References of "Mortelmans, Katrien"
     in
Bookmark and Share    
Full Text
Peer Reviewed
See detailKnowledge transfer from Belgian government to medical doctors
MORTELMANS, Katrien; REMMEN, Roy; BERKEIN, Philip et al

Conference (2014, October 02)

Detailed reference viewed: 13 (0 ULg)
Peer Reviewed
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 ▲]

Detailed reference viewed: 31 (7 ULg)
Peer Reviewed
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 ▲]

Detailed reference viewed: 25 (3 ULg)
Peer Reviewed
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 ▲]

Detailed reference viewed: 76 (2 ULg)
Peer Reviewed
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 ▲]

Detailed reference viewed: 31 (11 ULg)