| Inside the fitness for work consultation: a qualitative study. | |
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MedLine Citation:
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PMID: 19297339 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Evidence now suggests that work is generally good for physical and mental health and well-being. Worklessness for whatever reason can lead to poorer physical and mental health. The role of the general practitioner (GP) in the management of fitness for work is pivotal. AIMS: To understand the interaction between GP and patient in the fitness for work consultation. This study forms part of a larger research project to develop a learning programme for GPs around the fitness for work consultation based on behaviour change methodology. METHODS: A qualitative study set in South Wales. Structured discussion groups with seven GPs. Two sessions each lasting 3 h were conducted to explore the GP and patient interaction around the fitness for work consultation. Multiple methods were used to enhance engagement. Thematic analysis was used to analyse the data. RESULTS: Four major themes emerged from the meetings: role legitimacy, negotiation, managing the patient and managing the systems. Within these, subthemes emerged around role legitimacy. 'It's not my job', 'It's not what I trained for' and the 'shifting agenda' Negotiation was likened to 'A polite tug of war' and subthemes around decision making, managing the agenda and dealing with uncertainty emerged. CONCLUSIONS: This study starts to unravel the complexity of the fitness for work consultation. It illustrates how GPs struggle with the 'importance' of their role and 'confidence' in managing the fitness for work consultation. It addresses the skillful negotiation that is required to manage the consultation effectively. |
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Authors:
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D A Cohen; M Aylward; S Rollnick |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-03-17 |
Journal Detail:
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Title: Occupational medicine (Oxford, England) Volume: 59 ISSN: 1471-8405 ISO Abbreviation: Occup Med (Lond) Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-07-17 Completed Date: 2011-07-29 Revised Date: 2012-02-02 |
Medline Journal Info:
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Nlm Unique ID: 9205857 Medline TA: Occup Med (Lond) Country: England |
Other Details:
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Languages: eng Pagination: 347-52 Citation Subset: IM |
Affiliation:
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Centre for Psychosocial and Disability Research, School of Psychology, Cardiff University, 51a Park Place, Cardiff CF10 3AT, UK. cohenda@cf.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Family Practice
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education,
methods*,
standards Female Humans Male Physician-Patient Relations Qualitative Research Sick Leave* Work Capacity Evaluation* |
| Comments/Corrections | |
Comment In:
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Occup Med (Lond). 2012 Jan;62(1):67-8; author reply 68
[PMID:
22201137
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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