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Physicians’ experience of and collaboration with return-to-work coordinators in healthcare: a cross-sectional study in Sweden
Karolinska Institutet, Sweden; Uppsala University, Sweden.
Karolinska Institutet, Sweden.
Karolinska Institutet, Sweden.
Södertörn University, School of Social Sciences, Social Work. Karolinska Institutet, Sweden; Karolinska University Hospital, Sweden.ORCID iD: 0000-0002-3868-0254
2024 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 46, no 18, p. 4120-4128Article in journal (Refereed) Published
Abstract [en]

Purpose: Return-to-work coordinators (RTWCs) give people on sick leave individualized support and coordinate between different stakeholders, including physicians.  The aim of this study was to explore physicians’ experience of RTWCs and investigate factors that influence how much physicians collaborate with RTWCs, or refer patients to them, in primary, orthopaedic, and psychiatric care clinics.

Materials and methods: Of the 1229 physicians responding to a questionnaire, 629 physicians who had access to a RTWC in their clinic answered to questions about collaborating with RTWCs.

Results: Among physicians who had access to a RTWC, 29.0% collaborated with a RTWC at least once a week. Physicians with a more favourable experience of RtWcs reported more frequent collaboration (adjusted OR 2.92, 95% CI 2.06–4.15). Physicians also collaborated more often with RTWCs if they reported to often deal with problematic sick-leave cases, patients with multiple diagnoses affecting work ability, and conflicts with patients over sickness certification.

Conclusions: Physicians who had more problematic sick-leave cases to handle and a favourable experience of RTWCs, also reported collaborating more often with RTWCs. The results indicate that RTWCs’ facilitation of contacts with RtW stakeholders and improvements in the sickness certification process may be of importance for physicians.

Place, publisher, year, edition, pages
Taylor & Francis, 2024. Vol. 46, no 18, p. 4120-4128
Keywords [en]
sick leave, vocational rehabilitation, return-to-work (RTW), RTW coordinator (RTWC), medical decision-making
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:sh:diva-52432DOI: 10.1080/09638288.2023.2261851ISI: 001073063000001PubMedID: 37772755Scopus ID: 2-s2.0-85173933578OAI: oai:DiVA.org:sh-52432DiVA, id: diva2:1801893
Funder
The Kamprad Family Foundation, 20190271Region Stockholm, FoUi-954268Region Stockholm, FoUi-936413Available from: 2023-10-03 Created: 2023-10-03 Last updated: 2025-02-20Bibliographically approved

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Svärd, Veronica

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Citation style
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  • sodertorns-hogskola-harvard.csl
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