Anema J R Han
VU medisch centrum, afd. Sociale Geneeskunde, Amsterdam, the Netherlands.
Ned Tijdschr Geneeskd. 2012;156(8):A4479.
In the Netherlands there is a lack of collaboration between occupational and treating physicians. This is due to legislation dating from a century ago determining that treating physicians are not allowed to advise about work capacity and return-to-work and that occupational physicians are not allowed to treat patients. Recently the Dutch Health Council urged improvement of the collaboration for the sake of the health and work participation of patients. There is much scientific evidence that work is good for health and prevents social exclusion. An example of integrated occupational and curative care is presented: care delivered by a multidisciplinary team including an occupational physician demonstrated that patients with work disability due to chronic back pain returned to work 4 months earlier in a sustainable way and that they also functioned better in their private life. Integrated care is also important for society: there is a return on investment of € 26 for every euro. The author pleads that occupational health care should be brought into mainstream health care with a work participation as a shared treatment goal.
在荷兰，职业医生和治疗医生之间缺乏协作。这是由于一个世纪前的立法规定，治疗医生不得就工作能力和重返工作岗位提供建议，职业医生不得治疗患者。最近，荷兰卫生委员会敦促为了患者的健康和工作参与改善这种协作。有大量科学证据表明，工作有益于健康并可防止社会排斥。文中给出了一个职业与治疗综合护理的例子：一个包括职业医生在内的多学科团队提供的护理表明，因慢性背痛而丧失工作能力的患者可持续性地提前4个月重返工作岗位，而且他们在私人生活中的表现也更好。综合护理对社会也很重要：每投入1欧元就有26欧元的投资回报。作者主张，职业卫生保健应以工作参与作为共同的治疗目标纳入主流卫生保健。
