Univ Angers, Département de Médecine Générale, Angers, France.
Univ Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, SFR ICAT, Angers, France.
Eur J Gen Pract. 2021 Dec;27(1):158-165. doi: 10.1080/13814788.2021.1948007.
In France, general practitioners (GPs) may use two tools specifically designed to help employees who experience difficulties in returning to work after sick leave: the pre-return-to-work (PRW) medical consultation and therapeutic part-time (TPT) work.
The objective was to investigate the level of knowledge and use of these two tools by GPs in Maine-et-Loire, France.
This cross-sectional study was performed using a telephone questionnaire to evaluate the level of knowledge of GPs and the use of these two tools in patients having difficulties returning to work.
Among the 200 randomly selected GPs, 122 responded (response rate: 61%). More than half of the interviewed GPs declared they 'often' (46%) or 'always' (14%) contacted the occupational physician in these situations. Moreover, 62.2% and 32.7% believed that they had a 'vague' or 'very good' level of knowledge, and 41% and 51% declared either 'frequent' or 'regular' level of use of the PRW medical consultation, respectively. Regarding TPT work, 47% and 53% reported a 'very good' or 'vague' level of knowledge, and 41% and 51% a 'frequent' or 'regular' level of use, respectively. GPs who had a better level of knowledge of this tool reported a higher level of use ( < 0.001).
This study shows that while the level of knowledge and use of the PRW medical consultation and TPT work is good, it is not optimal. This could be improved by organising training courses for GPs. Obstacles to their wider use could be investigated further in a qualitative study.
在法国，全科医生（GP）可以使用两种专门设计的工具来帮助员工在病假后重返工作岗位时遇到困难：重返工作前（PRW）医疗咨询和治疗性兼职（TPT）工作。
本研究旨在调查法国曼恩-卢瓦尔省全科医生对这两种工具的了解程度和使用情况。
本横断面研究采用电话问卷调查的方法，评估 GP 对这两种工具的了解程度以及在患者重返工作岗位困难时的使用情况。
在随机选择的 200 名全科医生中，有 122 名（应答率：61%）做出回应。超过一半的受访 GP 表示，他们在这些情况下“经常”（46%）或“总是”（14%）联系职业医生。此外，62.2%和 32.7%的医生认为他们对这两种工具的了解程度“模糊”或“非常好”，41%和 51%的医生分别表示他们“经常”或“定期”使用 PRW 医疗咨询，而 47%和 53%的医生表示对 TPT 工作的了解程度“非常好”或“模糊”，41%和 51%的医生表示使用频率“经常”或“定期”。对该工具了解程度较好的医生报告称使用频率更高（ < 0.001）。
本研究表明，尽管 PRW 医疗咨询和 TPT 工作的了解程度和使用水平良好，但还不是最佳水平。通过为 GP 组织培训课程，可以提高其使用水平。可以进一步在定性研究中调查进一步阻碍其广泛使用的因素。
