2015
DOI: 10.1111/ecc.12420
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Barriers and facilitators for return to work in cancer survivors with job loss experience: a focus group study

Abstract: Over 50% of cancer survivors lose their job or quit working. Cancer survivors who experience job loss may face different challenges regarding return to work, compared to cancer survivors with employers. This qualitative study aimed to explore barriers and facilitators for return to work in cancer survivors with job loss and in insurance physicians who assist cancer survivors in their return to work. We conducted five focus groups and one interview (cancer survivors, N = 17; insurance physicians, N = 23). Topic… Show more

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Cited by 57 publications
(45 citation statements)
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“…In many European countries, for instance, longer periods of paid sick leave are available than in the United States, which may support a more gradual RTW that facilitates improved outcomes (Mehnert et al, ). Our finding that employees experienced side effects of treatment that affected their ability to work at full capacity has been reported in other studies and may be relevant to cancer survivors regardless of cancer type (van Egmond et al, ). In the case of CRC survivors, the need for survivors to relearn bodily functions and employers' ability or willingness to implement potential accommodations such as additional breaks that employees are eligible for under the ADA were at odds with the everyday realities of job functions and posed an obstacle to successful RTW.…”
Section: Discussionsupporting
confidence: 84%
“…In many European countries, for instance, longer periods of paid sick leave are available than in the United States, which may support a more gradual RTW that facilitates improved outcomes (Mehnert et al, ). Our finding that employees experienced side effects of treatment that affected their ability to work at full capacity has been reported in other studies and may be relevant to cancer survivors regardless of cancer type (van Egmond et al, ). In the case of CRC survivors, the need for survivors to relearn bodily functions and employers' ability or willingness to implement potential accommodations such as additional breaks that employees are eligible for under the ADA were at odds with the everyday realities of job functions and posed an obstacle to successful RTW.…”
Section: Discussionsupporting
confidence: 84%
“…In contrast, within the group of survivors who lose their jobs or experience a drop in income, there is overrepresentation of blue‐collar workers with no or short education and workers whose temporary employment contracts were not prolonged. Some of these cancer survivors in particular reported that going through medical interventions and suffering from the debilitating side‐effects was one thing, but the loss of work (ability) above the loss of health was what made their life situation really hard . Moreover, coping with both unemployment and the psychological pressure of the cancer diagnosis and following treatment can seriously affect their quality of life.…”
Section: Commentarymentioning
confidence: 99%
“…For CSs who experience job loss, the process of RTW can be more complicated, compared to CSs who still have an employment contract, facing a large distance to the labor market, potential employer stigmatization during job interviews and no access to support from employer and colleagues [11]. Therefore, CSs who have experienced job loss may be in need for tailored RTW support.…”
mentioning
confidence: 99%
“…The SSA also provides RTW guidance through the services of re-integration experts, labor experts and insurance physicians [12]. Both insurance physicians and CSs with job loss have previously reported that the SSA's usual care, including RTW guidance, is not suited to the specific RTW needs of CSs with job loss [11].…”
mentioning
confidence: 99%