System influences on work disability due to low back pain: An international evidence synthesis

Bartys, Serena; Frederiksen, Pernille; Bendix, Tom; Burton, Kim

doi:10.1016/j.healthpol.2017.05.011

Cited by 75Musculoskeletal pain and rehabilitationMedical Practices and RehabilitationWorkplace Health and Well-being

System influences on work disability due to low back pain: An international evidence synthesis

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Bartys, Serena, Frederiksen, Pernille, Bendix, Tom, Burton, Kim·2017·Health Policy

DOI 10.1016/j.healthpol.2017.05.011

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Abstract

Work disability due to low back pain is a significant global health concern. Current policy and practice aimed at tackling this problem is largely informed by the biopsychosocial model. Resultant interventions have demonstrated some small-scale success, but they have not created a widespread decrease in work disability. This may be explained by the under-representation of the less measurable aspects in the biopsychosocial evidence base; namely the influence of relevant systems. Thus, a 'best-evidence' synthesis was conducted to collate the evidence on how compensatory (worker's compensation and disability benefits), healthcare and family systems (spouse/partner/close others) can act as obstacles to work participation for those with low back pain. Systematic searches of several scientific and grey literature sources were conducted, resulting in 1762 records. Following a systematic exclusion process, 57 articles were selected and the evidence was assessed using a system adapted from previous large-scale policy reviews conducted in this field. Results indicated how specific features of relevant systems could act as obstacles to individual efforts/interventions aimed at tackling work disability due to LBP. These findings reinforce the need for a 'whole-systems' approach, with all key players onside and have implications for the revision of current biopsychosocial-informed policy and practice.

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PUTTING THE ‘SOCIAL’ INTO PSYCHOSOCIAL-INFORMED POLICY AND PRACTICE AIMED AT TACKLING WORK DISABILITY DUE TO LOW BACK PAIN: AN INTERNATIONAL EVIDENCE SYNTHESIS
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Work disability due to low back pain can be explained by the 'social' aspect of the biopsychosocial model? An evidence synthesis
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Authors: Bartys, S., Frederiksen, P., Bendix, T., & Burton, K.
Affiliations: University of Huddersfield (GB)
Metropolitan University College (DK)
University of Copenhagen (DK)
Corresponding author: Bartys, Serena
ORCID: Bartys, Serena
Burton, Kim
Venue: Health Policy
Publisher: Elsevier BV
Published: 2017-08
Volume: 121
Issue: 8
Pages: 903-912
ISSN: 0168-8510 (ISSN-L)
DOI: 10.1016/j.healthpol.2017.05.011
OpenAlex: W2619397736
Cited by: 75
References: 132
Citations by year: 2025: 5 · 2024: 10 · 2023: 13 · 2022: 7 · 2021: 10 · 2020: 9 · 2019: 13 · 2018: 7 · 2017: 1
FWCI: 1.04
Type: journal article
Language: en
Open access: green
eprints.hud.ac.uk
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Health Policy (publishedVersion)
PubMed (publishedVersion)
University of Huddersfield Repository (University of Huddersfield) (submittedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Huddersfield Research Portal (University of Huddersfield) (submittedVersion, cc-by-nc-nd)
Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
Keywords: work disability, low back pain, workers' compensation, disability benefits, health care system, family systems, work participation, biopsychosocial model, whole systems approach, barriers to return to work
MeSH terms: Family, Persons with Disabilities, Humans, Workers' Compensation, Low Back Pain, Insurance, Disability, Return to Work

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