A multidisciplinary job retention vocational rehabilitation programme for patients with chronic rheumatic diseases: patients' and occupational physicians' satisfaction
Author: De Buck P D M, Breedvald J, van der Giesen F J and Vliet Vlieland T P M
Journal: Annals of the Rheumatic Diseases, 2004
Volume/pages: Vol 63, pp562-568
About the study
This Dutch study explored patients and health professionals' satisfaction with a vocational rehabilitation programme provided by a multidisciplinary team. The programme was aimed at patients who had a chronic rheumatic disease with arthritis in one or more joints or reactive arthritis, who had experienced challenges in maintaining their jobs. The team included a rheumatologist, a social worker, a physiotherapist, an occupational therapist and a psychologist.
Patients were asked to complete a single questionnaire, and 59 of 65 returned it (91%). Patients rated highly the interpersonal approach and the professional knowledge of the team, and 98% said they would recommend the programme. There was some dissatisfaction with the length of time they had to wait for their final report.
Key Messages for practiceA multidisciplinary approach to vocational rehabilitation can work well for highly motivated patients.
Author: Nancarrow S
Journal: Journal of Interprofessional Care, 2004
Volume/pages: Vol 18(2), pp141-151
About the study
This English study explores, through two case studies, staff experiences and perceptions of their roles in intermediate care services. These services were an admission avoidance or "˜Rapid Response' team, and a supported discharge or "˜Hospital at Home' scheme, both based in the same Primary Care Trust.
The author carried out interviews with staff and analysis of key documents including job and service descriptions. Interprofessional team working appeared to increase each discipline's awareness and understanding of the others' roles. In these case studies, there was role overlap but staff did not feel professionally threatened "“ i.e. that others would attempt to "œimpinge on their roles".
Key Messages for practiceRole overlap in multidisciplinary teams can improve patient/service user support, limit the number of professionals seen, and enhance staff confidence.