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Erschienen in: Journal of Occupational Rehabilitation 1/2012

01.03.2012

The ‘Ability’ Paradigm in Vocational Rehabilitation: Challenges in an Ontario Injured Worker Retraining Program

verfasst von: E. MacEachen, A. Kosny, S. Ferrier, K. Lippel, C. Neilson, R. L. Franche, D. Pugliese

Erschienen in: Journal of Occupational Rehabilitation | Ausgabe 1/2012

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Abstract

Introduction In recent years, a focus on workers’ ability, rather than impairment, has guided disability management services. However, a challenge with the notion of ‘ability’ is identification of the border between ability and inability. This article considers this gray zone of disability management in the case of a workers’ compensation vocational retraining program for injured workers in Ontario. Methods In-depth interviews and focus groups were conducted with a purposive sample of 71 participants who were directly involved with the vocational retraining process. Workers in the program had on average incurred injury 3 years earlier. Procedural and legal documents were also analyzed. Principles of grounded theory and discourse analysis guided the data gathering and analysis. Results A program focus on worker abilities did not allow for consideration of unresolved medical problems. Concepts such as maximum medical rehabilitation distracted attention from workers’ ongoing chronic and unstable health situations, and incentive levers to employers directed some of the least capable workers into the program. As well, communication pathways for discussing health problems were limited by rules and provider reluctance to reveal problems. Therefore, workers completing the program were deemed ‘employable’, while ongoing and problematic health conditions preventing employment remained relatively uncharted and invisible. Conclusions This study reinforces how the shift in disability management paradigm to a focus on ability and return to work requires consideration of environmental conditions, including policies and programs and implementation. A focus on the environment in which worker ability can be enacted might be as important as a focus on improving individual worker characteristics.
Fußnoten
1
For example, http://​www.​dol.​gov/​odep/​pubs/​fact/​focus.​htm: United States Department of Labour Office of Disability and Employment Policy “Focus on Ability: Interviewing Applicants with Disabilities”; http://​www.​owa.​gov.​on.​ca/​fact_​sheets/​labour_​market_​reentry.​html: “[Ontario’s Labour market re-entry services] ensure you have the skills, knowledge, and abilities to return to the type of work you are able to do and is available”.
 
2
For example: http://​www.​empire.​ca/​consumer/​group-benefits/​our-products/​disability-benefits/​en/​: “We focus on ability not disability. This helps us help employees return to work as soon as their functional abilities match their job requirements”; http://​www.​healthsynergy.​ca/​DISABILITY-MANAGEMENT.​html: “The focus is on ability rather than disability and encourages the management of illness or injury as early as possible”.
 
Literatur
1.
Zurück zum Zitat OECD. Sickness, disability and work: breaking the barriers; CANADA: opportunities for collaboration. Paris: Organisation for Economic Co-operation and Development; 2010. OECD. Sickness, disability and work: breaking the barriers; CANADA: opportunities for collaboration. Paris: Organisation for Economic Co-operation and Development; 2010.
2.
Zurück zum Zitat Victor RA, Carrubba LL, editors. Workers’ compensation: where have we come from? Where are we going?. Cambridge, MA: Workers’ Compensation Research Institute; 2010. Victor RA, Carrubba LL, editors. Workers’ compensation: where have we come from? Where are we going?. Cambridge, MA: Workers’ Compensation Research Institute; 2010.
3.
Zurück zum Zitat MacEachen E, et al. A deliberation on “hurt versus harm” logic in early return to work policy. Policy and Practice in Health and Safety. 2007;5(2):41–62. MacEachen E, et al. A deliberation on “hurt versus harm” logic in early return to work policy. Policy and Practice in Health and Safety. 2007;5(2):41–62.
4.
Zurück zum Zitat Loisel P, et al. Disability prevention-New paradigm for the management of occupational back pain. Disease Manag Health Outcomes. 2001;9(7):351–60.CrossRef Loisel P, et al. Disability prevention-New paradigm for the management of occupational back pain. Disease Manag Health Outcomes. 2001;9(7):351–60.CrossRef
6.
Zurück zum Zitat Haugli L, Maeland S, Magnussen LH. What facilitates return to work? Patients experiences 3 years after occupational rehabilitation. J Occup Rehabil. 2011. Haugli L, Maeland S, Magnussen LH. What facilitates return to work? Patients experiences 3 years after occupational rehabilitation. J Occup Rehabil. 2011.
7.
Zurück zum Zitat Wideman TH, Sullivan MJL. Differential predictors of the long-term levels of pain intensity, work disability, healthcare use, and medication use in a sample of workers’ compensation claimants. Pain. 2011;152:376–83.PubMedCrossRef Wideman TH, Sullivan MJL. Differential predictors of the long-term levels of pain intensity, work disability, healthcare use, and medication use in a sample of workers’ compensation claimants. Pain. 2011;152:376–83.PubMedCrossRef
8.
Zurück zum Zitat Young AE. Return to work following disabling occupational injury—facilitators of employment continuation. Scand J Work Environ Health. 2010;36(6):473–83.PubMedCrossRef Young AE. Return to work following disabling occupational injury—facilitators of employment continuation. Scand J Work Environ Health. 2010;36(6):473–83.PubMedCrossRef
9.
Zurück zum Zitat Braathen TN, Veiersted KB, Heggenes J. Improved work ability and return to work following vocational multidisciplinary rehabilitation of subjects on long-term sick leave. J Rehabil Med. 2007;39:493–9.PubMedCrossRef Braathen TN, Veiersted KB, Heggenes J. Improved work ability and return to work following vocational multidisciplinary rehabilitation of subjects on long-term sick leave. J Rehabil Med. 2007;39:493–9.PubMedCrossRef
10.
Zurück zum Zitat Chibnall JT, Tait RC. Long-term adjustment to work-related low back pain: associations with socio-demographics, claim processes, and post-settlement adjustment. Pain Medicine. 2009; 10(9). Chibnall JT, Tait RC. Long-term adjustment to work-related low back pain: associations with socio-demographics, claim processes, and post-settlement adjustment. Pain Medicine. 2009; 10(9).
11.
Zurück zum Zitat MacEachen E, et al. Systematic review of the qualitative literature on return to work after injury. Scan J Work Environ Health. 2006;32(4):257–69.CrossRef MacEachen E, et al. Systematic review of the qualitative literature on return to work after injury. Scan J Work Environ Health. 2006;32(4):257–69.CrossRef
12.
Zurück zum Zitat Soklaridis S, Ammendolia C, Cassidy D. Looking upstream to understand low back pain and return to work: psychosocial factors as the product of system issues. Soc Sci Med. 2010;71:1557–66.PubMedCrossRef Soklaridis S, Ammendolia C, Cassidy D. Looking upstream to understand low back pain and return to work: psychosocial factors as the product of system issues. Soc Sci Med. 2010;71:1557–66.PubMedCrossRef
13.
Zurück zum Zitat Tjulin A, MacEachen E, Ekberg K. Exploring workplace actors experiences of the social organization of return-to-work. J Occup Rehabil. 2009;20(3):311–21.CrossRef Tjulin A, MacEachen E, Ekberg K. Exploring workplace actors experiences of the social organization of return-to-work. J Occup Rehabil. 2009;20(3):311–21.CrossRef
14.
Zurück zum Zitat Stahl C, et al. The work ability divide: holistic and reductionistic approaches in Swedish interdisciplinary rehabilitation teams. J Occup Rehabil. 2009;19:264–73.PubMedCrossRef Stahl C, et al. The work ability divide: holistic and reductionistic approaches in Swedish interdisciplinary rehabilitation teams. J Occup Rehabil. 2009;19:264–73.PubMedCrossRef
15.
Zurück zum Zitat Kosny A, et al. The role of health care providers in long term and complicated workers’ compensation claims. J Occup Rehabil. 2010. Kosny A, et al. The role of health care providers in long term and complicated workers’ compensation claims. J Occup Rehabil. 2010.
16.
Zurück zum Zitat Wales C, Matthews LR, Donelly M. Medically unexplained chronic pain in Australia: difficulties for rehabilitation providers and workers in pain. Work. 2010;36:167–79.PubMed Wales C, Matthews LR, Donelly M. Medically unexplained chronic pain in Australia: difficulties for rehabilitation providers and workers in pain. Work. 2010;36:167–79.PubMed
17.
Zurück zum Zitat Lippel K. Workers describe the effect of the workers’ compensation process on their health: a Quebec study. Int J Law Psychiatry. 2007;30:427–43.PubMedCrossRef Lippel K. Workers describe the effect of the workers’ compensation process on their health: a Quebec study. Int J Law Psychiatry. 2007;30:427–43.PubMedCrossRef
18.
Zurück zum Zitat MacEachen E, et al. The “toxic dose” of system problems: why some injured workers don’t return to work as expected. J Occup Rehabil. 2010;20(3):349–66.PubMedCrossRef MacEachen E, et al. The “toxic dose” of system problems: why some injured workers don’t return to work as expected. J Occup Rehabil. 2010;20(3):349–66.PubMedCrossRef
19.
Zurück zum Zitat Anema JR, et al. Can cross country differences in return-to-work after chronic occupational back pain be explained? An exploratory analysis on disability policies in a six country cohort study. J Occup Rehabil. 2009;19:419–26.PubMedCrossRef Anema JR, et al. Can cross country differences in return-to-work after chronic occupational back pain be explained? An exploratory analysis on disability policies in a six country cohort study. J Occup Rehabil. 2009;19:419–26.PubMedCrossRef
20.
Zurück zum Zitat Stoltenberg CDG, Skov PG. Determinants of return to work after long-term sickness absence in six Danish municipalities. Scand J Public Health. 2010;38:299–308.PubMedCrossRef Stoltenberg CDG, Skov PG. Determinants of return to work after long-term sickness absence in six Danish municipalities. Scand J Public Health. 2010;38:299–308.PubMedCrossRef
21.
Zurück zum Zitat Audhoe SS, et al. Vocational interventions for unemployed: effects on work participation and mental distress. A systematic review. J Occup Rehabil. 2010;20:1–13.PubMedCrossRef Audhoe SS, et al. Vocational interventions for unemployed: effects on work participation and mental distress. A systematic review. J Occup Rehabil. 2010;20:1–13.PubMedCrossRef
22.
Zurück zum Zitat Dunn EC, Wewiorski NJ, Rogers ES. A qualitative investigation of individual and contextual factors associated with vocational recovery among people with serious mental illness. Am J Orthopsychiatry. 2010;80(2):185–94.PubMedCrossRef Dunn EC, Wewiorski NJ, Rogers ES. A qualitative investigation of individual and contextual factors associated with vocational recovery among people with serious mental illness. Am J Orthopsychiatry. 2010;80(2):185–94.PubMedCrossRef
23.
Zurück zum Zitat Lindsay C, McQuaid RW, Dutton M. New approaches to employability in the UK: combining ‘human capital development’ and ‘work first’ strategies? J Soc Policy. 2007;36(4):539–60.CrossRef Lindsay C, McQuaid RW, Dutton M. New approaches to employability in the UK: combining ‘human capital development’ and ‘work first’ strategies? J Soc Policy. 2007;36(4):539–60.CrossRef
24.
Zurück zum Zitat Trexler LE, et al. Prospective randomized controlled trial of resource facilitation on community participation and vocational outcome following brain injury. J Head Trauma Rehabil. 2010;25(6):440–6.PubMedCrossRef Trexler LE, et al. Prospective randomized controlled trial of resource facilitation on community participation and vocational outcome following brain injury. J Head Trauma Rehabil. 2010;25(6):440–6.PubMedCrossRef
25.
Zurück zum Zitat Vermeulen SJ, et al. Cost-effectiveness of a participatory return-to-work intervention for temporary agency workers and unemployed workers sick-listed due to musculoskeletal disorders: design of a randomised controlled trial. BMC Musculoskelet Disord. 2010;11. Vermeulen SJ, et al. Cost-effectiveness of a participatory return-to-work intervention for temporary agency workers and unemployed workers sick-listed due to musculoskeletal disorders: design of a randomised controlled trial. BMC Musculoskelet Disord. 2010;11.
26.
Zurück zum Zitat Kemp PA, Davidson JOC. Employability trajectories among new claimants of Incapacity benefit. Policy Stud J. 2010;31(2):203–21.CrossRef Kemp PA, Davidson JOC. Employability trajectories among new claimants of Incapacity benefit. Policy Stud J. 2010;31(2):203–21.CrossRef
27.
Zurück zum Zitat Krause JS, Pickelsimer E. Relationship of perceived barriers to employment and return to work five years later: a pilot study among 343 participants with spinal cord injury. Rehabil Couns Bull. 2008;51(2):118–21.CrossRef Krause JS, Pickelsimer E. Relationship of perceived barriers to employment and return to work five years later: a pilot study among 343 participants with spinal cord injury. Rehabil Couns Bull. 2008;51(2):118–21.CrossRef
28.
Zurück zum Zitat Loisel P, et al. Disability prevention: new paradigm for the management of occupational back pain. Disabil Manag Health Outcomes. 2001;9(7):351–60.CrossRef Loisel P, et al. Disability prevention: new paradigm for the management of occupational back pain. Disabil Manag Health Outcomes. 2001;9(7):351–60.CrossRef
29.
Zurück zum Zitat Steenstra IA, et al. Economic evaluation of a multi-stage return to work program for workers on sick-leave due to low back pain. J Occup Rehabil. 2006;16(4):557–78.PubMedCrossRef Steenstra IA, et al. Economic evaluation of a multi-stage return to work program for workers on sick-leave due to low back pain. J Occup Rehabil. 2006;16(4):557–78.PubMedCrossRef
30.
Zurück zum Zitat Loisel P, et al. Management of occupational back pain: the Sherbrooke model. Results of a pilot and feasibility study. J Occup Environ Med. 1994;51:597–602.CrossRef Loisel P, et al. Management of occupational back pain: the Sherbrooke model. Results of a pilot and feasibility study. J Occup Environ Med. 1994;51:597–602.CrossRef
31.
Zurück zum Zitat Stahl C, et al. A matter of trust? A study of coordination of Swedish stakeholders in return-to-work. J Occup Rehabil. 2010;20(3):299–310.PubMedCrossRef Stahl C, et al. A matter of trust? A study of coordination of Swedish stakeholders in return-to-work. J Occup Rehabil. 2010;20(3):299–310.PubMedCrossRef
32.
Zurück zum Zitat Armstrong H, Laurs R. Vocational independence: outcomes for ACC claimants. Wellington, New Zealand: Department of Labour; 2007. Armstrong H, Laurs R. Vocational independence: outcomes for ACC claimants. Wellington, New Zealand: Department of Labour; 2007.
33.
Zurück zum Zitat Lippel K. Le droit comme outil de maintien en emploi: rôle protecteur, rôle destructeur. Revue Pistes. 2010;12(1):21. Lippel K. Le droit comme outil de maintien en emploi: rôle protecteur, rôle destructeur. Revue Pistes. 2010;12(1):21.
34.
Zurück zum Zitat Lippel K. The private policing of injured workers in Canada: legitimate management practices or human rights violations? Policy Pract Health Saf. 2003;1(2):97–117. Lippel K. The private policing of injured workers in Canada: legitimate management practices or human rights violations? Policy Pract Health Saf. 2003;1(2):97–117.
35.
Zurück zum Zitat Kaye HS. Stuck at the bottom rung: occupational characteristics of workers with disabilities. J Occup Rehabil. 2009;19:115–28.PubMedCrossRef Kaye HS. Stuck at the bottom rung: occupational characteristics of workers with disabilities. J Occup Rehabil. 2009;19:115–28.PubMedCrossRef
36.
Zurück zum Zitat Fraser RT, et al. Understanding employers’ hiring intentions in relation to qualified workers with disabilities: preliminary findings. J Occup Rehabil. 2010;20(4):420–6.PubMedCrossRef Fraser RT, et al. Understanding employers’ hiring intentions in relation to qualified workers with disabilities: preliminary findings. J Occup Rehabil. 2010;20(4):420–6.PubMedCrossRef
37.
Zurück zum Zitat Wilkinson-Meyers L, et al. Estimating the additional cost of disability: beyond budget standards. Soc Sci Med. 2010;71(10):1882–9.PubMedCrossRef Wilkinson-Meyers L, et al. Estimating the additional cost of disability: beyond budget standards. Soc Sci Med. 2010;71(10):1882–9.PubMedCrossRef
38.
Zurück zum Zitat Vierling L. Four components for an improved return-to-work program. Case Manag. 1999;10(4):52–4.CrossRef Vierling L. Four components for an improved return-to-work program. Case Manag. 1999;10(4):52–4.CrossRef
39.
Zurück zum Zitat Hay K. Measuring work ability in the third millennium. J Occup Health Saf Aust N Z. 2001;17(2):175–84. Hay K. Measuring work ability in the third millennium. J Occup Health Saf Aust N Z. 2001;17(2):175–84.
40.
Zurück zum Zitat Strauss A, Corbin J. Basics of qualitative research: techniques and procedures for developing grounded theory. Thousand Oaks: Sage; 1998. Strauss A, Corbin J. Basics of qualitative research: techniques and procedures for developing grounded theory. Thousand Oaks: Sage; 1998.
41.
Zurück zum Zitat Cheek J. At the margins? Discourse analysis and qualitative research. Qual Health Res. 2004;14(8):1140–50.PubMedCrossRef Cheek J. At the margins? Discourse analysis and qualitative research. Qual Health Res. 2004;14(8):1140–50.PubMedCrossRef
42.
Zurück zum Zitat Hodges BD, Kuper A, Reeves S. Discourse analysis. Br Med J. 2008;337(a879):570–2. Hodges BD, Kuper A, Reeves S. Discourse analysis. Br Med J. 2008;337(a879):570–2.
43.
Zurück zum Zitat MacEachen E (2008) IWH study questions ‘hurt vs harm’ concept underpinning early RTW model. In: Moser C, editor. Toronto: Institute for Work and Health; 2008. p. 7–9. MacEachen E (2008) IWH study questions ‘hurt vs harm’ concept underpinning early RTW model. In: Moser C, editor. Toronto: Institute for Work and Health; 2008. p. 7–9.
44.
Zurück zum Zitat Seidel JV. Qualitative Data Analysis. www.qualisresearch.com (originally published as Qualitative Data Analysis, in The Ethnograph v5.0: A Users Guide, Appendix E, 1998, Colorado Springs, Colorado: Qualis Research); 1998. Seidel JV. Qualitative Data Analysis. www.​qualisresearch.​com (originally published as Qualitative Data Analysis, in The Ethnograph v5.0: A Users Guide, Appendix E, 1998, Colorado Springs, Colorado: Qualis Research); 1998.
45.
Zurück zum Zitat WorkSafeBC. Rehabilitation services and claims manual volume II. V. R. Services, editor. Vancouver: WorkSafeBC; 2010. WorkSafeBC. Rehabilitation services and claims manual volume II. V. R. Services, editor. Vancouver: WorkSafeBC; 2010.
46.
Zurück zum Zitat ACC. Vocational rehabilitation. N.Z.A.C. Corporation, editor. 2010. ACC. Vocational rehabilitation. N.Z.A.C. Corporation, editor. 2010.
47.
Zurück zum Zitat IWH. Cross-jurisdictional survey of case management services for long term and complex workers’ compensation claims. Toronto: Institute for Work & Health and Logan and Associates; 2009. IWH. Cross-jurisdictional survey of case management services for long term and complex workers’ compensation claims. Toronto: Institute for Work & Health and Logan and Associates; 2009.
48.
Zurück zum Zitat WSIA. Workplace Safety and Insurance Act, O.M.o. Labour, editor. Service Ontario e-laws; 1997. WSIA. Workplace Safety and Insurance Act, O.M.o. Labour, editor. Service Ontario e-laws; 1997.
49.
Zurück zum Zitat Deloitte. Value for money audit of the labour market re-entry program: executive summary of final report. Toronto: WSIB; 2004. Deloitte. Value for money audit of the labour market re-entry program: executive summary of final report. Toronto: WSIB; 2004.
50.
Zurück zum Zitat WSIB. LMR and age, E. MacEachen, editor. Toronto; 2008. WSIB. LMR and age, E. MacEachen, editor. Toronto; 2008.
51.
Zurück zum Zitat KPMG. WSIB Labour Market Re-entry (LMR) Program value for money audit report. Toronto: WSIB; 2009. KPMG. WSIB Labour Market Re-entry (LMR) Program value for money audit report. Toronto: WSIB; 2009.
52.
Zurück zum Zitat Shrey DE. Disability management in industry: the new paradigm in injured worker rehabilitation. Disabil Rehabil. 1996;18(8):408–14.PubMedCrossRef Shrey DE. Disability management in industry: the new paradigm in injured worker rehabilitation. Disabil Rehabil. 1996;18(8):408–14.PubMedCrossRef
53.
Zurück zum Zitat Gatchel RJ, Polatin PB, Mayer TG. The dominant role of psychosocial risk factors in the development of chronic low back pain disability. Spine. 1995;20(24):2702–9.PubMedCrossRef Gatchel RJ, Polatin PB, Mayer TG. The dominant role of psychosocial risk factors in the development of chronic low back pain disability. Spine. 1995;20(24):2702–9.PubMedCrossRef
54.
Zurück zum Zitat Sullivan MJ, et al. Secondary prevention of work disability: community-based psychosocial intervention for musculoskeletal disorders. J Occup Rehabil. 2005;15(3):377–92.PubMedCrossRef Sullivan MJ, et al. Secondary prevention of work disability: community-based psychosocial intervention for musculoskeletal disorders. J Occup Rehabil. 2005;15(3):377–92.PubMedCrossRef
55.
Zurück zum Zitat Garcy P, Mayer T, Gatchel R. Recurrent or new injury outcomes after return to work in chronic disabling spinal disorder: tertiary prevention efficacy of functional restoration treatment. Spine. 1996;21:952–9.PubMedCrossRef Garcy P, Mayer T, Gatchel R. Recurrent or new injury outcomes after return to work in chronic disabling spinal disorder: tertiary prevention efficacy of functional restoration treatment. Spine. 1996;21:952–9.PubMedCrossRef
56.
Zurück zum Zitat Ash P, Goldstein SI. Predictors of returning to work. Bull Am Acad Psychiatry Law. 1995;23(2):205–10.PubMed Ash P, Goldstein SI. Predictors of returning to work. Bull Am Acad Psychiatry Law. 1995;23(2):205–10.PubMed
57.
Zurück zum Zitat Lötters F, et al. The prognostic value of depressive symptoms, fear-avoidance, and self-efficacy for duration of lost-time benefits in workers with musculoskeletal disorders. Occup Environ Med. 2006;63(12):794–801.PubMedCrossRef Lötters F, et al. The prognostic value of depressive symptoms, fear-avoidance, and self-efficacy for duration of lost-time benefits in workers with musculoskeletal disorders. Occup Environ Med. 2006;63(12):794–801.PubMedCrossRef
58.
Zurück zum Zitat Dozois D, et al. Factors associated with rehabilitation outcome in patients with low back pain (LBP): prediction of employment outcome at 9-month follow-up. Rehabil Psychol. 1995;40(4):243–59.CrossRef Dozois D, et al. Factors associated with rehabilitation outcome in patients with low back pain (LBP): prediction of employment outcome at 9-month follow-up. Rehabil Psychol. 1995;40(4):243–59.CrossRef
59.
Zurück zum Zitat WSIB. Labour market re-entry: the next steps for return to work. Toronto: Workplace Safety & Insurance Board; 2006. WSIB. Labour market re-entry: the next steps for return to work. Toronto: Workplace Safety & Insurance Board; 2006.
60.
Zurück zum Zitat WSIB. Operational Policy Manual 11-01-05, W.S.a.I. Board, editor. Ontario; 2009. WSIB. Operational Policy Manual 11-01-05, W.S.a.I. Board, editor. Ontario; 2009.
61.
Zurück zum Zitat WSIB. Workplace modifications and assistive devices, O.P. Manual, editor. Toronto; 2009. WSIB. Workplace modifications and assistive devices, O.P. Manual, editor. Toronto; 2009.
62.
Zurück zum Zitat MorneauSobeco. Recommendations for experience rating. Toronto: WSIB; 2008. MorneauSobeco. Recommendations for experience rating. Toronto: WSIB; 2008.
63.
Zurück zum Zitat FPC. The Fair Practices Commission 2009 annual report. Toronto: Fair Practices Commission; 2009. FPC. The Fair Practices Commission 2009 annual report. Toronto: Fair Practices Commission; 2009.
64.
Zurück zum Zitat Wood L. Communication with WSIB, E. MacEachen, editor. Toronto; 2007. Wood L. Communication with WSIB, E. MacEachen, editor. Toronto; 2007.
65.
Zurück zum Zitat Loisel P, et al. Prevention of disability due to musculoskeletal disorders: the challenge of implementing evidence. J Occup Rehabil. 2005;15(4):507–24.PubMedCrossRef Loisel P, et al. Prevention of disability due to musculoskeletal disorders: the challenge of implementing evidence. J Occup Rehabil. 2005;15(4):507–24.PubMedCrossRef
66.
Zurück zum Zitat Kristensen TS. Intervention studies in occupational epidemiology. Occup Environ Med. 2005;62:205–10.PubMedCrossRef Kristensen TS. Intervention studies in occupational epidemiology. Occup Environ Med. 2005;62:205–10.PubMedCrossRef
67.
Zurück zum Zitat Eakin JM, MacEachen E, Clarke J. ‘Playing it smart’ with return to work: small workplace experience under Ontario’s policy of self-reliance and early return. Policy Pract Health Saf. 2003;1(2):19–42. Eakin JM, MacEachen E, Clarke J. ‘Playing it smart’ with return to work: small workplace experience under Ontario’s policy of self-reliance and early return. Policy Pract Health Saf. 2003;1(2):19–42.
68.
Zurück zum Zitat Stahl C, et al. Swedish rehabilitation professionals’ perspectives on work ability assessments in a changing sickness insurance system. Disabil Rehabil. 2011;33(15–16):1373–82.PubMedCrossRef Stahl C, et al. Swedish rehabilitation professionals’ perspectives on work ability assessments in a changing sickness insurance system. Disabil Rehabil. 2011;33(15–16):1373–82.PubMedCrossRef
69.
Zurück zum Zitat Pransky G, et al. Development and validation of competencies for return to work coordinators. J Occup Rehabil. 2010;20(1):41–8.PubMedCrossRef Pransky G, et al. Development and validation of competencies for return to work coordinators. J Occup Rehabil. 2010;20(1):41–8.PubMedCrossRef
70.
Zurück zum Zitat Shrey D, Hursh N. Workplace disability management: international trends and perspectives. J Occup Rehabil. 1999;9(1):45–59.CrossRef Shrey D, Hursh N. Workplace disability management: international trends and perspectives. J Occup Rehabil. 1999;9(1):45–59.CrossRef
71.
Zurück zum Zitat Kralj B. Occupational health and safety: effectiveness of economic and regulatory mechanisms. In: Gunderson M, Hyatt D, editors. Workers’ compensation: foundations for reform. Toronto: University of Toronto Press; 2000. p. 187–218. Kralj B. Occupational health and safety: effectiveness of economic and regulatory mechanisms. In: Gunderson M, Hyatt D, editors. Workers’ compensation: foundations for reform. Toronto: University of Toronto Press; 2000. p. 187–218.
72.
Zurück zum Zitat Hyatt DE, Kralj B. The impact of workers’ compensation experience-rating on employer appeals activity. Ind Relat. 1995;34(1):95–106.CrossRef Hyatt DE, Kralj B. The impact of workers’ compensation experience-rating on employer appeals activity. Ind Relat. 1995;34(1):95–106.CrossRef
73.
Zurück zum Zitat Lessard C. Complexity and reflexivity: two important issues for economic evaluation in health care. Soc Sci Med. 2007;64:1754–65.PubMedCrossRef Lessard C. Complexity and reflexivity: two important issues for economic evaluation in health care. Soc Sci Med. 2007;64:1754–65.PubMedCrossRef
74.
Zurück zum Zitat Feuerstein M. Predictors of occupational low back disability: implications for secondary prevention. J Occup Environ Med. 1999;41(2):1024–31.PubMedCrossRef Feuerstein M. Predictors of occupational low back disability: implications for secondary prevention. J Occup Environ Med. 1999;41(2):1024–31.PubMedCrossRef
75.
Zurück zum Zitat Franche RL, et al. Workplace-based return-to-work interventions: optimising the role of stakeholders in implementation and research. J Occup Rehabil. 2005;15(4):525–42.PubMedCrossRef Franche RL, et al. Workplace-based return-to-work interventions: optimising the role of stakeholders in implementation and research. J Occup Rehabil. 2005;15(4):525–42.PubMedCrossRef
76.
Zurück zum Zitat Frank J. Paradoxical aspects of low-back pain in workers’ compensation, in Workers’ compensation: foundations for reform. In: M. Gunderson and D. Hyatt, editors. Toronto: University of Toronto Press; 2000. p. 97–117. Frank J. Paradoxical aspects of low-back pain in workers’ compensation, in Workers’ compensation: foundations for reform. In: M. Gunderson and D. Hyatt, editors. Toronto: University of Toronto Press; 2000. p. 97–117.
77.
Zurück zum Zitat Ison TG. Compensation systems for injury and disease: the policy choices. Toronto: Butterworths; 1994. Ison TG. Compensation systems for injury and disease: the policy choices. Toronto: Butterworths; 1994.
78.
Zurück zum Zitat Black DC. Advancing awareness and support for effective disability management outcomes and best practices: the fit note. In: Proceedings of the international federation of disability management, Sept 20–22, 2010, Los Angeles; 2010. Black DC. Advancing awareness and support for effective disability management outcomes and best practices: the fit note. In: Proceedings of the international federation of disability management, Sept 20–22, 2010, Los Angeles; 2010.
79.
Zurück zum Zitat Prince MJ. Canadian disability policy: still a hit-and-miss affair. In: Blake RB, Keshen JA, editors. Social fabric or patchwork quilt: the development of social policy in Canada. Toronto: University of Toronto Press; 2010. p. 435–54. Prince MJ. Canadian disability policy: still a hit-and-miss affair. In: Blake RB, Keshen JA, editors. Social fabric or patchwork quilt: the development of social policy in Canada. Toronto: University of Toronto Press; 2010. p. 435–54.
80.
Zurück zum Zitat MacEachen E, et al. How systemic problems can prolong workers’ compensation claims and change worker’s lives: an informed realist perspective. Toronto: Institute for Work & Health; 2008. MacEachen E, et al. How systemic problems can prolong workers’ compensation claims and change worker’s lives: an informed realist perspective. Toronto: Institute for Work & Health; 2008.
81.
Zurück zum Zitat Cox R, Lippel K. Falling through the legal cracks: the pitfalls of using workers’ compensation data as indicators of work-related injuries and illnesses. Policy Pract Health Saf. 2008;6(2):63–84. Cox R, Lippel K. Falling through the legal cracks: the pitfalls of using workers’ compensation data as indicators of work-related injuries and illnesses. Policy Pract Health Saf. 2008;6(2):63–84.
82.
Zurück zum Zitat Meyerson DE. Uncovering socially undesirable emotions. Experiences of ambiguity in organisations. Am Behav Sci. 1990;33(3):296–307.CrossRef Meyerson DE. Uncovering socially undesirable emotions. Experiences of ambiguity in organisations. Am Behav Sci. 1990;33(3):296–307.CrossRef
83.
Zurück zum Zitat Clegg S. Power relations and the constitution of the reluctant subject. In: Jermier JM, Knights D, Nord WR, editors. Resistance and power in organizations. London: Routledge; 1994. p. 274–325. Clegg S. Power relations and the constitution of the reluctant subject. In: Jermier JM, Knights D, Nord WR, editors. Resistance and power in organizations. London: Routledge; 1994. p. 274–325.
84.
Zurück zum Zitat Lynch RT, Leonard J, Powers JM. Vocational rehabilitation for injured workers. Phys Med Rehabil Clin N Am. 1997;8(2):297–310. Lynch RT, Leonard J, Powers JM. Vocational rehabilitation for injured workers. Phys Med Rehabil Clin N Am. 1997;8(2):297–310.
85.
Zurück zum Zitat Aitken RC, Cornes P. To work or not to work: that is the question. Br J Ind Med. 1990;47(7):436–41.PubMed Aitken RC, Cornes P. To work or not to work: that is the question. Br J Ind Med. 1990;47(7):436–41.PubMed
86.
Zurück zum Zitat Shaw W, et al. A literature review describing the role of return-to-work coordinators in trial programs and interventions designed to prevent workplace disability. J Occup Rehabil. 2008;18(1):2–15.PubMedCrossRef Shaw W, et al. A literature review describing the role of return-to-work coordinators in trial programs and interventions designed to prevent workplace disability. J Occup Rehabil. 2008;18(1):2–15.PubMedCrossRef
87.
Zurück zum Zitat Kendall E, Muenchberger H, Clapton J. Trends in Australian rehabilitation: reviving its humanitarian core. Disabil Rehabil. 2007;29(10):817–23.PubMedCrossRef Kendall E, Muenchberger H, Clapton J. Trends in Australian rehabilitation: reviving its humanitarian core. Disabil Rehabil. 2007;29(10):817–23.PubMedCrossRef
88.
Zurück zum Zitat Purse K. Outsourcing myths and workers’ compensation claims administration. Aust J Public Adm. 2009;68(4):446–58.CrossRef Purse K. Outsourcing myths and workers’ compensation claims administration. Aust J Public Adm. 2009;68(4):446–58.CrossRef
89.
Zurück zum Zitat Ontario LAO. Bill 99 Workers’ Compensation reform Act. In: Bill 99. Toronto; 1998. Ontario LAO. Bill 99 Workers’ Compensation reform Act. In: Bill 99. Toronto; 1998.
90.
Zurück zum Zitat Bernhard D, MacEachen E, Lippel K. Disability management experts and the impact on practice of jurisdiction. International Journal of Social Security and Workers Compensation. 2011;2(1):1–16. Bernhard D, MacEachen E, Lippel K. Disability management experts and the impact on practice of jurisdiction. International Journal of Social Security and Workers Compensation. 2011;2(1):1–16.
91.
Zurück zum Zitat O’Donnell C. Will Australian workers’ compensation insurance management get better soon? Work. 2000;15:177–88.PubMed O’Donnell C. Will Australian workers’ compensation insurance management get better soon? Work. 2000;15:177–88.PubMed
92.
Zurück zum Zitat Harcourt M, Lam H, Harcourt S. The impact of workers’ compensation experience-rating on discriminatory hiring practices. J Econ Issues. 2007. Harcourt M, Lam H, Harcourt S. The impact of workers’ compensation experience-rating on discriminatory hiring practices. J Econ Issues. 2007.
93.
Zurück zum Zitat Lipsky M. Street-level bureaucracy: Dilemmas of the individual in public services. New York: Russell Sage Foundation; 1980. Lipsky M. Street-level bureaucracy: Dilemmas of the individual in public services. New York: Russell Sage Foundation; 1980.
94.
Zurück zum Zitat Franche RL, et al. Perceived justice of compensation process for return-to-work: development and validation of a scale. J Psychol Inj Law. 2009;2:225–37.CrossRef Franche RL, et al. Perceived justice of compensation process for return-to-work: development and validation of a scale. J Psychol Inj Law. 2009;2:225–37.CrossRef
Metadaten
Titel
The ‘Ability’ Paradigm in Vocational Rehabilitation: Challenges in an Ontario Injured Worker Retraining Program
verfasst von
E. MacEachen
A. Kosny
S. Ferrier
K. Lippel
C. Neilson
R. L. Franche
D. Pugliese
Publikationsdatum
01.03.2012
Verlag
Springer US
Erschienen in
Journal of Occupational Rehabilitation / Ausgabe 1/2012
Print ISSN: 1053-0487
Elektronische ISSN: 1573-3688
DOI
https://doi.org/10.1007/s10926-011-9329-x

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