ES 时，有 16 个因素是相关的。需要进一步的研究来将这些知识扩展到其他健康状况，并研究这些结果对 RTW-ES 评估质量的影响。
