References of "Mairiaux, Philippe"
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See detailLa collaboration entre différentes disciplines médicales : ou est le problème ? Etude Partnership in Medicine
Vanmeerbeek, Marc ULg; Govers, Patrick ULg; Schippers, Nathalie ULg et al

Conference (2015, March 27)

Objectifs Les maladies ou problèmes médicaux d’origine professionnelle, ou en lien avec le travail, impliquent à des degrés divers les médecins généralistes (MG), les médecins du travail (MT) et les ... [more ▼]

Objectifs Les maladies ou problèmes médicaux d’origine professionnelle, ou en lien avec le travail, impliquent à des degrés divers les médecins généralistes (MG), les médecins du travail (MT) et les médecins-conseils des mutuelles (MC). Le manque de relation fonctionnelle entre eux peut compliquer ou retarder le retour au travail du patient. L’étude cherchait des pistes d’amélioration de la collaboration. Méthode Deux méthodes de consensus ont été successivement utilisées parmi les trois professions : huit groupes nominaux (GN) ont réunis 74 médecins de terrain; deux rondes Delphi ont concerné 28 décideurs. Résultats Un seul médecin a été perdu de vue entre les 2 tours du Delphi. Les propositions issues des GN concernaient le transfert d’informations (surtout les MT et les MC), la collaboration (surtout les MG et les MT), les connaissances, et le cadre légal et réglementaire (surtout les MC). Cinq questions sur 14 n’ont pas fait consensus (≥75%) au 1er tour du Delphi, et 10 propositions sur 13 ont été rejetées au 2e tour. Les désaccords portaient sur la nature des données à transférer, les modalités de transfert d’information, la disponibilité des données de contact des médecins. Un processus d’évitement spécifique a été mis en évidence. Certains commentaires montraient un déni de la capacité des autres à comprendre son champ professionnel, et une difficulté à considérer leur spécificité propre. Conclusions L’étude montre que le patient n’est pas un objet partagé de la relation. Le modèle Resource Dependence Institutional Cooperation (De Rijk) permet de distinguer les entraves à la volonté de coopérer (dépendance perçue) des limitations dans la capacité à le faire (manque de ressources). Le modèle quadridimensionnel de la collaboration (D’Amour) identifie un déficit d’internalisation du côté relationnel (reconnaissance des autres), et un déficit de gouvernance et de formalisation du côté organisationnel, où des initiatives volontaristes des autorités seraient bienvenues. [less ▲]

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See detailThe approach taken to substance abuse by occupational physicians: a qualitative study on influencing factors
Lambrechts, Marie-Claire; Ketterer, Frédéric ULg; Symons, Linda et al

in Journal of Occupational & Environmental Medicine (2015), 57

Objective Aiming to enhance occupational physicians‟ (OPs) practice when dealing with employee substance abuse, this study analyzes the experiences of OPs to gain insight into the factors influencing ... [more ▼]

Objective Aiming to enhance occupational physicians‟ (OPs) practice when dealing with employee substance abuse, this study analyzes the experiences of OPs to gain insight into the factors influencing their behavior. Methods Semi-structured interviews were conducted and analyzed using Interpretative Phenomenological Analysis. Results OPs act differently depending on the type of drug. Their approach was mainly determined by contextual factors and by their attitudes and skills. Many OPs want to invest in health promotion. Barriers such as lack of time and focus on periodic examinations often hamper both adequate prevention and the management of workers with substance abuse. Conclusions The approach to substance abuse by OPs could be supported by initiatives both at the individual and the collective level. A facilitating work context seems to be particularly important in their commitment to alcohol- and drug-related issues at work. [less ▲]

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See detailFrench good practice guidelines for medical and occupational surveillance of the low back pain risk among workers exposed to manual handling of loads
PETIT, Audrey; FASSIER, Jean-Baptiste; ROUSSEAU, Sandrine et al

in Annals of Occupational and Environmental Medicine (2015)

Several clinical practice guidelines related to the assessment and management of low back pain (LBP) have been published with varied scopes and methods. This paper summarises the first French occupational ... [more ▼]

Several clinical practice guidelines related to the assessment and management of low back pain (LBP) have been published with varied scopes and methods. This paper summarises the first French occupational guidelines for management of work-related LBP (October 2013). There main originality is to treat all the three stages of primary, secondary and tertiary prevention of work-related LBP. The guidelines were written by a multidisciplinary working group of 24 experts, according to the Clinical Practice Guidelines method proposed by French National Health Authority, and reviewed by a multidisciplinary peer review committee of 50 experts. Recommendations were based on a large systematic review of the literature carried out from 1990 to 2012 and rated as strong (Level A), moderate (B), limited (C) or based on expert consensus (D) according to their level of evidence. It is recommended to deliver reassuring and consistent information concerning LBP prognosis (Level B); to perform a clinical examination looking for medical signs of severity related to LBP (Level A), encourage continuation or resumption of physical activity (Level A), identify any changes in working conditions and evaluate the occupational impact of LBP (Level D). In case of persistent/recurrent LBP, assess prognostic factors likely to influence progression to chronic LBP, prolonged disability and delayed return to work (Level A). In case of prolonged/repeated sick leave, evaluate the pain, functional disability and their impact and main risk factors for prolonged work disability (Level A), promote return to work measures and inter professional coordination (Level D). These good practice guidelines are primarily intended for professionals of occupational health but also for treating physicians and paramedical personnel participating in the management of LBP, workers and employers. [less ▲]

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See detailCancer du sein et retour au travail
Schippers, Nathalie ULg; Van Hoof, Elke; Mairiaux, Philippe ULg

Poster (2014, December 17)

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See detailL'implication des médecins généralistes dans la gestion des abus de substances
Ketterer, Frédéric ULg; Symons, Linda; Lambrechts, Marie-Claire et al

Conference (2014, November 28)

Introduction : Les médecins généralistes 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 ▼]

Introduction : Les médecins généralistes 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. Méthode : 20 MG ont été interrogés par entretiens semi-directifs. Le I-Change Model de de Vries a été utilisé pour construire le guide d'entretien et analyser les données récoltées. Il s'agit d'un modèle de prédiction du comportement. 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 généralistes 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 évoquées 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. Discussion : 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 burnout 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 detailLes changements sociétaux sont-ils promoteurs de bien-être au travail ?
Mairiaux, Philippe ULg

Conference (2014, November 17)

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See detailSanté mentale et travail - les enjeux sociétaux
Mairiaux, Philippe ULg

Conference (2014, November 13)

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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 detailDimensions psychosociales de la santé
Mairiaux, Philippe ULg; Absil, Gaëtan ULg; Govers, Patrick ULg

Learning material (2014)

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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), 27

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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