利益相关者对支持患者在初级保健中恢复工作的看法:一种定性研究
Rosie Harrison1, Gwenllian Wynne Jones2, Vaughan Parsons3,4
1School of Medicine, Keele University, Keele, UK r.harrison1@keele.ac.uk.
BJGP open
|June 5, 2025
概括
初级保健中独立工作者提供的职业支持 (VS) 帮助患者克服返回工作的障碍. 这种以人为中心的方法提高了信心,并有助于计划在疾病后成功恢复就业.
科学领域:
- 职业健康 职业健康 职业健康
- 医疗保健服务研究 医疗服务研究
- 心理学 心理学 心理学
背景情况:
- 数以百万计的人因疾病缺席工作,面临着难以获得职业支持 (VS) 恢复工作 (RTW) 的挑战.
- 初级保健机构,主要是发出适应性备忘录的地方,提供了提供VS的理想机会.
研究的目的:
- 在工作和职业咨询 (WAVE) 随机对照试验 (RCT) 中,探索受过培训的职业支持工作者 (VSW) 提供的VS.
- 了解利益相关者 (患者,VSW,雇主,全科医生) 对VS干预的看法.
主要方法:
- 这是一项嵌入在WAVE RCT中的定性研究,涉及来自英国10家全科医院的患者,随机分为常规护理或常规护理加VS.
- 从干预组中对患者 (n=10),雇主,VSW和全科医生 (n=5) 进行半结构面试.
- 对转录的采访进行主题分析,并包含公众和患者的参与.
主要成果:
- 一个个性化的,以人为中心的VS方法使VSW能够识别和解决RTW障碍.
- 对雇主和医疗保健的VSW独立性促进了关于能力和RTW规划的公开讨论.
- 这种方法提高了参与者在主动谈判回归工作中的自我效能.
结论:
- 从初级保健中提及的个性化和独立的VS被所有利益相关者认为对因疾病而缺席的患者有价值.
- 这项干预有效地支持了患者的RTW规划和自我有效性.
- 结果为开发未来的职业支持模型提供了洞察力.
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