System influences on work incapacity attributable to low again ache: A world proof synthesis.
Well being Coverage. 2017 Aug;121(eight):903-912
Authors: Bartys S, Frederiksen P, Bendix T, Burton Okay
Work incapacity attributable to low again ache is a major international well being concern. Present coverage and observe aimed toward tackling this drawback is basically knowledgeable by the biopsychosocial mannequin. Resultant interventions have demonstrated some small-scale success, however they haven’t created a widespread lower in work incapacity. This can be defined by the under-representation of the much less measurable points within the biopsychosocial proof base; particularly the affect of related techniques. Thus, a ‘best-evidence’ synthesis was performed to collate the proof on how compensatory (employee’s compensation and incapacity advantages), healthcare and household techniques (partner/associate/shut others) can act as obstacles to work participation for these with low again ache. Systematic searches of a number of scientific and gray literature sources have been performed, leading to 1762 data. Following a scientific exclusion course of, 57 articles have been chosen and the proof was assessed utilizing a system tailored from earlier large-scale coverage evaluations performed on this area. Outcomes indicated how particular options of related techniques may act as obstacles to particular person efforts/interventions aimed toward tackling work incapacity attributable to LBP. These findings reinforce the necessity for a ‘whole-systems’ strategy, with all key gamers onside and have implications for the revision of present biopsychosocial-informed coverage and observe.
PMID: 28595897 [PubMed – indexed for MEDLINE]