Liukko Jyri, Kuuva Niina
a Research Department , Finnish Centre for Pensions , Eläketurvakeskus , Finland.
b Ruralia Institute, University of Helsinki , Mikkeli , Finland.
Disabil Rehabil. 2017 Jul;39(15):1466-1473. doi: 10.1080/09638288.2016.1198428. Epub 2016 Jul 3.
This article explores which concrete factors hinder or facilitate the cooperation of return-to-work (RTW) professionals in a complex system of multiple stakeholders.
The empirical material consists of in-depth interviews with 24 RTW professionals from various organizations involved in work disability management in Finland. The interviews were analyzed using thematic content analysis.
The study revealed several kinds of challenges in the cooperation of the professionals. These were related to two partly interrelated themes: communication and distribution of responsibility. The most difficult problems were connected to the cooperation between public employment offices and other stakeholders. However, the study distinguished notable regional differences depending primarily on the scale of the local network. The main areas of improvement proposed by the interviewees were related to better networking of case managers and expansion of expertise.
The article argues for the importance of systematic networking and stresses the role of public employment services in the multi-actor management of work disabilities. The article contributes to existing work disability case management models by suggesting the employment administration system as an important component in addition to health care, workplace and insurance systems. The study also highlights the need for expansion of expertise in the field. Implications for Rehabilitation Cooperation between RTW professionals in public employment offices and other organizations involved in work disability management was considered inadequate. In order to improve the cooperation of RTW professionals, the stakeholders need to create more systematic ways of communication and networking with professionals in other organizations. There is a need to expand the expertise in work disability management and rehabilitation, partly by increasing the role of other professionals than physicians.
本文探讨在多利益相关者的复杂系统中，哪些具体因素会阻碍或促进重返工作岗位（RTW）专业人员的合作。
实证材料包括对芬兰参与工作残疾管理的各组织的24名RTW专业人员进行的深度访谈。采用主题内容分析法对访谈进行分析。
该研究揭示了专业人员合作中存在的几种挑战。这些挑战与两个部分相互关联的主题有关：沟通和责任分配。最困难的问题与公共就业办公室和其他利益相关者之间的合作有关。然而，该研究发现了显著的地区差异，主要取决于当地网络的规模。受访者提出的主要改进领域与更好地建立个案管理人员网络和扩大专业知识有关。
本文论证了系统联网的重要性，并强调了公共就业服务在工作残疾多主体管理中的作用。本文通过建议将就业管理系统作为除医疗保健系统、工作场所系统和保险系统之外的一个重要组成部分，为现有的工作残疾个案管理模式做出了贡献。该研究还强调了该领域扩大专业知识的必要性。对公共就业办公室的RTW专业人员与其他参与工作残疾管理的组织之间的合作进行的康复研究被认为是不够的。为了改善RTW专业人员的合作，利益相关者需要创造更系统的沟通方式，并与其他组织的专业人员建立网络。有必要扩大工作残疾管理和康复方面的专业知识，部分方法是增加除医生以外其他专业人员的作用。
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