Pre-return to work consultation and therapeutic part-time work: Cross-sectional study on level of knowledge and use by general practitioners in France.

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Cyril Bègue, Lucille Desmidt, William Bellanger, Christine Tessier-Cazeneuve, Audrey Petit, Anne-Laure Couturier
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引用次数: 2

Abstract

Background: In France, general practitioners (GPs) may use two tools specifically designed to help employees who experience difficulties in returning to work after sick leave: the pre-return-to-work (PRW) medical consultation and therapeutic part-time (TPT) work.

Objectives: The objective was to investigate the level of knowledge and use of these two tools by GPs in Maine-et-Loire, France.

Methods: This cross-sectional study was performed using a telephone questionnaire to evaluate the level of knowledge of GPs and the use of these two tools in patients having difficulties returning to work.

Results: Among the 200 randomly selected GPs, 122 responded (response rate: 61%). More than half of the interviewed GPs declared they 'often' (46%) or 'always' (14%) contacted the occupational physician in these situations. Moreover, 62.2% and 32.7% believed that they had a 'vague' or 'very good' level of knowledge, and 41% and 51% declared either 'frequent' or 'regular' level of use of the PRW medical consultation, respectively. Regarding TPT work, 47% and 53% reported a 'very good' or 'vague' level of knowledge, and 41% and 51% a 'frequent' or 'regular' level of use, respectively. GPs who had a better level of knowledge of this tool reported a higher level of use (p < 0.001).

Conclusion: This study shows that while the level of knowledge and use of the PRW medical consultation and TPT work is good, it is not optimal. This could be improved by organising training courses for GPs. Obstacles to their wider use could be investigated further in a qualitative study.

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复工前咨询和治疗兼职工作:法国全科医生知识水平和使用的横断面研究。
背景:在法国,全科医生(全科医生)可能会使用两种专门设计的工具来帮助那些在病假后难以重返工作岗位的员工:复工前医疗咨询和治疗性兼职工作。目的:目的是调查法国缅因-卢瓦尔省全科医生对这两种工具的知识水平和使用情况。方法:本横断面研究采用电话问卷,评估全科医生的知识水平,以及在恢复工作困难的患者中这两种工具的使用情况。结果:在随机抽取的200名全科医生中,应答122人,应答率为61%。超过一半的受访全科医生表示,在这些情况下,他们“经常”(46%)或“总是”(14%)联系职业医生。此外,62.2%和32.7%的受访者认为他们对医疗谘询有“模糊”或“很好”的认识,41%和51%的受访者分别表示他们“经常”或“定期”使用医疗谘询。关于TPT工作,47%和53%的人表示“非常好”或“模糊”的知识水平,41%和51%的人分别表示“经常”或“经常”使用TPT。结论:本研究表明,虽然PRW医学咨询和TPT工作的知识水平和使用水平良好,但并非最佳。这可以通过为全科医生组织培训课程来改善。可以在定性研究中进一步调查其广泛使用的障碍。
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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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