Can chiropractors contribute to work disability prevention through sickness absence management for musculoskeletal disorders? - a comparative qualitative case study in the Scandinavian context
Abstract Background Despite extensive publication of clinical guidelines on how to manage musculoskeletal pain and back pain in particular, these efforts have not significantly translated into decreases in work disability due to musculoskeletal pain. Previous studies have indicated a potential for b...
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doaj-48cbd0df957b416ea0f5ab4f1ce3907a2020-11-25T01:17:52ZengBMCChiropractic & Manual Therapies2045-709X2018-04-0126111210.1186/s12998-018-0184-0Can chiropractors contribute to work disability prevention through sickness absence management for musculoskeletal disorders? - a comparative qualitative case study in the Scandinavian contextMette Jensen Stochkendahl0Ole Kristoffer Larsen1Casper Glissmann Nim2Iben Axén3Julia HaraldssonOle Christian KvammenCorrie Myburgh4Nordic Institute of Chiropractic and Clinical BiomechanicsDepartment of Sports Science and Clinical Biomechanics, University of Southern DenmarkDepartment of Sports Science and Clinical Biomechanics, University of Southern DenmarkUnit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska InstitutetDepartment of Sports Science and Clinical Biomechanics, University of Southern DenmarkAbstract Background Despite extensive publication of clinical guidelines on how to manage musculoskeletal pain and back pain in particular, these efforts have not significantly translated into decreases in work disability due to musculoskeletal pain. Previous studies have indicated a potential for better outcomes by formalized, early referral to allied healthcare providers familiar with occupational health issues. Instances where allied healthcare providers of comparable professional characteristics, but with differing practice parameters, can highlight important social and organisational strategies useful for informing policy and practice. Currently, Norwegian chiropractors have legislated sickness certification rights, whereas their Danish and Swedish counterparts do not. Against the backdrop of legislative variation, we described, compared and contrasted the views and experiences of Scandinavian chiropractors engaging in work disability prevention and sickness absence management. Methods This study was embedded in a two-phased, sequential exploratory mixed-methods design. In a comparative qualitative case study design, we explored the experience of chiropractors regarding sickness absence management drawn from face-to-face, semi-structured interviews. We subsequently coded and thematically restructured their experiences and perceptions. Results Twelve interviews were conducted. Thematically, chiropractors’ capacity to support patients in sickness absence management revolved around four key issues: issues of legislation and politics; the rationale for being a sickness absence management partner; whether an integrated sickness absence management pathway existed/could be created; and finally, the barriers to service provision for sickness absence management. Conclusion Allied health providers, in this instance chiropractors, with patient management expertise can fulfil a key role in sickness absence management and by extension work disability prevention when these practices are legislatively supported. In cases where these practices occur informally, however, practitioners face systemic-related issues and professional self-image challenges that tend to hamper them in fulfilling a more integrated role as providers of work disability prevention practices.http://link.springer.com/article/10.1186/s12998-018-0184-0ChiropracticPolicyWork disability preventionSickness absenceQualitativeInterview |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mette Jensen Stochkendahl Ole Kristoffer Larsen Casper Glissmann Nim Iben Axén Julia Haraldsson Ole Christian Kvammen Corrie Myburgh |
spellingShingle |
Mette Jensen Stochkendahl Ole Kristoffer Larsen Casper Glissmann Nim Iben Axén Julia Haraldsson Ole Christian Kvammen Corrie Myburgh Can chiropractors contribute to work disability prevention through sickness absence management for musculoskeletal disorders? - a comparative qualitative case study in the Scandinavian context Chiropractic & Manual Therapies Chiropractic Policy Work disability prevention Sickness absence Qualitative Interview |
author_facet |
Mette Jensen Stochkendahl Ole Kristoffer Larsen Casper Glissmann Nim Iben Axén Julia Haraldsson Ole Christian Kvammen Corrie Myburgh |
author_sort |
Mette Jensen Stochkendahl |
title |
Can chiropractors contribute to work disability prevention through sickness absence management for musculoskeletal disorders? - a comparative qualitative case study in the Scandinavian context |
title_short |
Can chiropractors contribute to work disability prevention through sickness absence management for musculoskeletal disorders? - a comparative qualitative case study in the Scandinavian context |
title_full |
Can chiropractors contribute to work disability prevention through sickness absence management for musculoskeletal disorders? - a comparative qualitative case study in the Scandinavian context |
title_fullStr |
Can chiropractors contribute to work disability prevention through sickness absence management for musculoskeletal disorders? - a comparative qualitative case study in the Scandinavian context |
title_full_unstemmed |
Can chiropractors contribute to work disability prevention through sickness absence management for musculoskeletal disorders? - a comparative qualitative case study in the Scandinavian context |
title_sort |
can chiropractors contribute to work disability prevention through sickness absence management for musculoskeletal disorders? - a comparative qualitative case study in the scandinavian context |
publisher |
BMC |
series |
Chiropractic & Manual Therapies |
issn |
2045-709X |
publishDate |
2018-04-01 |
description |
Abstract Background Despite extensive publication of clinical guidelines on how to manage musculoskeletal pain and back pain in particular, these efforts have not significantly translated into decreases in work disability due to musculoskeletal pain. Previous studies have indicated a potential for better outcomes by formalized, early referral to allied healthcare providers familiar with occupational health issues. Instances where allied healthcare providers of comparable professional characteristics, but with differing practice parameters, can highlight important social and organisational strategies useful for informing policy and practice. Currently, Norwegian chiropractors have legislated sickness certification rights, whereas their Danish and Swedish counterparts do not. Against the backdrop of legislative variation, we described, compared and contrasted the views and experiences of Scandinavian chiropractors engaging in work disability prevention and sickness absence management. Methods This study was embedded in a two-phased, sequential exploratory mixed-methods design. In a comparative qualitative case study design, we explored the experience of chiropractors regarding sickness absence management drawn from face-to-face, semi-structured interviews. We subsequently coded and thematically restructured their experiences and perceptions. Results Twelve interviews were conducted. Thematically, chiropractors’ capacity to support patients in sickness absence management revolved around four key issues: issues of legislation and politics; the rationale for being a sickness absence management partner; whether an integrated sickness absence management pathway existed/could be created; and finally, the barriers to service provision for sickness absence management. Conclusion Allied health providers, in this instance chiropractors, with patient management expertise can fulfil a key role in sickness absence management and by extension work disability prevention when these practices are legislatively supported. In cases where these practices occur informally, however, practitioners face systemic-related issues and professional self-image challenges that tend to hamper them in fulfilling a more integrated role as providers of work disability prevention practices. |
topic |
Chiropractic Policy Work disability prevention Sickness absence Qualitative Interview |
url |
http://link.springer.com/article/10.1186/s12998-018-0184-0 |
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