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Return-to-work: The importance of human interactions and organizational structures

Article type: Research Article

Authors: Friesen, Margaret N. ; | Yassi, Annalee; | Cooper, Juliette

Affiliations: Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada | School of Medical Rehabilitation, 770 Bannatyne Ave., Winnipeg, MB, Canada | Department of Occupational and Environmental Medicine, Health Sciences Centre, Winnipeg, MB, Canada

Note: [] Assistant Professor, Occupational Therapy, School of Medical Rehabilitation, T258 - 770 Bannatyne Ave., Winnipeg, MB, Canada R3E 0W3. Tel.: +1 204 789 3864; Fax: +1 204 789 3927; E-mail: mfriese@ms.umanitoba.ca

Keywords: occupational health, rehabilitation, return-to-work, qualitative research

Journal: Work, vol. 17, no. 1, pp. 11-22, 2001

Received 2 October 2000
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Accepted 16 October 2000
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Published: 2001
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Abstract

The purpose of this study was to gain insight into stakeholder perspectives on barriers and facilitators for return-to-work (RTW). Qualitative methodology with purposive sampling was employed. A total of 55 participants, representing a wide spectrum of stakeholders and industry, were interviewed in individual or group format. Interview transcripts were coded, categorized according to themes, and placed within a framework which reflected the dynamic interaction of individuals and the structural systems or context of those individuals.

Findings indicated that perceived barriers to RTW included delays of all types in processing or delivery of information or treatment, and ineffective communication among stakeholders. Facilitators to RTW included establishment of RTW programs in the workplace, effective communication and teamwork, as well as trust and credibility among stakeholders. The interdependence of organizational structures and human interactions was evident in successful RTW programs which emphasized teamwork, early intervention, and communication. Differing stakeholder perspectives, however, especially on issues such as worker attitudes and participation, must be acknowledged and addressed if more injured workers are to be successful in returning to full employment.

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