References of "Schippers, Nathalie"
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See detailSearching for consensus among physicians involved in the management of sick-listed workers in the Belgian health care sector: a qualitative study among practitioners and stakeholders
Vanmeerbeek, Marc ULg; Govers, Patrick ULg; Schippers, Nathalie ULg et al

in BMC Public Health (2016), 16

Background In Belgium, the management of sick leave involves general practitioners (GPs), occupational health physicians (OPs) and social insurance physicians (SIPs). A dysfunctional relationship among ... [more ▼]

Background In Belgium, the management of sick leave involves general practitioners (GPs), occupational health physicians (OPs) and social insurance physicians (SIPs). A dysfunctional relationship among these physicians can impede a patient’s ability to return to work. The objective of this study was to identify ways to improve these physicians’ mutual collaboration. Methods Two consensus techniques were successively performed among the three professional groups. Eight nominal groups (NGs) gathered 74 field practitioners, and a two-round Delphi process involved 32 stakeholders. Results From the results, it appears that two areas (reciprocal knowledge and evolution of the legal and regulatory framework) are objects of consensus among the three medical group that were surveyed. Information transfer, particularly electronic transfer, was stressed as an important way to improve. The consensual proposals regarding interdisciplinary collaboration indicate specific and practical changes to be implemented when professionals are managing workers who are on sick leave. The collaboration process appeared to be currently more problematic, but the participants correctly identified the need for common training. Conclusions The three physician groups all agree regarding several inter-physician collaboration proposals. The study also revealed a latent conflict situation among the analysed professionals that can arise from a lack of mutual recognition. Practical changes or improvements must be included in an extended framework that involves the different determinants of interdisciplinary collaboration that are shown by theoretical models. Collaboration is a product of the actions and behaviours of various partners, which requires reciprocal knowledge and trust; collaboration also implies political and economic structures that are led by public health authorities. [less ▲]

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See detailOccupational physicians managing workers long-term sickness absence : are they willing to cooperate with family and social insurance physicians ?
Mairiaux, Philippe ULg; Vanmeerbeek, Marc ULg; Schippers, Nathalie ULg et al

Conference (2015, June)

Introduction In Belgium, sickness absence (SA) management implies complementary roles for family (FPs), social insurance (SIPs) and occupational physicians (OPs): FPs deliver sick notes, SIPs control SA ... [more ▼]

Introduction In Belgium, sickness absence (SA) management implies complementary roles for family (FPs), social insurance (SIPs) and occupational physicians (OPs): FPs deliver sick notes, SIPs control SA benefits and OPs strive to adapt work environments to workers’ capacities. In practice however, there is little cooperation between the three physicians. This study aimed at identifying FP-OP-SIP cooperation channels in order to prevent long-term work disability. Methods The study involved two phases. (1) Using the nominal group technique, researchers from the three physician groups reached a consensus on 15 proposals to enhance inter-professional cooperation. (2) A Delphi study was conducted to validate these proposals: 61 experts representing professional groups of physicians (FP, SIP, OP), patients, government, employers and labor unions were asked to participate. A 18-items questionnaire (the 15 proposals + 3 open questions) was used in a 2-round Delphi study. Proposals were accepted if 80% of experts agreed. Results Participation rate was 77% in round 1 and 7 out of the 15 proposals were accepted. During round 2, participation rate was 94%; 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) safe electronic information exchange. Several proposals aiming at giving work-related information to FPs and SIPs did not reach agreement within the OPs expert group. OPs expressed concerns about their own workload and FPs or SIPs ability to understand and use those information. Discussion The need for inter-physician cooperation in disability management may exceed individual goodwill and should best be organised by public authorities. This study may be a first step in this process. [less ▲]

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See detailRetour au travail après un cancer du sein
Mairiaux, Philippe ULg; Schippers, Nathalie ULg; DESREUX, Joëlle ULg et al

Conference (2015, April 23)

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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 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 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 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 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

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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 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 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 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: 104 (27 ULg)