Article

The aim of this review is to describe aspects of vocational rehabilitation
relevant for a physician aiming to become a specialist in physical and
rehabilitation medicine (PRM). The review discusses the epidemiology of
incapacity for work, the major patient groups in vocational rehabilitation
(musculoskeletal and psychiatric diagnoses comprise approximately 50-70% of the
patients), the influence of different kinds of environmental and individual risk
factors on work resumption (such as the legal framework, application of the law,
resources for rehabilitation and its effectiveness, the degree of co-operation
between vocational rehabilitation agencies, economic factors/labour market
situation, medical and personal factors). The review describes different models
of vocational rehabilitation, the effectiveness of various vocational
rehabilitation programmes on work resumption or sick leave (where strong evidence
is reported for multi-modal rehabilitation programmes for patients with
long-lasting musculoskeletal pain). Finally, there are sections about the PRM
physician's history-taking in vocational rehabilitation (using the International
Classification of Functioning, Disability and Health (ICF)), and report writing
with a structure where ICF body functions and activity limitations are reported
separately.

Langue : ANGLAIS