Beyond symptom resolution: insurance case manager's perspective on predicting recovery after motor vehicle crash.
| Autor: | Trippolini MA; Center for Disability Research, Liberty Mutual Research Institute for Safety, Hopkinton, MA, USA.; Massachusetts General Hospital (MGH) Institute for Health Professions, Boston, MA, USA.; Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland., Young AE; Center for Disability Research, Liberty Mutual Research Institute for Safety, Hopkinton, MA, USA.; Young Normandeau & Co, Hopkinton, MA, USA., Pransky G; Department of Quantitative Health sciences, University of Massachusetts Medical School, Worcester, MA, USA., Elbers NA; Faculty of Law, Netherlands Institute for the Study of Crime and Law enforcement, VU University Amsterdam, Amsterdam, The Netherlands., Lockwood K; John Walsh Centre for Rehabilitation Research, Kolling Institute, University of Sydney, St Leonards, Australia., Cameron ID; John Walsh Centre for Rehabilitation Research, Kolling Institute, University of Sydney, St Leonards, Australia. |
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| Jazyk: | angličtina |
| Zdroj: | Disability and rehabilitation [Disabil Rehabil] 2021 Feb; Vol. 43 (4), pp. 498-506. Date of Electronic Publication: 2019 Aug 01. |
| DOI: | 10.1080/09638288.2019.1630857 |
| Abstrakt: | Purpose: Insurance company case managers can play a critical role in the rehabilitation process of people with musculoskeletal disorders sustained following minor motor vehicle crash injury due to their interaction with multiple stakeholders and their role in approving various services. This study aimed to identify factors that case managers perceive as predictive of recovery in people with musculoskeletal disorders after minor motor vehicle crash injury. Materials and Methods: To explore the perspectives of cases managers in Australia and the United States, semi-structured interviews explored factors that case managers thought provided an early indication of likely recovery outcomes in people with musculoskeletal disorders after minor motor vehicle crash injury. A framework analysis was applied and factors were displayed within the ICF-framework. Results: Case managers ( n = 40) demonstrated a broad, detailed understanding of biopsychosocial and contextual issues influencing recovery. They emphasized the importance of the injured worker's expressed affect and motivation, style of communication, the role of lawyers, the worker's family and friends, as well as cultural and geographic influences. The overarching themes perceived as having a major influence on recovery outcomes were general health, pain processing and response, work situation, and compensation entitlement. Conclusions: Case managers' broad and detailed perceptions about recovery may provide additional, valuable perspectives for professionals involved in the rehabilitation process of people with musculoskeletal disorders after minor motor vehicle crash injury. Further research needs to be conducted to explore the effects of case manager involvement in the process of recovery.Implications for rehabilitationInsurance Case Managers identified multiple factors including affect and motivation, style of communication, the role of lawyers, family and friends, cultural and geographic variation provide opportunities for more effective treatment of people with musculoskeletal disorders related to minor motor vehicle collisions. These managers' perceptions about recovery may be informative to and provide opportunities for health professionals involved in the rehabilitation of people with musculoskeletal disorders related to minor motor vehicle collisions.While the Insurance Case Managers involved in this research did not use formalized assessment techniques, tools and assessment protocols could be developed jointly between for the needs of Insurance Case Managers and other stakeholders to tackle recovery of people with musculoskeletal disorders related to minor motor vehicle collision. |
| Databáze: | MEDLINE |
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