Article (Scientific journals)
Searching 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; Govers, Patrick; Schippers, Nathalie et al.
2016In BMC Public Health, 16, p. 164
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Keywords :
Cooperative Behaviour; Attitude of Health Personnel; Delphi Technique; Sick Leave
Abstract :
[en] 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.
Research center :
UR Soins primaires et Santé
Disciplines :
Public health, health care sciences & services
General & internal medicine
Author, co-author :
Vanmeerbeek, Marc  ;  Université de Liège > Département des sciences cliniques > Médecine générale
Govers, Patrick ;  Université de Liège > Département des sciences de la santé publique > Santé au travail et éducation pour la santé (STES)
Schippers, Nathalie ;  Université de Liège > Département des sciences de la santé publique > Santé au travail et éducation pour la santé (STES)
Rieppi, Stéphane ;  Université de Liège > Département de science politique > Anal. et éval. des politiques publ.-Méthod. de sc. politique
Mortelmans, Katrien;  Mensura Occupational Health Services > Department Research & Development
Mairiaux, Philippe  ;  Université de Liège > Département des sciences de la santé publique > Département des sciences de la santé publique
Language :
English
Title :
Searching 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
Publication date :
2016
Journal title :
BMC Public Health
eISSN :
1471-2458
Publisher :
BioMed Central
Volume :
16
Pages :
164
Peer reviewed :
Peer Reviewed verified by ORBi
Name of the research project :
Partnership
Funders :
SPF Emploi - Service Public Fédéral Emploi, Travail et Concertation sociale [BE]
Available on ORBi :
since 19 March 2016

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