Modise Gofaone L, Uys Catharina J E, du Plooy Eileen
Department of Occupational Therapy, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Case Management, Motor Vehicle Accident Fund Botswana, Gaborone, Botswana.
Afr J Disabil. 2025 Jun 4;14:1442. doi: 10.4102/ajod.v14i0.1442. eCollection 2025.
Road traffic accidents (RTAs) are a global and public health concern affecting a third of the world's population mainly in low- to middle-income countries, particularly affecting young people. Returning to work (RTW) following an RTA is essential for better health and financial outcomes. The motor vehicle accident (MVA) Fund Botswana assists loss-of-income (LOI) claimants with medical assistance, compensates for loss, advocates and facilitates RTW.
The study aims to identify barriers to and facilitators of RTW for LOI claimants as experienced by health care workers (HCWs).
A qualitative explorative design included six healthcare workers who had worked with the MVA Fund on RTW for at least 5 years through purposive sampling. Data collection was done using a focus group discussion. Thematic analysis was conducted using Atlas.ti, with data interpretation guided by the ecological case management model.
The main themes were healthcare systems, legislation and insurance systems, personal and workplace systems, which were further classified into eight subthemes relating to barriers and facilitators.Barriers included ineffective case management and how claimants perceived work. Facilitators included clear insurance RTW guidelines and workplace support and education level.
Successful RTW can be achieved through multidisciplinary collaboration of HCWs. While legal and healthcare systems play vital roles in RTW, personal factors and workplace systems cannot be ignored.
Understanding the barriers to and facilitators of RTW will assist in implementing RTW interventions to improve patient outcomes, health, livelihoods, quality of life and guide RTW operations to ensure a coordinated process in the insurance industry in Africa.
道路交通事故是一个全球性的公共卫生问题，影响着世界三分之一的人口，主要集中在低收入和中等收入国家，尤其对年轻人影响较大。道路交通事故后重返工作岗位对于改善健康状况和经济状况至关重要。博茨瓦纳机动车事故基金为收入损失索赔者提供医疗援助，赔偿损失，倡导并促进重返工作岗位。
本研究旨在确定医护人员所经历的收入损失索赔者重返工作岗位的障碍和促进因素。
采用定性探索性设计，通过目的抽样选取了六名与机动车事故基金合作处理重返工作岗位事宜至少5年的医护人员。使用焦点小组讨论进行数据收集。使用Atlas.ti进行主题分析，并以生态病例管理模型为指导进行数据解读。
主要主题为医疗系统、立法和保险系统、个人及工作场所系统，这些主题进一步细分为与障碍和促进因素相关的八个子主题。障碍包括无效的病例管理以及索赔者对工作的认知。促进因素包括明确的保险重返工作岗位指南、工作场所支持和教育水平。
通过医护人员的多学科协作可以实现成功重返工作岗位。虽然法律和医疗系统在重返工作岗位中发挥着至关重要的作用，但个人因素和工作场所系统也不容忽视。
了解重返工作岗位的障碍和促进因素将有助于实施重返工作岗位干预措施，以改善患者结局、健康状况、生计、生活质量，并指导重返工作岗位操作，确保非洲保险业的协调进程。
