ArticleBMC family practice2016
How do general practitioners contribute to preventing long-term work disability of their patients suffering from depressive disorders? A qualitative study.
Article in BMC family practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Factors affecting patients' journey with primary healthcare services during mental health-related sick leave.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Acceptability and exploratory effects of an occupational therapy intervention to improve recovery and return to work of workers with mental health disorders in primary care: a mixed methods study protocol.Frontiers in psychiatry · 2024Article
- Returning-to-work after mental health-associated sick leave: a qualitative interview study exploring the experiences of general practitioners in Germany.BMC primary care · 2023Article
- Effectiveness of a screening tool to assess prevention and rehabilitation needs of 45 to 59 years old in primary care - study protocol of a pragmatic randomized controlled trial (PReHa45).BMC health services research · 2023Article
- Primary Care Physicians' Learning Needs in Returning Ill or Injured Workers to Work. A Scoping Review.Journal of occupational rehabilitation · 2022Article
- Stakeholders' Role and Actions in the Return-to-Work Process of Workers on Sick-Leave Due to Common Mental Disorders: A Scoping Review.Journal of occupational rehabilitation · 2020Article
- Assessing work capacity - reviewing the what and how of physicians' clinical practice.BMC family practice · 2020Review
- Development and Implementation of a Mental Health Work Rehabilitation Program: Results of a Developmental Evaluation.Journal of occupational rehabilitation · 2019Article
- Insurers' Influences on Attending Physicians of Workers Sick-listed for Common Mental Disorders: What Are the Impacts on Physicians' Practices?Journal of occupational rehabilitation · 2018Article
- Helping patients with common mental health problems return to work.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Fostering needs assessment and access to medical rehabilitation for patients with chronic disease and endangered work ability: protocol of a multilevel evaluation on the effectiveness and efficacy of a CME intervention for general practitioners.Journal of occupational medicine and toxicology (London, England) · 2017Article
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Authors and funding
4 authors.
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Abstract
backgroundDepression is a major cause of work absenteeism that general practitioners (GPs) face directly since they are responsible for sickness certification and for supervising the return to work (RTW). These activities give GPs a key role in preventing long-term work disability, yet their practices in this regard remain poorly documented. The objectives of this study were therefore to describe GPs' practices with people experiencing work disability due to depressive disorders and explore how GPs' work context may impact on their practices.
methodsWe conducted semi-structured individual interviews with 13 GPs and six mental healthcare professionals in two sub-regions of Quebec. The sub-regions differed in terms of availability of specialized resources offering public mental health services. Data were anonymized and transcribed verbatim. Thematic analysis was performed to identify patterns in the GPs' practices and highlight impacting factors in their work context.
resultsOur results identified a set of practices common to all the GPs and other practices that differentiated them. Two profiles were defined on the basis of the various practices documented. The first is characterized by the integration of the RTW goal into the treatment goal right from sickness certification and by interventions that include the workplace, albeit indirectly. The second is characterized by a lack of early RTW-oriented action and by interventions that include little workplace involvement. Regardless of the practice profile, actions intended to improve collaboration with key stakeholders remain the exception. However, two characteristics of the work context appear to have an impact: the availability of a dedicated mental health nurse and the regular provision of clinical information by psychotherapists. These conditions are rarely present but tend to make a significant difference for the GPs.
conclusionsOur results highlight the significant role of GPs in the prevention of long-term work disability and their need for support through the organization of mental health services at the primary care level.
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