References of "Mairiaux, Philippe"
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See detailRecherche sur le burn-out en Belgique
Hansez, Isabelle ULg; DE CIA, Julie ULg; Angenot, Arnaud ULg et al

Report (2013)

Le burn-out représente un réel problème avec des conséquences lourdes pour la santé des travailleurs, les entreprises et la société. C’est pourquoi le Service Public Fédéral Emploi, Travail et ... [more ▼]

Le burn-out représente un réel problème avec des conséquences lourdes pour la santé des travailleurs, les entreprises et la société. C’est pourquoi le Service Public Fédéral Emploi, Travail et Concertation sociale ainsi que le Fonds social européen ont décidé de soutenir un programme de recherche sur le burn-out (l’épuisement professionnel) en Belgique. La méthodologie du projet se déclinait en deux objectifs : - mettre au point un outil de détection précoce du burn-out permettant d’en détecter les signes avant-coureurs ; - mettre en évidence des pistes de recommandation pour la prévention primaire, secondaire et tertiaire : répertorier les mesures de prévention existantes (‘bonnes pratiques’) pour pouvoir agir sur l’organisation du travail et éviter le burn-out et enfin, fournir des conseils pour le retour au travail d’une personne qui a eu une incapacité de travail en raison d’un burn-out. Ce travail s’appuyait bien évidemment sur la précédente recherche commanditée par le SPF Emploi en 2009-2010 mais aussi sur d’autres travaux, tels que la recherche sur la prévention et la prise en charge du burn-out chez les médecins généralistes (KCE, 2011). [less ▲]

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See detailEtude rétrospective de 438 salariés diabétiques dans un service interentreprises luxembourgeois de santé au travail - Enquête sur la relation entre la maladie diabétique et la survenue d'une décision d'inaptitude, d'un arrêt maladie prolongé ou d'un accident de travail.
Favrot, Philippe; Mairiaux, Philippe ULg; Blaise, Pierre

in Archives des Maladies Professionnelles et de l'Environnement (2013), 74(4), 352-358

A retrospective study was carried out from October 2004 until September 2006 in a Luxembourger occupational health service. The purposes of the medical checks performed during this period of time were ... [more ▼]

A retrospective study was carried out from October 2004 until September 2006 in a Luxembourger occupational health service. The purposes of the medical checks performed during this period of time were analysed as well as the related decision of occupational health practitioners. A total of 28244 persons attended the medical checks thereof 438 had diabetes (diabetes mellitus type 1 and type 2). The risk of being declared unfit for a job was compared in workers populations with and without diabetes. The probabilities to consult an occupational practitioner after a long-time sick leave (more than 6 weeks long) or after an accident at work were also compared in both workers populations. The Woolf’s method was used to adjust all odds ratios for age and sex. The proportions of persons with diabetes appear similar to those found by age in the general population, however the risk of being declared unfit for a job was significantly higher for persons with diabetic than for non-diabetic persons (OR=3.14 ; 95% CI [2.30 - 4.28]). In 84% cases, diabetes wasn’t the only cause of unfitness (comorbidities, vascular complications…). Diabetes represented a higher risk of a long time sick leave (OR=1.99 ; 95% CI [1.44 - 2.77]), but it didn’t lead to an significant risk of accident at work (OR=1.92 ; 95% CI [0.94 - 2.26]). Our results suggest that several employees with diabetes seemed to be restricted from certain jobs or couldn’t maintain their jobs. Most often, the occupational practitioners decisions were not solely justified by the diabetes but by the coexistence of complications or comorbidities. This last argument, associated with an increased risk to be on sick leave for a long period, stresses the importance of the preventive actions in diabetes. However, the prejudice of a higher risk of occupational accidents due to diabetics seems unfounded. [less ▲]

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See detailA review of guidelines for collaboration in substance misuse management
Van Royen, Kathleen; Remmen, Roy; Vanmeerbeek, Marc ULg et al

in Occupational Medicine (2013), 63(6), 445-447

Background: Substance abuse among the working population results in increasing economic costs. General practitioners (GP) and occupational physicians (OP) can play a central role in detecting and managing ... [more ▼]

Background: Substance abuse among the working population results in increasing economic costs. General practitioners (GP) and occupational physicians (OP) can play a central role in detecting and managing substance abuse in the working population. Their collaboration could be critical in coordinating care, in facilitating rehabilitation and in reducing sick leave. Aims: To search in guidelines for evidence on collaboration between GPs and OPs in substance abuse detection and management in the working population. Methods: International guidelines regarding collaborative care for alcohol abuse, illicit drug use and hypnotics and tranquilizers were identified by a systematic search in the Guidelines International Network (GIN) and US National Guidelines Clearinghouse (NGC) databases. Results: In total 20 guidelines were considered of sufficient methodological quality, based on criteria of the Appraisal of Guidelines for Research and Education (AGREE) II instrument. Only two guidelines reported on the OP’s role in screening and intervention for alcohol abuse. Conclusion: There is a lack of evidence on the OP’s role and on collaboration between GPs and OPs. We recommend studying their respective roles in substance abuse management, the effectiveness of workplace interventions, pros and cons of collaboration as well as the best way to achieve this if recommended. [less ▲]

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See detailRetour au travail après une absence de longue durée : Comment dynamiser le dispositif légal existant ?
Mairiaux, Philippe ULg

in DAVAGLE, MICHEL (Ed.) Le maintien au travail de travailleurs devenus partiellement inaptes (2013)

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See detailQuels patients risquent de ne pas reprendre le travail ?
Mairiaux, Philippe ULg

Conference (2012, November 17)

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See detailHR managers views and practices in SME's regarding return to work of sick listed employees
Mairiaux, Philippe ULg; Lequeux, Sarah; Lambreghts, C et al

Poster (2012, October 24)

Background Little is known about the return to work (RTW) policies implemented in small and medium size enterprises (SME) which have limited resources to define and apply such policies. This study aimed ... [more ▼]

Background Little is known about the return to work (RTW) policies implemented in small and medium size enterprises (SME) which have limited resources to define and apply such policies. This study aimed at assessing the existing return to work practices in SME’s and exploring their view regarding the help they could receive from their occupational health service. Methods HR managers of 46 SME’s (23 in Flanders, 23 in Wallonia) employing 100 to 200 employees were contacted for an interview. The manager was asked to fill in a written questionnaire and to comment his/her answers in an open discussion with the researcher. The questionnaire involved three parts: 1°) describing existing rules or procedures when returning to work after sick leave, 2) assessing the manager knowledge of the RTW legal regulations within the occupational health care system, 3) assessing the occupational health physician (OP) involvement in RTW and the enterprise expectations for the future. Results Participation to the survey was accepted in 38 SME’s. In slightly more than half of them a sick leave related policy has been defined. While almost all SME’s have a well-defined procedure for the RTW examination by the OP, only 22 (out of 38) have defined procedures for maintaining a contact with the worker during the sick leave period, only 17 are informing their employees about the possibility to meet the OP during that period, and only 6 are systematically organising a worker-supervisor meeting when the worker comes back at work. Knowledge about RTW regulations is rather poor: 10 managers wrongly think that the OP may check the sick leave medical validity; only 14 managers know that the employer must inform the OP about any sick leave longer than 4 weeks; less than half of the managers have a good knowledge of the pre-return to work visit. Various expectations have been put forward as regard the role of the OH service: knowledge transfer about the regulations, coaching of the supervisors, training managers in carrying RTW talks with the worker, suggesting procedures, etc. Conclusions The lack of knowledge about RTW regulations underlines the need for information campaigns focused on the employers. The participating RH managers are awaiting a more proactive role from their OH service. [less ▲]

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See detailIntervening in return to work after long term sickness absence : confronting the stakeholders views
Schippers, Nathalie ULg; Kefer, Fabienne ULg; Cornelis, Sabine ULg et al

Conference (2012, October 23)

Background Acknowledging individual and societal consequences of long term sickness absence, a political awareness is raising in Belgium in favour of a more active reintegration policy. Since various ... [more ▼]

Background Acknowledging individual and societal consequences of long term sickness absence, a political awareness is raising in Belgium in favour of a more active reintegration policy. Since various stakeholders are implied and several legislations may apply, it was deemed necessary to analyse the interplay between regulations and the role of the respective interveners to optimise return to work practices. The study focused on workers who are still under contract. Methods To this purpose, 23 representatives of various categories of stakeholders were interviewed: social insurance physicians, occupational physicians, insurers, social administration services, employers, unions, employment advisers, etc… Interviewees were asked to describe their role, to identify difficulties in the execution of their mission and sources of conflict between legislations, and to propose improvements. The interviews were audiotaped and fully transcribed. Results Several barriers to worker reintegration were pointed out during the interviews. On individual level, the worker social situation and a lack of information influence the chance of a successful return to work. At the enterprise level, the enterprise size, quality of peer support and lack of financial incentives were often mentioned. Most remarks concerned legislation. In Belgian labour law, the employment contract may be ended if the employee is permanently unable to perform his current job, even though modified work would remain possible. For many stakeholders, a sustainable return to work is hindered by the complexity of legislation which was developed for different domains (disability benefits, unemployment, work accident, occupational disease) with little attention to transitions from one domain to the other, especially between benefit insurance and unemployment legislation. It was also stressed that the possibilities offered by the occupational health legislation are underused or inappropriately used. Conclusions Legal and financial security must be insured for the worker who is ready to enrol in a reintegration trajectory. Public authorities should promote better knowledge and implementation of reintegration policies and current legislation should be improved with an emphasis on a better collaboration between stakeholders. [less ▲]

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See detailAdapting the Sherbrooke model to the Belgian situation
Mortelmans, Katrien; Verjans, M; Mairiaux, Philippe ULg

Poster (2012, October 23)

In Canada and the Netherlands, randomized controlled trials proved that the Sherbrooke model is an effective method to induce sustainable work resumption for patients off work over one month due to back ... [more ▼]

In Canada and the Netherlands, randomized controlled trials proved that the Sherbrooke model is an effective method to induce sustainable work resumption for patients off work over one month due to back problems. The model offered an individually tailored, workplace oriented, step-by-step multidisciplinary return to work strategy. Prior to implementing the model in Belgium, this study aimed at adapting it to the Belgian social security system and labour market needs. A qualitative study was conducted in 2011, with the support of the European Social Fund: discussion groups were organised with sickness absence benefit insurers; employers and workers unions; physicians, ergonomists, psychologists and nurses involved in disability management; and academic experts including the international group of trainees and mentors of the Strategic Training Program in Work Disability Prevention. The meetings aimed at collecting ideas and proposals for model adaptation. For the final model adaptation, the research team relied on a multidisciplinary expert group. To answer company’s requirements a tool was developed making co-workers co-responsible for the worker’s successful work resumption trajectory. To enhance the workers’ own responsibility in the return to work process, a patient return to work diary was designed. To take into account the rising trend in mental health reasons for prolonged sickness absence, the model was opened up to patients irrespectively of the cause of their sickness absence. Belgian employers having limited financial incentives for return to work initiatives when sickness absence periods exceed one month, it was decided to a) implement the model in sectors having difficulties finding suitable personnel due to the labour market scarcity, and b) ask participating companies to commit to fulfil 85% of multidisciplinary work resumption advices and to report in detail on non-followed advices. The Sherbrooke model was mirrored among the Belgian situation and adapted to Belgium’s specific needs. In 2012, the adapted model will be evaluated in a pilot study including five companies employing about 8000 workers in the Antwerp region of Belgium. [less ▲]

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See detailSick leave due to low back pain in a cohort of young workers in Belgium
VAN NIEUWENHUYSE, AN; BURDORF, Alex; CROMBEZ, Geert et al

Poster (2012, September 13)

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

Conference (2012, July 12)

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 detailChallenges in stakeholders participation in research
Mairiaux, Philippe ULg

Scientific conference (2012, June 20)

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See detailPartnership in medicine : how to promote the collaboration between general practitioners, occupational physicians and social insurance physicians
Mairiaux, Philippe ULg; Vanmeerbeek, Marc ULg; Schippers, Nathalie ULg et al

Conference (2012, March 22)

Introduction: Many situations justify a close collaboration between GP, OP and SIP. Health problems impact work activity and vice versa. An altered health situation confronts workers with the risk of ... [more ▼]

Introduction: Many situations justify a close collaboration between GP, OP and SIP. Health problems impact work activity and vice versa. An altered health situation confronts workers with the risk of exclusion from the labour market. An interprofessional collaboration is thus needed to promote a more active policy of rehabilitation of workers on long term sickness absence. The Belgian Ministry of Employment initiated this study to identify communication channels and tools that could support collaboration among those health professionals. Methods: To this purpose, 8 nominal groups were organised to think about proposals to improve interdisciplinary collaboration. In sum 42 GP’s, 16 OP’s and 16 SIP’s participated in the discussions. For the elaboration of the final proposals, the research team relied on a multidisciplinary expert group. Results: An asymmetric relation was observed; each group expressed the need to receive information from the two others, but proposals to transfer information were rare. Exchanges in the groups showed that reciprocal ignorance is important and communication modalities are poor. A profound revision of the information transmission procedures seemed necessary. Several practical proposals were made to improve communication in case of sickness absence over three months, to allow information transfer and to promote mutual respect between the three disciplines. Other proposals considered professional training, and professional competencies which need to be better defined. Discussion: Misconceptions of the role of the different professional disciplines form a barrier to an effective collaboration. Technical and regulatory measures alone will not bring about a real promotion of interdisciplinary collaboration. The proposals arising from the study will contribute to increase reciprocal knowledge between professionals from the three disciplines and thus form the basis of a more effective collaboration. In turn, the experience of collaboration could have a beneficial effect on the reciprocal representations of each partner role. [less ▲]

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See detailDeterminants of sickness absence duration after an occupational back injury in the Belgian population
Mazina, Déogratias; Donneau, Anne-Françoise ULg; Mairiaux, Philippe ULg

in American Journal of Industrial Medicine (2012), 55(3), 270-280

Background This study aimed at assessing factors associated to the duration of sickness absence after a back injury in the Belgian working population, with a special emphasis on cultural factors. Methods ... [more ▼]

Background This study aimed at assessing factors associated to the duration of sickness absence after a back injury in the Belgian working population, with a special emphasis on cultural factors. Methods The data were retrieved from the Belgian Fund for Work Accidents database over a three-year period (2001-2003). The population source involved all Belgian workers under a job contract in the private sector registered as compensated cases for an accident that occurred at the workplace (n=558276). From that database, all back injury cases involving a complete data set and registered during the first 6 months of each year (n= 11262) were selected and eight factors (gender, age, seniority in the current job, job category, accident regional location, enterprise size, sector of activity and accident circumstances) were analyzed in relation to the outcome variable, sick leave duration recorded as ordered time intervals between 0 day and 183-366 days. Results Sick leave duration was strongly associated in a multivariate model to age (>= 40 years: OR=2.18), blue collar job (1.55), work in building industry (1.32) and enterprise size (>100 : 0.85), and to a less extent to seniority (>10y: 0.88), and circumstance of accident (falls: 1.26). Injuries occurring in the French-speaking part of the country were associated to a longer sick leave (1.07; p=0.034). Conclusions This study shows that besides well-known risk factors, subtle cultural language-linked factors and/or regional differences in economic climate may significantly influence the length of disability period after a back injury. [less ▲]

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See detailRandomised trials on secondary prevention of low back pain in occupational settings.
Mairiaux, Philippe ULg; Loomis, Dana

in Occupational and Environmental Medicine (2012), 69(1), 1-2

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See detailEtude de prévalence du burnout dans la population des travailleurs belges
Schippers, Nathalie ULg; DE CIA, Julie ULg; Barbier, Marie ULg et al

Conference (2011, November 04)

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