References of "Schippers, Nathalie"
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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: 30 (7 ULg)
Peer Reviewed
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 ▲]

Detailed reference viewed: 18 (5 ULg)
Full Text
Peer Reviewed
See detailElaboration de critères pour l'évaluation de "l'agir" du plan national nutrition santé en Belgique
Absil, Gaetan ULg; Schippers, Nathalie ULg; Vandoorne, Chantal ULg

in Revue d'Epidémiologie et de Santé Publique = Epidemiology and Public Health (2013, October), 61(4), 304

Detailed reference viewed: 66 (35 ULg)
Peer Reviewed
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 ▲]

Detailed reference viewed: 28 (6 ULg)
Peer Reviewed
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 ▲]

Detailed reference viewed: 64 (15 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)
Peer Reviewed
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)

Detailed reference viewed: 84 (21 ULg)
Peer Reviewed
See detailRetour au travail en cas d'arrêt-maladie de longue durée, le point de vue du patient
Sottiaux, Marianne; Schippers, Nathalie ULg; Mairiaux, Philippe ULg

Poster (2011, November)

Introduction Face à l’enjeu du maintien dans l’emploi en cas de problème de santé, le médecin du travail et le médecin-conseil de sécurité sociale peuvent jouer un rôle important, mais qu’en pense le ... [more ▼]

Introduction Face à l’enjeu du maintien dans l’emploi en cas de problème de santé, le médecin du travail et le médecin-conseil de sécurité sociale peuvent jouer un rôle important, mais qu’en pense le patient ? L’étude avait donc pour objectif d’explorer le point du vue du patient afin d’identifier les obstacles et les éléments facilitateurs sur lesquels ces médecins peuvent s’appuyer pour promouvoir le retour au travail. Méthodologie L’étude a comporté l’interview téléphonique de 100 patients recrutés via deux organismes assureurs. Les critères d’inclusion étaient : être en arrêt de travail de longue durée (3 mois< arrêt < 8 mois), bénéficier d’une surveillance de santé en médecine du travail, et accepter de participer à l’étude. Résultats Les principales causes des absences sont les affections mentales (21%), les pathologies rachidiennes (11%) et les traumatismes (16%). Pour pouvoir retourner au travail, 40% des répondants disent attendre un effet du traitement ou une amélioration de leur état et 62% désignent le manque d’amélioration ou l’aggravation de celui-ci comme facteur freinant leur reprise. Un autre facteur est le manque de compréhension des collègues et/ou du chef hiérarchique. La majorité des répondants estiment qu’un travail adapté (diminution de la charge de travail ou des heures prestées, adaptation des horaires,…) faciliterait la reprise. Les répondants ont une perception plutôt négative du médecin du travail: la visite périodique est décrite comme superficielle et brève et peu connaissent le rôle du médecin. La plupart des répondants accepteraient que les médecins en charge de leur dossier se concertent à leur sujet mais s’interrogent quant à l’utilité d’un tel échange. Conclusions L’aide que le médecin du travail peut apporter au patient pour la reprise de travail est largement ignorée et de nombreux obstacles entravent les possibilités de coopération entre médecin du travail et médecin-conseil pour favoriser le maintien dans l’emploi. [less ▲]

Detailed reference viewed: 85 (7 ULg)
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See detailIntervening in sub-acute sickness absences : a large potential for belgian occupational health services
MORTELMANS, Anna Katharina; BULTERYS, Simon; LAHAYE, Dirk et al

in Occupational and Environmental Medicine (2011, September), 68(September 2011), 95

Detailed reference viewed: 41 (16 ULg)
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See detailPrevalence and screening of burnout among Belgian population
DE CIA, Julie ULg; Mairiaux, Philippe ULg; Schippers, Nathalie ULg et al

Poster (2011, May 26)

The aim of the study was to estimate the prevalence of burnout among Belgian workers through the identification of burnout cases within the practices of general practitioners (GP) and the health ... [more ▼]

The aim of the study was to estimate the prevalence of burnout among Belgian workers through the identification of burnout cases within the practices of general practitioners (GP) and the health surveillance carried out by occupational health physicians (OP) .The prevalence may be estimated at about 0,8 % of the Belgian population; this figure is similar among workers consulting GP and OP. [less ▲]

Detailed reference viewed: 73 (19 ULg)