当前位置： SCI文献检索 > DISABILITY AND REHABILITATION期刊下所有文献 > Disability prevention and communication among workers, physicians, employers, and insurers--current models and opportunities for improvement.

Disability prevention and communication among workers, physicians, employers, and insurers--current models and opportunities for improvement.

Abstract：

PURPOSE:To review prevailing models of disability management and prevention with respect to communication, and to suggest alternative approaches. METHOD:Review of selected articles. RESULTS:Effective disability management and return to work strategies have been the focus of an increasing number of intervention programmes and associated research studies, spanning a variety of worker populations and provider and business perspectives. Although primary and secondary disability prevention approaches have addressed theoretical basis, methods and costs, few identify communication as a key factor influencing disability outcomes. Four prevailing models of disability management and prevention (medical model, physical rehabilitation model, job-match model, and managed care model) are identified. The medical model emphasizes the physician's role to define functional limitations and job restrictions. In the physical rehabilitation model, rehabilitation professionals communicate the importance of exercise and muscle reconditioning for resuming normal work activities. The job-match model relies on the ability of employers to accurately communicate physical job requirements. The managed care model focuses on dissemination of acceptable standards for medical treatment and duration of work absence, and interventions by case managers when these standards are exceeded. Despite contrary evidence for many health impairments, these models share a common assumption that medical disability outcomes are highly predictable and unaffected by either individual or contextual factors. As a result, communication is often authoritative and unidirectional, with workers and employers in a passive role. CONCLUSION:Improvements in communication may be responsible for successes across a variety of new interventions. Communication-based interventions may further improve disability outcomes, reduce adversarial relationships, and prove cost-effective; however, controlled trials are needed.

journal_name

Disabil Rehabil

journal_title

Disability and rehabilitation

authors

Pransky G,Shaw W,Franche RL,Clarke A

doi

10.1080/09638280410001672517

subject

Has Abstract

pub_date

2004-06-03 00:00:00

pages

625-34

issue

eissn

0963-8288

issn

1464-5165

pii

GXX1MNW0DWT90GTK

journal_volume

pub_type

杂志文章,评审

在线工具

Disability prevention and communication among workers, physicians, employers, and insurers--current models and opportunities for improvement.