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Am J Ind Med. 2001 Oct;40(4):464-84.

Determinants of duration of disability and return-to-work after work-related injury and illness: challenges for future research.

Author information

1
Division of Epidemiology, School of Public Health, University of California at Berkeley, 745 University Hall, Berkeley, CA 94720-7360, USA. nkrause@uclink4.berkeley.edu

Abstract

BACKGROUND:

The purpose of this review was to identify critical data and research needs in addressing the following question: What are the primary factors that affect the time lost from work, return-to-work (RTW), subsequent unemployment, and changes in occupation after disabling illness or injury?

METHODS:

Review of the literature to identify research challenges originating from the multitude of disciplines, data sources, outcome measures, and methodological and analytical problems.

RESULTS:

About 100 different determinants of RTW outcomes were identified. Their impact varies across different phases of the disablement process. Recommendations are provided for addressing five selected research challenges.

CONCLUSION:

Interdisciplinary research needs to develop a comprehensive conceptual framework. Priority should be given to studies on specific domains of risk factors meeting five selection criteria: amenability to change; relevance to users of research; generalizability across health conditions, disability phases, and settings; "degree of promise" as derived from qualitative exploratory studies; and capacity to improve measurement instruments. Combining qualitative and quantitative research methods is necessary to bridge existing knowledge gaps.

PMID:
11598995
DOI:
10.1002/ajim.1116
[Indexed for MEDLINE]

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