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Related Experiment Video

Updated: Jun 16, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Do clinicians working within the same context make consistent return-to-work recommendations?

Yoko Ikezawa¹, Michele C Battié, Jeremy Beach

¹Faculty of Rehabilitation Medicine, University of Alberta, 2-50 Corbett Hall, Edmonton, AB, T6G 2G4, Canada.

Journal of Occupational Rehabilitation

|February 9, 2010

Summary

This summary is machine-generated.

Clinicians showed high agreement on return-to-work (RTW) recommendations for clear injuries but less for back pain. Most relied on biomedical data, and many recommended modified duties to aid RTW.

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Last Updated: Jun 16, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Area of Science:

Occupational Health
Rehabilitation Medicine
Workers' Compensation

Background:

Healthcare providers' return-to-work (RTW) recommendations significantly impact injured workers and employers.
Assessing inter-rater reliability of RTW determinations is crucial in workers' compensation settings.

Purpose of the Study:

To evaluate the consistency of RTW recommendations among clinicians.
To identify the information sources influencing clinicians' RTW decisions.

Main Methods:

Three case scenarios presented to 36 clinicians (physiotherapists, occupational therapists, exercise therapists, physicians).
Analysis of percentage agreement and descriptive statistics for RTW recommendations.
Examination of information relied upon for decision-making.

Main Results:

High agreement (97.2% and 94.4%) for fracture and dislocation scenarios.
Modest agreement (55.6%) for back pain scenarios.
Over 50% of clinicians utilized biomedical information (e.g., physical examination).

Conclusions:

Clinicians exhibit high agreement for RTW recommendations with clear pathologies but lower agreement for complex conditions like back pain.
The complexity of back pain etiology affects RTW recommendation consistency.
Recommendations frequently included work modifications, highlighting the role of accommodations in facilitating RTW.