TY - JOUR
T1 - Clinical Work-Integrating Care in Current Practice
T2 - A Scoping Review
AU - Kluit, Lana
AU - van Bennekom, Coen A. M.
AU - Beumer, Annechien
AU - Sluman, Maayke A.
AU - de Boer, Angela G. E. M.
AU - de Wind, Astrid
N1 - Publisher Copyright: © 2023, The Author(s).
PY - 2023/11/15
Y1 - 2023/11/15
N2 - Purpose: Clinical work-integrating care (CWIC) refers to paying attention to work participation in a clinical setting. Working patients may benefit from CWIC. The purpose of this study is to explore the extent and nature to which medical specialists provide CWIC and what policies and guidelines oblige or recommend specialists to do. Methods: A scoping review was conducted. The databases MEDLINE, EMBASE, Psychinfo, CINAHL, and Web of Science were searched for studies on the extent and nature of CWIC and supplemented by gray literature on policies and guidelines. Six main categories were defined a priori. Applying a meta-aggregative approach, subcategories were subsequently defined using qualitative data. Next, quantitative findings were integrated into these subcategories. A separate narrative of policies and guidelines using the same main categories was constructed. Results: In total, 70 studies and 55 gray literature documents were included. The main findings per category were as follows: (1) collecting data on the occupation of patients varied widely; (2) most specialists did not routinely discuss work, but recent studies showed an increasing tendency to do so, which corresponds to recent policies and guidelines; (3) work-related advice ranged from general advice to patient–physician collaboration about work-related decisions; (4) CWIC was driven by legislation in many countries; (5) specialists sometimes collaborated in multidisciplinary teams to provide CWIC; and (6) medical guidelines regarding CWIC were generally not available. Conclusion: Medical specialists provide a wide variety of CWIC ranging from assessing a patient’s occupation to extensive collaboration with patients and other professionals to support work participation. Lack of medical guidelines could explain the variety of these practices.
AB - Purpose: Clinical work-integrating care (CWIC) refers to paying attention to work participation in a clinical setting. Working patients may benefit from CWIC. The purpose of this study is to explore the extent and nature to which medical specialists provide CWIC and what policies and guidelines oblige or recommend specialists to do. Methods: A scoping review was conducted. The databases MEDLINE, EMBASE, Psychinfo, CINAHL, and Web of Science were searched for studies on the extent and nature of CWIC and supplemented by gray literature on policies and guidelines. Six main categories were defined a priori. Applying a meta-aggregative approach, subcategories were subsequently defined using qualitative data. Next, quantitative findings were integrated into these subcategories. A separate narrative of policies and guidelines using the same main categories was constructed. Results: In total, 70 studies and 55 gray literature documents were included. The main findings per category were as follows: (1) collecting data on the occupation of patients varied widely; (2) most specialists did not routinely discuss work, but recent studies showed an increasing tendency to do so, which corresponds to recent policies and guidelines; (3) work-related advice ranged from general advice to patient–physician collaboration about work-related decisions; (4) CWIC was driven by legislation in many countries; (5) specialists sometimes collaborated in multidisciplinary teams to provide CWIC; and (6) medical guidelines regarding CWIC were generally not available. Conclusion: Medical specialists provide a wide variety of CWIC ranging from assessing a patient’s occupation to extensive collaboration with patients and other professionals to support work participation. Lack of medical guidelines could explain the variety of these practices.
KW - Clinical decision-making
KW - Occupational health
KW - Physician–patient relations
KW - Return to work
KW - Systematic review
UR - http://www.scopus.com/inward/record.url?scp=85176743390&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s10926-023-10143-1
DO - https://doi.org/10.1007/s10926-023-10143-1
M3 - Review article
C2 - 37966538
SN - 1053-0487
JO - Journal of Occupational Rehabilitation
JF - Journal of Occupational Rehabilitation
ER -