PTOTSystematic ReviewJournal of occupational rehabilitation2025

Patients' Needs Regarding Work-Focused Healthcare: A Qualitative Evidence Synthesis.

Marije E Hagendijk, Nina Zipfel, Marijke Melles and 5 others

PMID 39052178

WHAT IT FOUND

Patients with chronic conditions want work-focused care that is practical, continuous, respectful and tailored.

They need clear advice on work modifications, early and ongoing support, trustful in-person relationships, and goals matching their own.

Key findings

01Patients described 17 needs grouped into four broad themes: substantive guidance, a clear and continuous process, supportive attitude and behavior, and a tailored approach.

02Patients wanted practical, specific advice, such as work modifications and phased return-to-work plans, to help them avoid exceeding their limits.

03Patients wanted continued support after returning to work, but too frequent follow-ups created pressure.

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

The review included only English-language studies, so perspectives from other languages may be missing. Most studies were from high-income countries with stronger social security, so the needs may not match patients in systems with less work protection. The review reports patient perspectives, not effects of a work-focused intervention. Two included studies were rated low quality, and the need for rights and regulations was rated low confidence because relevance was a serious concern. The included conditions were broad, so the findings may not transfer to a specific diagnosis or workplace.

Declared interests

The supplied funding statement names Instituut Gak. The authors also state that anyone associated with an included study did not assess that study's quality, to avoid conflict of interest.

The easy way to misread this

Do not read these needs as evidence that a specific work-focused service improves return to work. The review synthesizes patient perspectives from qualitative studies, not trial outcomes.

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 →