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Coordination of return-to-work for employees on sick leave due to common mental disorders: facilitators and barriers.

Lisa HolmlundTherese HellmanMonika EngblomLydia KwakLars SandmanLena TörnkvistElisabeth Björk Brämberg
Published in: Disability and rehabilitation (2020)
The results indicate a need for the detailed packaging of coordination; formalization of coordinators' qualifications and levels of training; and acknowledgement of the role of organizational factors in the implementation of coordination. This is important to further develop and evaluate the efficacy of coordination.IMPLICATIONS FOR REHABILITATIONPositive attitudes to coordination, an open dialogue in a three-party meeting, leadership engagement, routines for the return to work (RTW) process at the primary care centre, and collegial alliances were identified as facilitators.An unclear packaging of the intervention, conflicts at the employee's workplace, lack of team-based work, and lack of coordinator training were identified as barriers.A detailed intervention packaging adapted for the specific setting and formalization of coordinators' qualifications and training is necessary for coordination of RTW.Recognizing organizational factors were identified as being important for the implementation of coordination of RTW for persons on sick leave due to CMDs.
Keyphrases
  • primary care
  • randomized controlled trial
  • healthcare
  • quality improvement
  • mental health
  • general practice