Current practices, needs, and expectations of discussing work with a medical specialist from a patient’s perspective: a qualitative study

Kluit, Lana; Wind, Astrid de; Oosting, Ilse J; Velzen, J.M. van; Beumer, Annechien; Sluman, Maayke A.; Bennekom, Coen van; Boer, Angela G. E. M. de

doi:10.1080/09638288.2022.2157500

Cited by 5 publications

(3 citation statements)

References 69 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The sample consisted of 14 men (42%) and 19 women (58%). Ages ranged from 30 to 67 years, with 2 ( 6 %) in the category 30 to 39; 8 ( 24 %) in the category 40 to 49; the majority, 16 (49%), in the category 50 to 59; and 7 ( 21 %) in the category 60 to 67. Figure 1 shows the variability of patients with regard to where they are in the patient journey, from becoming ill to being diagnosed with a (chronic) disease in relation to their current work status.…”

Section: Resultsmentioning

confidence: 99%

“…This study was part of a larger qualitative investigation on CWIC. Patients' motives for discussing work with their medical specialists and their needs in CWIC have been extensively described elsewhere 21 . The data collection for the study took place from September to October 2020.…”

Section: Methodsmentioning

confidence: 99%

“…Patients' motives for discussing work with their medical specialists and their needs in CWIC have been extensively described elsewhere. 21 The data collection for the study took place from September to October 2020. To interpret the study results, it is essential to understand the Dutch occupational health care system—an explanation of which can be found in Box 1.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Patients' Experiences, Needs, and Expectations of Cooperation Between Medical Specialists and Occupational Health Physicians

Oosting

Kluit

Schaafsma

et al. 2023

J Occup Environ Med

Self Cite

View full text Add to dashboard Cite

Objective: Cooperation between clinical and occupational health care practitioners is a key aspect of clinical work-integrating care. This study aimed to gain insight into patients' experiences, needs, and expectations regarding cooperation between medical specialists and occupational health physicians. Methods: A thematic qualitative study was conducted involving a total of 33 participants in eight online focus groups. Results: Participants indicated practitioners are currently working in an isolated manner. However, participants desired for partnership between specialists and occupational health physicians to address work-related concerns and showed a need for explanation of the consequences of their diagnosis, so this can be translated into their ability to work. Conclusions: Currently, cooperation between clinical and occupational health care is lacking. Yet, some participants experienced that these disciplines could complement each other by working together to support patients in work participation.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Patients' Experiences, Needs, and Expectations of Cooperation Between Medical Specialists and Occupational Health Physicians

Oosting

Kluit

Schaafsma

et al. 2023

J Occup Environ Med

Self Cite

View full text Add to dashboard Cite

show abstract

Clinical Work-Integrating Care in Current Practice: A Scoping Review

Kluit,

van Bennekom,

Beumer

et al. 2023

J Occup Rehabil

View full text Add to dashboard Cite

Purpose Clinical work-integrating care (CWIC) refers to paying attention to work participation in a clinical setting. Working patients may benefit from CWIC. The purpose of this study is to explore the extent and nature to which medical specialists provide CWIC and what policies and guidelines oblige or recommend specialists to do. Methods A scoping review was conducted. The databases MEDLINE, EMBASE, Psychinfo, CINAHL, and Web of Science were searched for studies on the extent and nature of CWIC and supplemented by gray literature on policies and guidelines. Six main categories were defined a priori. Applying a meta-aggregative approach, subcategories were subsequently defined using qualitative data. Next, quantitative findings were integrated into these subcategories. A separate narrative of policies and guidelines using the same main categories was constructed. Results In total, 70 studies and 55 gray literature documents were included. The main findings per category were as follows: (1) collecting data on the occupation of patients varied widely; (2) most specialists did not routinely discuss work, but recent studies showed an increasing tendency to do so, which corresponds to recent policies and guidelines; (3) work-related advice ranged from general advice to patient–physician collaboration about work-related decisions; (4) CWIC was driven by legislation in many countries; (5) specialists sometimes collaborated in multidisciplinary teams to provide CWIC; and (6) medical guidelines regarding CWIC were generally not available. Conclusion Medical specialists provide a wide variety of CWIC ranging from assessing a patient’s occupation to extensive collaboration with patients and other professionals to support work participation. Lack of medical guidelines could explain the variety of these practices.

show abstract

Patients’ Needs Regarding Work-Focused Healthcare: A Qualitative Evidence Synthesis

Hagendijk,

Zipfel,

Melles

et al. 2024

J Occup Rehabil

View full text Add to dashboard Cite

Purpose To identify, appraise, and synthesize qualitative research evidence exploring patients’ needs regarding work-focused healthcare. Methods A systematic review was conducted in accordance with the PRISMA statement guidelines to identify studies reporting patients’ needs regarding work-focused healthcare. Four databases (MEDLINE, Embase, PsychInfo and Web of Science) were systematically searched from January 2000 until May 2023 and screened in duplicate by pairs of two reviewers. Inclusion criteria were qualitative data collection method, and patients’ perspectives regarding healthcare focusing on work when experiencing work-related problems due to chronic medical conditions. Data extraction and synthesis was executed by means of an inductive thematic analysis approach. The quality of the included studies was assessed using the CASP Qualitative Study checklist. Confidence in the review findings was assessed through the Confidence in the Evidence from Reviews of Qualitative research (CERQual) approach. Results Out of 23,677 records, 97 qualitative studies were included. Needs regarding four main themes were identified: (1) Substantive guidance, which comprises the specific content of work-focused healthcare; (2) Clear and continuous process, which comprises clarification and optimization of the work-focused healthcare process; (3) Supportive attitude and behavior, which comprises a positive and supportive attitude and behavior from professionals towards the patients; and (4) Tailored approach, which comprises the delivery of tailored care to the individuals’ needs. 17 subthemes were identified. Conclusion The broader insight in patients’ needs in work-focused healthcare can help (occupational) healthcare professionals adopt a more patient-centred approach in practice.

show abstract

Current practices, needs, and expectations of discussing work with a medical specialist from a patient’s perspective: a qualitative study

Cited by 5 publications

References 69 publications

Patients' Experiences, Needs, and Expectations of Cooperation Between Medical Specialists and Occupational Health Physicians

Patients' Experiences, Needs, and Expectations of Cooperation Between Medical Specialists and Occupational Health Physicians

Clinical Work-Integrating Care in Current Practice: A Scoping Review

Patients’ Needs Regarding Work-Focused Healthcare: A Qualitative Evidence Synthesis

Contact Info

Product

Resources

About