General practitioners’ stay-at-work practices in patients with musculoskeletal disorders: using Intervention Mapping to develop a training program
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General practitioners’ stay-at-work practices in patients with musculoskeletal disorders : using Intervention Mapping to develop a training program. / Møller, A.; Bond, C. B.; Andersen, L. N.; Hartvigsen, J.; Stochkendahl, M. J.
In: Scandinavian Journal of Primary Health Care, Vol. 41, No. 4, 2023, p. 445-456 .Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - General practitioners’ stay-at-work practices in patients with musculoskeletal disorders
T2 - using Intervention Mapping to develop a training program
AU - Møller, A.
AU - Bond, C. B.
AU - Andersen, L. N.
AU - Hartvigsen, J.
AU - Stochkendahl, M. J.
N1 - Publisher Copyright: © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2023
Y1 - 2023
N2 - Objectives: To describe current stay-at-work practices among Danish general practitioners (GPs) in relation to patients with musculoskeletal disorders, to identify potential avenues for improvement, and to suggest a training program for the GPs. Design and Setting: We followed the principles of Intervention Mapping. Data were collected by means of literature searches, focus group interviews with GPs, and interaction with stakeholder representatives from the Danish labour market. Results: GPs’ current stay-at-work practices were influenced by systemic, organisational, and legislative factors, and by personal determinants, including knowledge and skills relating to stay-at-work principles and musculoskeletal disorders, recognition of the patient’s risk of long-term work disability, their role as a GP, and expectations of interactions with other stay-at-work stakeholders. GPs described themselves as important partners and responsible for the diagnostic and holistic assessments of the patient but placed themselves on the side line relying on the patient or workplace stakeholders to act. Their practices are influenced both by patients, employers, and by other stakeholders. We propose a training course for GPs that incorporate both concrete tools and behaviour change techniques. Conclusions: We have identified varied perspectives on the roles and responsibilities of GPs, as well as legislative and organisational barriers, and proposed a training program. Not all barriers identified can be addressed by a training course, and some questions are left unanswered, among others - who are best suited to help patients staying at work?.
AB - Objectives: To describe current stay-at-work practices among Danish general practitioners (GPs) in relation to patients with musculoskeletal disorders, to identify potential avenues for improvement, and to suggest a training program for the GPs. Design and Setting: We followed the principles of Intervention Mapping. Data were collected by means of literature searches, focus group interviews with GPs, and interaction with stakeholder representatives from the Danish labour market. Results: GPs’ current stay-at-work practices were influenced by systemic, organisational, and legislative factors, and by personal determinants, including knowledge and skills relating to stay-at-work principles and musculoskeletal disorders, recognition of the patient’s risk of long-term work disability, their role as a GP, and expectations of interactions with other stay-at-work stakeholders. GPs described themselves as important partners and responsible for the diagnostic and holistic assessments of the patient but placed themselves on the side line relying on the patient or workplace stakeholders to act. Their practices are influenced both by patients, employers, and by other stakeholders. We propose a training course for GPs that incorporate both concrete tools and behaviour change techniques. Conclusions: We have identified varied perspectives on the roles and responsibilities of GPs, as well as legislative and organisational barriers, and proposed a training program. Not all barriers identified can be addressed by a training course, and some questions are left unanswered, among others - who are best suited to help patients staying at work?.
KW - General practitioner
KW - Intervention Mapping
KW - musculoskeletal disorders
KW - patient management
KW - qualitative
KW - sickness absence
KW - work participation
U2 - 10.1080/02813432.2023.2268674
DO - 10.1080/02813432.2023.2268674
M3 - Journal article
C2 - 37837433
AN - SCOPUS:85174179955
VL - 41
SP - 445
EP - 456
JO - Scandinavian Journal of Primary Health Care
JF - Scandinavian Journal of Primary Health Care
SN - 0281-3432
IS - 4
ER -
ID: 371363712