Successful reintegration
According to research results of the Clinique romande de réadaptation (CRR), active cooperation of patients is particularly required in rehabilitation and professional reintegration.
As part of a research project, the Clinique romande de réadaptation (CRR) has developed a systematic literature review on the return of accident victims after acute orthopedic trauma. The research results confirm that the "biopsychosocial approach" promises the greatest success.
While in the early phase the main barrier to returning to work was the severity of the injury, after six months, age, severity of injury, extent of pain, level of education, type of work (construction worker), and type of financial compensation (through insurance companies) determined whether or not work was resumed. To a lesser extent, subjective expectations of full recovery and physical stress on the job also had an effect.
Prediction models for the return to work
Current evidence suggests that the severity of injury plays a critical role in both the early and late phases. The now published review also highlights the many aspects of the biopsychosocial model that influence return to work after orthopedic trauma.
There are several approaches to this: Promoting suitable jobs for older workers, improving access to medical care and rehabilitation stays, and adapting the workplace (to reduce physical strain). The work has a double practical benefit for the rehabilitation sector: On the one hand, current data can now be accessed, and on the other hand, prediction models for return to work and patient care can be adapted.
Other biopsychosocial factors are also thought to have an influence. However, further qualitative studies are needed to define the involvement of these factors in the return to work also in the early phase.
Source: Clinique romande de réadaptation (CRR)
