The Experts below are selected from a list of 171 Experts worldwide ranked by ideXlab platform
F Moretto - One of the best experts on this subject based on the ideXlab platform.
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feasibility study for the generalization of early management of low back pain in Work Stoppage after a Work related injury
Annals of Physical and Rehabilitation Medicine, 2018Co-Authors: F MorettoAbstract:Introduction/Background A considerable proportion of Work absence is attributed to low back pain (LBP), with high lost productive time and health spending, specially after a Work-related injury. The French Health Insurance try to improve the return-to-Work for these patient with a early care in rehabilitation center. The objective of this study is to determinate if a early care three months after a Work Stoppage after a Work-related injury improve the return to Work three months after, and to determinate factors that influence the return-to-Work. Material and method Five center in France took part in this protocol, in an open prospective study; 147 LBP patients (handler) were included in 2016, three months after the Work-related injury. The intervention was a multidisciplinary functional restoration program for 67 patients. The others were follow-up about the return-to-Work. The outcome was the return-to-Work rate three months after the intervention. Results In the 52 remaining patients, 26 (50%) were at Work at 3 months: 16 in full time at the same job. Nine patients were in occupational retraining. For the other 80 patients, 70 (87.5%) were at Work at three months. Active physiotherapy, TAMPA, FABQ, DALLAS, Visual Analog Scale (VAS) after the programs were found to have relationships with the outcome. LBP background and being sportive before or after the program, were not found to have relationship with the outcome. Conclusion Unfortunately, we fund an adverse effect of the multidisciplinary functional restoration program from patients with low back pain in Work Stoppage after a Work-related injury in our study. Maybe the overmedication, or the drama caused by this program in hospitalization, must influence the situation of Workers. Surprisingly, sports practice did not show any influence on the results. Active physiotherapy should be offered to any patient in this situation to promote the return to Work.
Aslam H Anis - One of the best experts on this subject based on the ideXlab platform.
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does achieving clinical response prevent Work Stoppage or Work absence among employed patients with early rheumatoid arthritis
Rheumatology, 2012Co-Authors: Wei Zhang, Paul Emery, Reiko Sato, Amitabh Singh, Bruce Freundlich, Aslam H AnisAbstract:Objectives. To evaluate the impact of clinical response on Work Stoppage or Work absence among employed people with early RA. Methods. First-year data from the combination of MTX and etanercept trial was used. The analyses were restricted to the 205 patients Working full or part time at baseline who answered questions on whether they stopped Working or missed days from Work in one or more of the four follow-up visits. Work Stoppage referred to the first occurrence of subjects reporting stopping Work. Work absence was defined as whether patients reported missed days from Work. Clinical response and activity state considered included the ACR and European League against Rheumatism response criteria, 28-joint DAS (DAS-28) remission and the minimum clinically important difference of the HAQ score. Results. After adjustment for baseline characteristics, ACR70 responders were 72% less likely to stop Working and 55% less likely to miss Work than ACR20 non-responders (P 3.2 (P < 0.05). Moderate improvements did not appear to effect Work Stoppage or missed days after adjustments. Conclusions. Results suggest that achieving clinical remission or major improvement might be necessary to significantly impact Work outcomes.
Robert G Evans - One of the best experts on this subject based on the ideXlab platform.
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The doctor is out: physician participation in the Rationed Access Day Work Stoppage in British Columbia, 1998/99.
Hospital quarterly, 2020Co-Authors: Robert J Reid, Morris L Barer, Robin Hanvelt, Kimberlyn Mcgrail, Nino Pagliccia, David Schneider, Robert G EvansAbstract:In 1998/99, the British Columbia Medical Association (BCMA) asked physicians to withdraw elective services on a series of 20 Rationed Access Days (RADs). This Work Stoppage was called to protest continued free proration triggered by total physician billings exceeding a fixed budget cap. This paper examines how physicians' practice activity changed on RADs, the rates of participation in this job action and characteristics of those physicians who participated. Population-based cohort study of physicians based on administrative data. All full-time physicians billing the provincial healthcare plan. Participation in the RAD initiative was inferred by comparing physicians' average daily billings on RADs, Sundays, holidays and regular weekdays. Using thresholds established from these distributions, the number of RADs observed by each physician in 1998/99 was calculated and examined in relation to their demographics, location and prior years of practice activity. For the 4,131 physicians studied, average daily payments on RADs were similar to those on Sundays and holidays but much lower than those on non-holiday, non-RAD weekdays. Using billing thresholds of $200 (for GPs) and $400 (for specialists), we found a high degree of participation with the study population observing a median of 15 of the 20 scheduled RADs. While there were some differences in participation among age groups, geography and the prior years of practice activity, the differences were small. This study found high solidarity in the BCMA's 1998/99 RAD initiative. Most full-time fee-for-service FS physicians appeared to participate in at least three-quarters of the 20 scheduled RADs.
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the doctor is out physician participation in the rationed access day Work Stoppage in british columbia 1998 99
Healthcare quarterly, 2002Co-Authors: Robert J Reid, David G Schneider, Morris L Barer, Robin Hanvelt, Kimberlyn Mcgrail, Nino Pagliccia, Robert G EvansAbstract:BACKGROUND: In 1998/99, the British Columbia Medical Association (BCMA) asked physicians to withdraw elective services on a series of 20 Rationed Access Days (RADs). This Work Stoppage was called to protest continued free proration triggered by total physician billings exceeding a fixed budget cap. This paper examines how physicians' practice activity changed on RADs, the rates of participation in this job action and characteristics of those physicians who participated. DESIGN: Population-based cohort study of physicians based on administrative data. POPULATION: All full-time physicians billing the provincial healthcare plan. METHODS: Participation in the RAD initiative was inferred by comparing physicians' average daily billings on RADs, Sundays, holidays and regular weekdays. Using thresholds established from these distributions, the number of RADs observed by each physician in 1998/99 was calculated and examined in relation to their demographics, location and prior years of practice activity. RESULTS: For the 4,131 physicians studied, average daily payments on RADs were similar to those on Sundays and holidays but much lower than those on non-holiday, non-RAD weekdays. Using billing thresholds of $200 (for GPs) and $400 (for specialists), we found a high degree of participation with the study population observing a median of 15 of the 20 scheduled RADs. While there were some differences in participation among age groups, geography and the prior years of practice activity, the differences were small. INTERPRETATION: This study found high solidarity in the BCMA's 1998/99 RAD initiative. Most full-time fee-for-service FS physicians appeared to participate in at least three-quarters of the 20 scheduled RADs.
Alison Rosamund Katz - One of the best experts on this subject based on the ideXlab platform.
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the independence of international civil servants during the neoliberal decades implications of the Work Stoppage involving 700 staff of the world health organization in november 2005
International Journal of Health Services, 2008Co-Authors: Alison Rosamund KatzAbstract:: The independence of international civil servants is critical to the fulfillment of their organizations' mandates, but it has been seriously undermined during 25 years of neoliberal influence in U.N. agencies, including the World Health Organization. In November 2005, 700 staff at WHO headquarters participated in a one-hour Work Stoppage--the first industrial action in the organization's history. Hierarchical and arbitrary management, abuse of rules and procedures, nepotism and harassment, and undue influence of international financial institutions, powerful member states, and transnational corporations have exhausted morale and motivation, creating a conformist environment and interfering with technical health Work. In the neoliberal era, WHO staff confront conflicting duties of loyalty to a handful of member states and their private interests and loyalty to WHO's constitutional mandate. International civil servants need support from governing bodies and from the world's people in finding the correct balance. A first essential step would be respect for international labor standards within the U.N. family and, in particular, negotiation status and collective bargaining--human rights in the Workplace and prerequisites for staff independence, integrity, and competence, qualities required to serve the world's people.
Wei Zhang - One of the best experts on this subject based on the ideXlab platform.
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does achieving clinical response prevent Work Stoppage or Work absence among employed patients with early rheumatoid arthritis
Rheumatology, 2012Co-Authors: Wei Zhang, Paul Emery, Reiko Sato, Amitabh Singh, Bruce Freundlich, Aslam H AnisAbstract:Objectives. To evaluate the impact of clinical response on Work Stoppage or Work absence among employed people with early RA. Methods. First-year data from the combination of MTX and etanercept trial was used. The analyses were restricted to the 205 patients Working full or part time at baseline who answered questions on whether they stopped Working or missed days from Work in one or more of the four follow-up visits. Work Stoppage referred to the first occurrence of subjects reporting stopping Work. Work absence was defined as whether patients reported missed days from Work. Clinical response and activity state considered included the ACR and European League against Rheumatism response criteria, 28-joint DAS (DAS-28) remission and the minimum clinically important difference of the HAQ score. Results. After adjustment for baseline characteristics, ACR70 responders were 72% less likely to stop Working and 55% less likely to miss Work than ACR20 non-responders (P 3.2 (P < 0.05). Moderate improvements did not appear to effect Work Stoppage or missed days after adjustments. Conclusions. Results suggest that achieving clinical remission or major improvement might be necessary to significantly impact Work outcomes.
