Evidence map›Paper›PMID 28285323›Full record

ArticleInternational archives of occupational and environmental health2017

Cooperation between general practitioners, occupational health physicians, and rehabilitation physicians in Germany: what are problems and barriers to cooperation? A qualitative study.

Jan M Stratil, Monika A Rieger, Susanne Völter-Mahlknecht

Abstract read
In one paragraph

Article in International archives of occupational and environmental health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Trial
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  5. Collaboration between occupational health services and other health care: a scoping review.Journal of occupational medicine and toxicology (London, England) · 2025
    Review
  6. Article
  7. Article
  8. Core Values at Work-Essential Elements of a Healthy Workplace.International journal of environmental research and public health · 2022
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. [Return to work of employees after a mental disorder].Zentralblatt fur Arbeitsmedizin, Arbeitsschutz und Ergonomie · 2022
    Article
  14. New Avenues for Prevention of Work-Related Diseases Linked to Psychosocial Risks.International journal of environmental research and public health · 2021
    Article
  15. Addressing future work ability of employees in GP consultations: results of a cross-sectional study.Journal of occupational medicine and toxicology (London, England) · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jan M StratilInstitute for Occupational Medicine, Social Medicine and Health Services Research (Institut fuer Arbeitsmedizin, Sozialmedizin und Versorgungsforschung), University Hospital Tuebingen, Wilhelmstrasse 27, 72074, Tuebingen, Germany.
Monika A RiegerInstitute for Occupational Medicine, Social Medicine and Health Services Research (Institut fuer Arbeitsmedizin, Sozialmedizin und Versorgungsforschung), University Hospital Tuebingen, Wilhelmstrasse 27, 72074, Tuebingen, Germany.
Susanne Völter-MahlknechtInstitute for Occupational Medicine, Social Medicine and Health Services Research (Institut fuer Arbeitsmedizin, Sozialmedizin und Versorgungsforschung), University Hospital Tuebingen, Wilhelmstrasse 27, 72074, Tuebingen, Germany. Susanne.Voelter-Mahlknecht@med.uni-tuebingen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGeneral practitioners (GPs), occupational health physicians (OPs), and rehabilitation physicians (RPs) fulfill different functions in the rehabilitation process, which need to be interlinked effectively to achieve a successful medical and occupational rehabilitation. In Germany, this cooperation at the interfaces is often suboptimal. The aim of this study was to identify and discuss perceived barriers to cooperation between GPs, OPs, and RPs.

methodsWe used a qualitative study design with eight focus group discussions (FGD) with GPs, OPs, RPs, and rehabilitants. Two FGDs per expert group with 4-10 participants were conducted. The transcripts were analyzed using qualitative content analysis.

resultsA number of obstacles to cooperation were reported by the participants, including (1) organizational (e.g., missing contact details, low reachability, schedule restrictions), (2) interpersonal (e.g., rehabilitants level of trust in OPs, low perceived need to cooperate with OPs, low motivation to cooperate), and (3) structural barriers (e.g., data privacy regulations, regulations concerning rehabilitation reports).

conclusionThe present data agree with study results from other countries, which addressed interfaces in the rehabilitation process. While some barriers could be overcome by the participants themselves, a multi-level stakeholder approach might be necessary. Future quantitative research is required to assess the relative weight of the findings.

Indexed as

Attitude of Health PersonnelCooperative BehaviorInterprofessional RelationsAdultAgedCommunicationFemaleFocus GroupsGeneral PractitionersGermanyHumansMaleMedical RecordsMiddle AgedOccupational Health PhysiciansOccupational MedicineCooperationGeneral practiceHealth services researchInterfaceOccupational medicineRehabilitation

Identifiers

PMID28285323
PMCPMC5500677

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.