References of "Mairiaux, Philippe"
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See detailKnowledge transfer from Belgian government to medical doctors
MORTELMANS, Katrien; REMMEN, Roy; BERKEIN, Philip et al

Conference (2014, October 02)

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See detailInter-professional cooperation between family, occupational and social insurance physicians in managing long-term sickness absence
Mairiaux, Philippe ULg; Vanmeerbeek, Marc ULg; Schippers, Nathalie ULg et al

Conference (2014, September 30)

Background In the Belgian health system, sickness absence (SA) management implies complementary roles for general practitioners (GPs), social insurance physicians (SIPs) and occupational physicians (OPs ... [more ▼]

Background In the Belgian health system, sickness absence (SA) management implies complementary roles for general practitioners (GPs), social insurance physicians (SIPs) and occupational physicians (OPs): GPs deliver sick notes and treatment, SIPs control SA benefits and OPs strive to adapt work environments to workers’ remaining capacities. In practice however, there is little cooperation between the three physicians. In 2009, the Ministry of Employment commissioned a study to identify GP-OP-SIP cooperation channels in order to prevent long-term work disability. Methods The study involved two phases. 1) Researchers from the three groups agreed on 15 proposals to enhance cooperation: to establish a formal contact between GP, SIP and OP for patients with > 3 months SA (n=3) ; SIP decision to end SA benefit to be forwarded to the GP (n=2) ; work-related information to be provided by the OP to GP and/or SIP (n=4); website giving contact data of GPs, SIPs, and OPs (n=2) ; initial and continuous education focusing on inter-physician cooperation (n=3); electronic data exchange when dealing with long-term SA (n=1). 2) A Delphi study was conducted in 2012 to validate these proposals: 61 experts representing professional groups of physicians (GP, SIP, OP), patients, government, employers and labor unions were asked to participate. A 18-items questionnaire (the 15 proposals and 3 open questions) was used in a 2-round Delphi study. Proposals were accepted if 80% of experts agreed. For drafting the final proposals, the research team relied on a multidisciplinary expert group. Results Participation rate was 77% (47/61 experts) in round 1 and 7 out of the 15 proposals were accepted. During round 2, participation rate was 94% (44/47); 2 of the remaining proposals reached agreement level. Public authorities were thus advised to invest in a) promotion of pre-return to work visit with the OP for sick-listed patients; b) a website with OPs contact data; c) joint guidelines for return to work guidance; d) joint training of the 3 physician groups; 5) methods ensuring safe electronic information exchange. Conclusions The need for inter-physician cooperation in disability management may exceed individual goodwill and should best be organised by public authorities. The current study may be a first step in this process. [less ▲]

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See detailFrench good practice guidelines for the management of the low back pain risk among workers exposed to manual handling
Petit, Audrey; Mairiaux, Philippe ULg; FASSIER, Jean-Baptiste et al

Poster (2014, September 29)

Background Manual handling of loads (MHL) is a widespread practice in the workplace and is the leading cause of work accidents. In particular, MHL is associated with a risk of low back injuries which can ... [more ▼]

Background Manual handling of loads (MHL) is a widespread practice in the workplace and is the leading cause of work accidents. In particular, MHL is associated with a risk of low back injuries which can compromise staying at work and worker's career in the case of recurrence or chronicity. This communication aims to set forth the French occupational Guidelines for the management of the low back pain (LBP) risk among workers exposed to MHL, published in October 2013. Methods These Good Practice Guidelines were written according to the Clinical Practice Guidelines method proposed by the French National Authority for Health. They emanated from a synthesis of the literature by a multidisciplinary working party of 24 experts and were peer reviewed by a committee of 50 experts. These Guidelines are designed to define the components of an appropriate surveillance program for all workers exposed to MHL activities at the workplace and especially suffering from LBP and still at work, or suffering LBP and on sick leave. Results Because of the potential impact on workers’ fears and beliefs, the information provided by the various actors must be consistent, or even reassuring in relation to the prognosis of LBP. Among LBP workers, it is recommended to look for signs of severity or an underlying disease at the acute, subacute and chronic stages of LBP; to encourage continuation or resumption of physical activity; situate the current episode of LBP in the worker’s work history (recent changes of working conditions) and evaluate the impact of LBP on the worker’s job. In the case of persistent or recurrent LBP, it is recommended to evaluate biopsychosocial and socioeconomic risk factors likely to influence chronicity, prolonged incapacity and delay return to work. If workers are on prolonged and/or repeated sick leave for LBP, a pre-return-to-work visit is recommended to evaluate the pain and functional disability and their repercussions, as well as the main factors of prolonged work incapacity; encourage and help the worker to develop a return to work dynamic; identify the main difficulties related to work and possible job adjustments and evaluate the need to initiate a job staying at work approach. Conclusions Primary, secondary and tertiary prevention are necessary for the management of low back pain at work. [less ▲]

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See detailLes déterminants de la désinsertion professionnelle
Mairiaux, Philippe ULg

Conference (2014, June 02)

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See detailRetour au travail après une absence de longue durée
Mairiaux, Philippe ULg

Conference (2014, March 14)

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See detailQuelle plus-value retirer du système de prévention et protection au travail ?
Mairiaux, Philippe ULg

Conference given outside the academic context (2014)

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See detailAnalyse des caractéristiques biopsychosociales observées chez 1 832 patients consultant pour des douleurs chroniques dans le service d'algologie du CHU de Liège
Faymonville, Marie-Elisabeth ULg; Blavier, Adelaïde ULg; PALMARICCIOTTI, Valérie ULg et al

in Douleur et Analgésie (2014)

This article aims to establish a "profile" of patients presenting with chronic pain in the algology service of CHU of Liège to identify possible relationships between diagnoses, psychological states and ... [more ▼]

This article aims to establish a "profile" of patients presenting with chronic pain in the algology service of CHU of Liège to identify possible relationships between diagnoses, psychological states and modes of pain management. Between 2005 and 2010 we monitored 1832 individual chronic pain patients who attended our pain clinic at the University Hospital of Liège. This paper presents the characteristics of these patients and their test scores before the treatment to assess their health status in a biopsychosocial perspective. Demographic and lifestyle as well as occupational factors, pain disability index, pain belief assessment, hospital anxiety and depression scale, SF-36 (Short Form Health Survey) and pain visual analogue scale are presented. The results have clinical implication; they suggest an adaptation of our therapeutic interventions based on these observations. © 2014 Springer-Verlag France. [less ▲]

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See detailStress et santé des dirigeants de PME
Angenot, Arnaud ULg; Schippers, Nathalie ULg; Eubelen, Isabelle et al

in Sarnin, Philippe; Kouabenan, Dongo Rémi; Bobillier-Chaumont, Marc-Eric (Eds.) et al Santé et bien-être au travail : Des méthodes d'analyse aux actions de prévention (2014)

Comme l’atteste l’Institut National de la Santé et de la Recherche Médicale ([INSERM], 2011), il est aujourd’hui devenu nécessaire de pouvoir mieux identifier les sources de stress chez les travailleurs ... [more ▼]

Comme l’atteste l’Institut National de la Santé et de la Recherche Médicale ([INSERM], 2011), il est aujourd’hui devenu nécessaire de pouvoir mieux identifier les sources de stress chez les travailleurs indépendants. Parmi ceux-ci, les dirigeants de Petites et Moyennes Entreprises (PME) sont fréquemment victimes de problèmes de santé liés à une charge physique et mentale élevées (Bournois, Duval-Hamel, Scarengella & Roussillon, 2007 ; Gunnarsson, Vingard & Josephson, 2007). S’appuyant sur ces constats, cette étude a eu pour objectif d’évaluer leur sentiment d’épuisement professionnel et de déterminer les causes de stress spécifiques au milieu entrepreneurial. Pour ce faire, une enquête par questionnaire écrit a été menée à la demande de différentes organisations patronales belges du secteur de la construction et de la vente. [less ▲]

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See detailWhat factors determine Belgian general practitioners' approaches to detecting and managing substance abuse? A qualitative study based on the I-Change Model.
Ketterer, Frédéric ULg; Symons, Linda; Lambrechts, Marie-Claire et al

in BMC Family Practice (2014), 15(1), 119

BACKGROUND: General practitioners (GPs) are considered to play a major role in detecting and managing substance abuse. However, little is known about how or why they decide to manage it. This study ... [more ▼]

BACKGROUND: General practitioners (GPs) are considered to play a major role in detecting and managing substance abuse. However, little is known about how or why they decide to manage it. This study investigated the factors that influence GP behaviours with regard to the abuse of alcohol, illegal drugs, hypnotics, and tranquilisers among working Belgians. METHODS: Twenty Belgian GPs were interviewed. De Vries' Integrated Change Model was used to guide the interviews and qualitative data analyses. RESULTS: GPs perceived higher levels of substance abuse in urban locations and among lower socioeconomic groups. Guidelines, if they existed, were primarily used in Flanders. Specific training was unevenly applied but considered useful. GPs who accepted abuse management cited strong interpersonal skills and available multidisciplinary networks as facilitators.GPs relied on their clinical common sense to detect abuse or initiate management. Specific patients' situations and their social, psychological, or professional dysfunctions were cited as cues to action.GPs were strongly influenced by their personal representations of abuse, which included the balance between their professional responsibilities toward their patients and the patients' responsibilities in managing their own health as well the GPs' abilities to cope with unsatisfying patient outcomes without reaching professional exhaustion. GPs perceived substance abuse along a continuum ranging from a chronic disease (whose management was part of their responsibility) to a moral failing of untrustworthy people. Alcohol and cannabis were more socially acceptable than other drugs. Personal experiences of emotional burdens (including those regarding substance abuse) increased feelings of empathy or rejection toward patients.Multidisciplinary practices and professional experiences were cited as important factors with regard to engaging GPs in substance abuse management. Time constraints and personal investments were cited as important barriers.Satisfaction with treatment was rare. CONCLUSIONS: Motivational factors, including subjective beliefs not supported by the literature, were central in deciding whether to manage cases of substance abuse. A lack of theoretical knowledge and training were secondary to personal attitudes and motivation. Personal development, emotional health, self-awareness, and self-care should be taught to and fostered among GPs to help them maintain a patient-centred focus. Health authorities should support collaborative care. [less ▲]

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See detailLes facteurs qui favorisent l’implication des médecins généralistes belges dans la gestion des abus de substances. Une étude qualitative basée sur le I-Change Model
Ketterer, Frédéric ULg; Symons, Linda; Lambrechts, Marie-Claire et al

in Revue Médicale de Bruxelles (2014), 35(3),

Objectifs Les médecins généralistes (MG) jouent un rôle majeur dans la détection et la gestion des abus de substances. L’étude présentée ici investiguait les facteurs qui influencent leur implication ... [more ▼]

Objectifs Les médecins généralistes (MG) jouent un rôle majeur dans la détection et la gestion des abus de substances. L’étude présentée ici investiguait les facteurs qui influencent leur implication concernant la gestion des abus d’alcool, des drogues illégales, des hypnotiques et des anxiolytiques dans la population belge des 18-65 ans. Méthodes 20 MG ont été interrogés par entretiens semi-directifs dans les régions de Liège et d’Anvers. Le I-Change Model de de Vries a été utilisé pour construire le guide d’entretien et analyser les données récoltées. Résultats Parmi les principaux résultats de l’étude, il ressortait que les MG étaient fortement influencés dans leur approche par leurs propres représentations de l’abus, qui oscillait leurs responsabilités professionnelles envers ces patients et la responsabilité de ces derniers quant à la gestion de leur santé, avec l’idée de faute morale en substrat. En ce sens, l’abus de substance était perçu sur un continuum entre l’abus comme forme de maladie chronique d’une part, et la faute morale d’autre part. L’alcool et le cannabis étaient néanmoins mieux acceptés socialement que les autres substances. Les propres expériences personnelles des MG concernant les abus avaient aussi une incidence sur leur volonté de s’investir avec ces patients. Pour autant, les pratiques multidisciplinaires (notamment au forfait) et l’expérience étaient évoqués comme des facteurs importants quant à l’engagement dans la gestion. Les contraintes temporelles et l’investissement demandé étaient, en revanche, considérés comme des barrières. Conclusion Les facteurs motivationnels apparaissaient centraux dans la décision de s’investir dans la gestion des abus de substances, bien davantage que les connaissances théoriques et les formations qui semblaient plus secondaires. La peur du burn-out s’exprimait donc en substrat. La formation des MG devrait tenir compte de ce souhait de se protéger, afin de favoriser simultanément une approche centrée sur le patient. [less ▲]

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See detailMaintien dans l'emploi des patients malades chroniques - pistes pour la collaboration des médecins impliqués
Mairiaux, Philippe ULg

Conference given outside the academic context (2013)

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See detailDeterminanten bij bedrijfsartsen in hun aanpak van middelenmisbruik van werknemers
Lambrechts, M.C.; Ketterer, Frédéric ULg; Symons, Linda et al

Conference (2013, November 28)

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See detailSick leave due to back pain in a cohort of young workers
Van Nieuwenhuyse, An; Burdorf, Lex; Crombez, Geert et al

in International Archives of Occupational and Environmental Health (2013), 86(8), 887-899

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See detailSurveillance médico-professionnelle du risque lombaire pour les travailleurs exposés à des manipulations de charges
Roquelaure, Yves; Petit, Audrey; Meyer, Jean-Pierre et al

Report (2013)

Detailed reference viewed: 22 (1 ULg)