Journal of Occupational Rehabilitation最新文献

{"title":"Intersectoral Collaboration and Job Retention Among Workers Facing Labour Market Vulnerability: A Scoping Review.","authors":"Joanie Maclure, Clémence Tanneau, Sandrine Gagné-Trudel, Alexandra Lecours, Catherine Beaudry, Marie-Michele Lord","doi":"10.1007/s10926-026-10431-6","DOIUrl":"https://doi.org/10.1007/s10926-026-10431-6","url":null,"abstract":"<p><strong>Purpose: </strong>Intersectoral collaboration is increasingly recognized as a key strategy to address complex work and health challenges, including employment retention among vulnerable populations. This scoping review aims to examine how intersectoral partnerships that support employment retention are conceptualized and studied in the scientific literature and to identify key knowledge gaps.</p><p><strong>Methods: </strong>A scoping review was conducted following the Joanna Briggs Institute and Mazaniello-Chézol and Corbière methodologies and was reported in accordance with PRISMA-ScR guidelines. A comprehensive search strategy was developed and applied across multiple databases. Given the absence of literature specifically targeting informal caregivers, the scope was broadened to include workers who face challenges maintaining their participation in the labour market. Data were extracted and analyzed using a framework informed by Bryson's intersectoral collaboration model.</p><p><strong>Results: </strong>The review highlights substantial variability in how intersectoral collaboration is defined and operationalized. Most studies emphasize collaboration among healthcare, employment, and community sectors, focusing on coordination mechanisms, shared goals and resource integration. However, limited attention is given to power dynamics, governance structures, and long-term sustainability. Evidence regarding outcomes remains fragmented, with few studies assessing impacts on job retention or worker health.</p><p><strong>Conclusion: </strong>This review provides a structured overview of intersectoral collaboration supporting job retention across diverse populations. It identifies important gaps in conceptual clarity and outcome evaluation. These findings lay a foundation for advancing research and practice related to job retention, including for informal caregivers.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Healthy Healthcare Workforce? Sick and Annual Leave Patterns in Victorian Healthcare Workers, 2012 to 2024.","authors":"Emma Doust, Michael Di Donato, Karen Walker-Bone, Alex Collie","doi":"10.1007/s10926-026-10437-0","DOIUrl":"https://doi.org/10.1007/s10926-026-10437-0","url":null,"abstract":"<p><strong>Purpose: </strong>To examine sick and annual leave trends across a statewide public health service workforce as lead indicators of workforce wellbeing and identify differences by worker characteristics and occupational factors.</p><p><strong>Methods: </strong>An ecological study using aggregated leave data over 13-years (July 2011-June 2024) covering most employees at publicly funded hospitals in Victoria, Australia. Joinpoint and negative binomial regression were the main analytical approaches.</p><p><strong>Results: </strong>Between 2012 and 2024, there was a 56% increase in the number of Full-Time Equivalent (FTE) employees. Accumulated annual leave balances increased from 16.6 days per FTE in 2012 to 20.6 days in 2024, with larger increases post-2019 during the COVID-19 pandemic. Sick leave rates increased by 11% between 2012 and 2014, and then decreased, to an average of 9.2-10.2 days. Female gender and older age were associated with higher sick leave taken and annual leave balances. Relative to administration and clerical workers, doctors took the least sick leave (IRR 0.36 [95% Confidence Interval (95% CI) 0.34, 0.39)] and had the lowest annual leave balances [IRR 0.56 (95% CI 0.54, 0.58)].</p><p><strong>Conclusion: </strong>The COVID-19 pandemic appears to have contributed to a change in Victorian public hospital workers ability or desire to take annual leave, with ongoing effects. Workers have accumulated more annual leave since the pandemic, reflecting a possible reduction in annual leave days taken, which poses potential risks to workforce health such as fatigue or burnout. While this study is specific to Australia, the findings provide insights for other high-income healthcare systems with similar paid leave entitlements. Research on workforce health is essential to support workforce wellbeing and health system sustainability.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LVAD Bridge Duration, Post-transplant Employment, and Return to Work: A National Registry Analysis of Heart Transplant Recipients.","authors":"Ahmed A Zayed, Mohammad Ennab, Mohamad Bahij Moumneh, Yazan A Al-Ajlouni, Hadi Itani, Bahy Abofrekha, Omar Khayat, Spencer D Liu, Kenneth Dulnuan","doi":"10.1007/s10926-026-10429-0","DOIUrl":"https://doi.org/10.1007/s10926-026-10429-0","url":null,"abstract":"<p><strong>Background: </strong>The 2018 United Network for Organ Sharing (UNOS) heart allocation policy change has substantially altered left ventricular assist device (LVAD) bridge duration before heart transplantation. Whether prolonged durable mechanical circulatory support is associated with impaired post-transplant employment, including return to work (RTW) among previously employed patients, remains uncertain.</p><p><strong>Methods: </strong>We performed a retrospective cohort study of 9473 adult LVAD-bridged heart transplant recipients (2010-2023) using the UNOS/Scientific Registry of Transplant Recipients (SRTR) database. The primary outcome was post-transplant employment at 1 year. A key secondary outcome was RTW among patients employed at the time of listing. Bridge duration was categorized as < 6, 6-12, 12-24, and > 24 months. Multivariable logistic regression adjusted for demographic, socioeconomic, and clinical factors.</p><p><strong>Results: </strong>Median bridge duration was 12.4 months (IQR 6.3-23.8); 21.2% of patients were employed at 1 year (1,662/7,845). Longer bridge duration was associated with lower employment in unadjusted analysis (> 24 vs < 6 months: OR 0.76, 95% CI 0.65-0.89), but this association was attenuated after adjustment (adjusted OR 0.90, 95% CI 0.75-1.08, p = 0.258). Among 1,132 patients employed at listing with available follow-up data, 56.4% returned to work at 1 year; the adjusted association with bridge duration was similarly non-significant (> 24 vs < 6 months: OR 0.74, 95% CI 0.50-1.08, p = 0.116). Pre-transplant employment (OR 5.30), college education (OR 1.81), and private insurance (Medicare OR 0.41; Medicaid OR 0.45) were the strongest independent predictors. Findings were consistent across subgroups, sensitivity analyses, and allocation policy eras.</p><p><strong>Conclusion: </strong>LVAD bridge duration was not independently associated with post-transplant employment or RTW after multivariable adjustment. Socioeconomic and demographic factors-not bridge duration-were the strongest correlates of vocational outcomes. These findings are consistent with the potential value of early, integrated vocational and social interventions across the LVAD-to-transplant continuum.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health- and Work-Related Outcomes in Partners of Cancer Survivors: A Prospective Cohort Study.","authors":"Pieter Coenen, Amber D Zegers, Ute Bültmann, Lonneke V van de Poll-Franse, Allard J van der Beek, Saskia F A Duijts","doi":"10.1007/s10926-026-10436-1","DOIUrl":"https://doi.org/10.1007/s10926-026-10436-1","url":null,"abstract":"<p><strong>Purpose: </strong>To (1) examine health- and work-related outcomes among partners of cancer survivors and (2) explore associated factors of these outcomes.</p><p><strong>Methods: </strong>In the STEPS prospective cohort study 225 employed partners of cancer survivors in the Netherlands completed questionnaires at baseline, and after 6 and 12 months, on work participation, health-related quality of life (HRQoL), and medical, lifestyle, health, and work factors. Generalized estimating equations and time-lagged regression analyses were used to examine changes over time and associations with measured factors.</p><p><strong>Results: </strong>Partners worked on average 31.1 h/week at baseline, which remained stable over the 12-month follow-up. Employment status (i.e., whether participants were employed versus not) slightly declined from 91 to 86%. Around 30% were sick listed at least once during the 6 months prior to baseline, which did not change over time. Physical HRQoL declined over time (beta [95% confidence interval]: - 1.65 [- 2.96 to - 0.35]). Mental HRQoL remained below population norms (e.g., on average 45.4 (12.6) at baseline), but did not statistically change over time. Multivariate analyses revealed that factors such as income, educational level, financial necessity to work, breadwinner status, work tasks, work ability, need for recovery and survivors' disease and treatment characteristics were associated with partners' work and health outcomes.</p><p><strong>Conclusion: </strong>Although work participation remained stable during our study period, partners of cancer survivors experienced a substantial burden regarding their work and health. Interventions should focus on supporting partners at risk, addressing financial strain, helping them balance work and caregiving demands to sustain health and work participation.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing Employability and Inclusion for Workers with Chronic Illness: Sustainable Work Participation.","authors":"Lucía I Llinares-Insa, Esther Gracia-Grau, Amparo Caballer-Hernández, Pilar González-Navarro","doi":"10.1007/s10926-026-10424-5","DOIUrl":"https://doi.org/10.1007/s10926-026-10424-5","url":null,"abstract":"<p><strong>Purpose: </strong>Employment plays a central role in social inclusion and individual well-being. Yet people living with chronic illnesses or disabilities continue to face substantial structural and workplace barriers to gaining and sustaining employment. There is a pressing need for empirical research that examines these issues. In this study, we aim to analyse the barriers to accessing and maintaining employment of people with chronic illnesses despite the existence of inclusive employment policies designed to promote their effective labour market participation.</p><p><strong>Methods: </strong>This study investigates the employment experiences of 98 Spanish adults diagnosed with immune-mediated inflammatory diseases (IMIDs). A mixed-methods approach was used, combining quantitative survey analysis with qualitative data.</p><p><strong>Results: </strong>The findings reveal that chronic pain, cognitive impairment, and inadequate workplace adjustments severely affect individuals' work performance and stability. Participants described physical and psychological exhaustion, limited understanding from co-workers, and declining employability behaviours as key challenges to sustaining employment. Structural barriers, such as rigid schedules and insufficient job adaptations, further exacerbate exclusion. Overall, the results underscore how current workplace systems remain poorly equipped to accommodate the fluctuating and invisible nature of chronic illnesses, undermining true employment inclusion.</p><p><strong>Conclusion: </strong>These findings highlight the urgent need to rethink prevailing assumptions in employment policy and organisational practice. To ensure genuine inclusion of workers with chronic illnesses or disabilities, employers and policymakers should promote the co-creation of flexible work arrangements, adapt job design and workflows, and raise awareness of invisible and fluctuating conditions. Such actions are crucial to achieving sustainable and equitable labour market participation.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SusTained Employability in cancer Patients and their partnerS: Results of a Randomized Controlled Trial into the Effectiveness of the STEPS Program.","authors":"Amber D Zegers, Pieter Coenen, Allard J van der Beek, Lonneke V van de Poll-Franse, Ute Bültmann, Marianne de Maaker-Berkhof, Nina Bijker, Lisette M van Maurik, Liesbeth M Veenendaal, Ingrid E A M van Loon, Wouter K G Leclercq, Peter W Plaisier, Karin H Herbschleb, Iris C M van der Ploeg, Marieke E Straver, Clasien Blom, Gabriëlla de Boer, Anne-Marie Dietvorst, Mathijs P Hendriks, Jacqueline M Tromp, Baukje Flameling, Steve Boudewijns, Myrella Vlenterie, Martine F Thijs, Myra van Linde, Christianne A R Lok, Saskia F A Duijts","doi":"10.1007/s10926-026-10420-9","DOIUrl":"https://doi.org/10.1007/s10926-026-10420-9","url":null,"abstract":"<p><strong>Purpose: </strong>Cancer survivors experience challenges in establishing sustained employability, i.e., return to work and work retention. We evaluated the effectiveness of a stages-of-change-based work participation program (STEPS) to support sustained employability in cancer survivors.</p><p><strong>Methods: </strong>A two-armed randomized controlled trial was conducted among employees diagnosed with cancer 3-18 months earlier. Participants completed questionnaires pre-randomization, and at 6- and 12-month of follow-up (T1 and T2). Mixed-effects modeling compared STEPS with usual care on working hours (sustained employability) and secondary outcomes.</p><p><strong>Results: </strong>Of 239 included participants, 123 were randomly assigned to STEPS and 116 to usual care. There were no meaningful differences in weekly working hours between the STEPS and control groups during follow-up. However, strict STEPS protocol adherence was related to working fewer hours per week across T1 and T2 (- 3.6, 95%CI [- 6.90, - 0.36]) and at T1 specifically (- 3.9, 95%CI [- 7.47, - 0.28]). Participants in STEPS who had returned to work to some extent at baseline worked fewer hours at T1 (- 3.7, 95%CI [- 7.16, -0.22]). Finally, participants in STEPS had 0.7-point higher best-ever work ability at T2 (95%CI [0.04, 1.31]). All other outcomes did not differ meaningfully between groups.</p><p><strong>Conclusion: </strong>In its current form, STEPS does not improve sustained employability in cancer survivors. While STEPS may improve self-perceived work ability, this is unlikely to improve objective work-related outcomes. Work participation support should extend beyond initial return to work and engage employees and employers to address workplace barriers and facilitators.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost-Effectiveness of the STEPS Work Participation Program Compared to Usual Care, for Cancer Survivors: An Economic Evaluation Alongside a Randomized Controlled Trial.","authors":"Johanna M van Dongen, Amber D Zegers, Pieter Coenen, Saskia F A Duijts, Ute Bültmann, Nina Bijker, Lisette M van Maurik, Liesbeth M Veenendaal, Ingrid E A M van Loon, Wouter K G Leclercq, Loes Janssen, Peter W Plaisier, Karin H Herbschleb, Iris C M van der Ploeg, Marieke E Straver, Clasien Blom, Gabriëlla de Boer, Anne-Marie Dietvorst, Mathijs P Hendriks, Jacqueline M Tromp, Baukje Flameling, Myrella Vlenterie, Martine F Thijs, Myra van Linde, Christianne A R Lok, Esther M K Wit, Eva Swart, Allard J van der Beek","doi":"10.1007/s10926-026-10416-5","DOIUrl":"https://doi.org/10.1007/s10926-026-10416-5","url":null,"abstract":"<p><strong>Purpose: </strong>Many people diagnosed with cancer are of working age and experience challenges returning to and retaining-paid work. Existing interventions to support return to work have shown mixed effectiveness, and their cost-effectiveness is often unknown. The STEPS work participation program, based on the Stages of Change, aims to support employed cancer survivors in work resumption and retention. This study evaluated its cost-effectiveness compared to usual care.</p><p><strong>Methods: </strong>An economic evaluation was conducted alongside a 12-month multi-center randomized controlled trial in the Netherlands. Employed cancer survivors were randomized to STEPS (n = 123) or usual care (n = 116). Quality-adjusted life years (QALYs) were estimated using the EQ-5D-5L questionnaire. Costs were assessed from a societal perspective. Analyses followed the intention-to-treat principle, were conducted using seemingly unrelated regression adjusted for baseline utility and costs, with uncertainty assessed using bootstrapping.</p><p><strong>Results: </strong>Participants in the STEPS group accrued marginally more QALYs than those receiving usual care (adjusted mean difference: 0.004; 95%CI: - 0.018 to 0.025), but this difference was neither statistically significant nor clinically relevant. Total societal costs were higher in the STEPS group than in usual care, with an adjusted mean difference of €2933 (95%CI: - €2735 to €8600). The probability of STEPS being cost-effective compared to usual care was 0.17 at a willingness-to-pay of €20,000/QALY, increasing only to 0.21 at €80,000/QALY. Sensitivity analyses confirmed these findings.</p><p><strong>Conclusion: </strong>The STEPS program cannot be considered cost-effective compared to usual care and is therefore not recommended for implementation in its current form.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ready or Not? Applying the Transtheoretical Model of Change on Return-to-Work Following CBT for Chronic Low Back Pain.","authors":"Maria Frøseth Rosenblom, Henrik Børsting Jacobsen, Silje Endresen Reme","doi":"10.1007/s10926-026-10432-5","DOIUrl":"https://doi.org/10.1007/s10926-026-10432-5","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic low back pain (CLBP) is a leading cause of work-related disability with limited benefit from biomedical treatments. Multidisciplinary approaches, including cognitive-behavioral therapy (CBT) show promise, but outcomes may depend on readiness to change. The Transtheoretical Model may help identify who benefits most, yet its relevance for return-to-work (RTW) outcomes in CLBP remains underexplored. This secondary analysis of a randomized controlled trial examined whether readiness to change, measured by the Pain Stages of Change Questionnaire (PSOCQ), was associated with back pain intensity and disability, and whether it predicted RTW 12 months after a multidisciplinary intervention for CLBP.</p><p><strong>Methods: </strong>414 participants on long-term sick leave due to CLBP were randomized to either: brief intervention (BI), BI + CBT, BI + seal oil, or BI + soy oil. Baseline measures included PSOCQ, pain intensity, and Oswestry Disability Index. RTW was assessed via registry data at 12 months.</p><p><strong>Results: </strong>Hierarchal regression showed that higher precontemplation scores were significantly associated with greater baseline back pain and disability, while higher maintenance scores were linked to less back pain. In the CBT group, logistic regression revealed that higher precontemplation scores significantly predicted a 63% reduction in odds of RTW.</p><p><strong>Conclusion: </strong>Readiness to change is associated with pain intensity and disability cross-sectionally, and RTW 12 months following CBT, with less ready individuals experiencing more pain and lower RTW. Assessing stage of change may help tailor rehabilitation and identify those less likely to benefit from CBT.</p><p><strong>Clinical trial registration: </strong>This study was registered with ClinicalTrials.gov (Identifier: NCT00463970) 2007-04-19.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Efficacy and Self-Esteem Predict Return to Work and Buffer the Impact of Treatment Duration: A Longitudinal Panel Study.","authors":"Hwanjin Park, Kounseok Lee","doi":"10.1007/s10926-026-10428-1","DOIUrl":"https://doi.org/10.1007/s10926-026-10428-1","url":null,"abstract":"<p><strong>Purpose: </strong>Return to work (RTW) is a key outcome of occupational rehabilitation, but physical recovery alone does not determine it. While prolonged treatment duration is a known barrier to RTW, the extent to which modifiable psychological resources mitigate this effect remains unclear. Therefore, this study aimed to examine whether self-efficacy and self-esteem are associated with RTW and whether self-esteem buffers the adverse effect of prolonged treatment duration.</p><p><strong>Methods: </strong>Five-year panel data (2018-2022) from the Panel Study of Workers' Compensation Insurance, including 14,607 observations, were analyzed. RTW was operationalized as current work participation at each survey wave based on the official PSWCI economic activity status classification. Generalized estimating equations with a logit link were used to examine main and interaction effects. A Random Forest model was used to assess predictive performance and variable importance.</p><p><strong>Results: </strong>Self-efficacy (OR = 2.020, p < .001) and self-esteem (OR = 1.519, p = .001) significantly predicted RTW, with self-efficacy showing the strongest effect. Longer treatment duration was associated with reduced probability of RTW (OR = 0.615, p < .001). A significant interaction indicated that self-esteem attenuated the adverse effect of prolonged treatment (OR = 1.098, p = .017). The Random Forest model demonstrated strong predictive performance (AUC = 0.818), with self-efficacy and self-esteem as the top-ranked predictors.</p><p><strong>Conclusions: </strong>Psychological resources are important for RTW following occupational injury. Self-efficacy and self-esteem were positively associated with RTW, and self-esteem additionally buffered the adverse effect of prolonged treatment duration. These findings support rehabilitation strategies that prioritize modifiable psychological factors to enhance sustainable work reintegration.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Injured Workers' Experiences of General Practitioner Care Across Dual Healthcare Funding Systems: A Qualitative Study in an Australian Workers' Compensation Context.","authors":"Preeti Maharjan, Tessa Keegel, Michael Di Donato, Daniel Griffiths, Danielle Mazza, Alex Collie","doi":"10.1007/s10926-026-10434-3","DOIUrl":"https://doi.org/10.1007/s10926-026-10434-3","url":null,"abstract":"<p><strong>Background: </strong>Injured workers often navigate healthcare services funded by multiple payers with distinct eligibility and funding rules. In Australia, general practitioner (GP) care is subsidised through the publicly funded health insurance system (Medicare). Injured workers may also access care funded by the workers' compensation system for work-related conditions. Consequently, injured workers may be required to navigate two healthcare funding systems simultaneously. This study examined injured workers' experiences of GP care across both systems to inform improved patient care and system reform.</p><p><strong>Methods: </strong>Twelve participants with work-related musculoskeletal injuries were recruited. Data were analysed using reflexive thematic analysis, following an inductive approach to coding and identifying key themes.</p><p><strong>Results: </strong>Three themes were identified: (1) \"Navigating dual care funding systems\", where participants described challenges accessing care across workers' compensation and Medicare; (2) \"Workers' compensation systemic strains on care\", where systemic pressures within workers' compensation affected workers' access to and GPs' delivery of care; and (3) \"GPs' management of workers' compensation-related tasks\", where care experiences varied depending on how individual GPs approached workers' compensation-related tasks.</p><p><strong>Conclusion: </strong>Workers described significant challenges arising from system fragmentation, administrative demands, and variability in GPs 'willingness to engage with the workers' compensation process. These experiences shaped access, continuity, and quality of care received. Workers preferred whole-person care, often changing GPs when their regular GP refused to engage with the workers' compensation system. Strengthening coordination between funding systems, streamlining administrative processes, and improving GP training could improve the care experiences. These findings highlight the system-level reforms prioritising patient experience.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}