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  1. Relation between indicators for quality of occupational rehabilitation of employees with low back pain.

    Article - En anglais

    Objectives-To assess if the implementation of guidelines for occupational rehabilitation of patients with low back pain by means of process variables-a set of objective criteria for technical performance and continuity of care-led to a better outcome in clinical and return to work variables.

    Methods-The study group consisted of 59 patients with at least 10 days of sick leave because of low back pain.

    Univariate analyses as well as multiple logistic regression and Cox's regression analyses were performed to assess the relation between quality of care and outcome.

    Results

    Process indicators for technical competence, continuity of care, and total performance were all significantly related to satisfaction of employees.

    Continuity of care and total performance were significantly related to working status at 3 months, and time to return to work.

    None of the process indicators was related to pain or disability after 3 months follow up.

    Satisfaction was not related to any of the other outcome variables.

    This indicates that if guidelines for occupational rehabilitation are met, outcome is better.

    Conclusion-Quality of the process of care was related to outcome.

    Interventions of occupational physicians need improvement in the areas of continuity of care and communication with treating physicians.

    The effectiveness of an improved intervention should be studied in a subsequent randomised clinical trial.

    Mots-clés Pascal : Homme, Activité professionnelle, Réadaptation professionnelle, Lombalgie, Recommandation, Médecine travail, Qualité service, Soin, Employé, Pays Bas, Europe, Douleur, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie, Reclassement handicapé

    Mots-clés Pascal anglais : Human, Professional activity, Vocational rehabilitation, Low back pain, Recommendation, Occupational medicine, Service quality, Care, Employee, Netherlands, Europe, Pain, Diseases of the osteoarticular system, Spine disease, Rachialgia

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0373516

    Code Inist : 002B15F. Création : 22/03/2000.