PTOTQualitativeJournal of occupational rehabilitation2025

Clinician Experiences of and Responses to the Challenges of Working with Patients in the Australian Compensation Setting.

Alison Sim, Amy G McNeilage, Trudy Rebbeck and 1 others

PMID 39218821

WHAT IT FOUND

Clinicians treating Australian compensation patients described vicarious distress and exhaustion from insurer delays, stigma and administrative burden, and described meaning and mastery when they had training, mentoring and peer support.

Key findings

01Clinicians described feeling upset, angry or exhausted after hearing about patients' delays, stigma, and unfair treatment by insurers.

02Clinicians described emotional exhaustion and extra administrative work leading them to refuse, limit, or rotate compensable patients, while others described referrals, peer support, or self-care to cope.

03Clinicians described further education, mentoring and supportive teams as helping them manage distress and build confidence, while insurer delays and restrictions could prevent them delivering care they considered best practice.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

Participants were self-selected, so clinicians who chose to take part may differ from those who did not. The sample included many experienced clinicians, with 12 of 26 having 20 or more years of experience, and many had further education or training. Most participants were physiotherapists or other physical medicine clinicians, and 16 of 26 were located in Victoria, so views may not represent other disciplines or states. Only clinicians currently treating compensable patients were interviewed, so clinicians who stopped or refused this work were not represented. The first author was an osteopath who works with compensable patients and knew some participants, which may have influenced the interviews. Qualitative interviews describe experiences and cannot show whether training, mentoring, or peer support prevent burnout or improve patient outcomes.

Declared interests

The paper states funding from Pain Foundation LTD and the University of Sydney. It also states the first author was a PhD student funded by a philanthropic grant. The supplied text does not report other declared conflicts.

The easy way to misread this

Do not read this as evidence that training, mentoring, or peer support prevent burnout or improve patient care. The study only reports clinicians' experiences and cannot show whether these strategies work.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →