OTQualitativeJournal of occupational rehabilitation2025

Including 'Work as a Treatment Goal' in the Care for Patients with Chronic Diseases : The Development of a Generic Care Model-A Descriptive Study.

Desiree J S Dona, Marlies E W J Peters, Theo F Senden and 5 others

PMID 38896400

WHAT IT FOUND

Experts put work goals into chronic illness care.

Their model adds a work-oriented plan to treatment, starts work discussions at diagnosis, and accepts partial or no return as a valid outcome. It is not tested.

Key findings

01The model places work and social participation at diagnosis and keeps the plan flexible for each patient.

02The clinical occupational physician develops a work-oriented intervention plan with the patient, based on a multifactorial problem analysis and achievable goals.

03The model accepts partial or no return to work as a possible good outcome and aims for sustainable participation, income, quality of life and quality of work.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The model came from a single university hospital and a few patient groups, so it may not fit other settings. The model was not tested in patients and no outcomes were measured. Patients were not directly involved in developing the model, although participants asked for their perspective to be included. Referral to the occupational physician seemed irregular, so work problems could be missed.

The easy way to misread this

Do not read this as evidence that the model improves work outcomes. It was developed from expert discussions in a single hospital and was not tested in patients.

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