RESUMO
Return to work is at the crossroads of complex medical, legal, economic and social concepts and involves a multitude of stakeholders who are often far removed from the reality of care in the medical practice. This article presents some basic concepts on return to work and explores some good practice guidelines. It also describes the role and limits of the occupational physician in the company and mentions possible areas of collaboration with social insurers and employers. It aims to provide concrete elements for the practice of the primary care physician.
Le retour au travail est au croisement de notions médicales, juridiques, économiques et sociales complexes et implique une multitude de parties prenantes qui restent souvent éloignées de la réalité de la prise en charge au cabinet médical. Cet article présente quelques notions de base sur le retour au travail et explore certaines orientations de bonnes pratiques. Il décrit également le rôle et les limites du médecin du travail en entreprise et mentionne les champs de collaboration possible avec les assureurs sociaux et les employeurs. Il vise à fournir des éléments concrets pour la pratique du médecin de premier recours.
Assuntos
Médicos de Atenção Primária , Retorno ao Trabalho , Humanos , SeguradorasRESUMO
Medical practitioners are frequently confronted with social insurance as well as with their patients' health and safety issues. Through the journey of Pierre, an employee, victim of an accident at work, we propose to address some common problems by specifying certain aspects relating to the legal and administrative framework in order to better guide clinical practice on the means of intervention and their limits.
Les médecins praticien·ne·s sont fréquemment confronté·e·s aux assurances sociales ainsi qu'aux enjeux assécurologiques de leur·s patient·e·s. À travers le parcours de Pierre, salarié, victime d'un accident de travail, nous vous proposons d'aborder certaines problématiques courantes en précisant certains aspects relatifs au cadre légal et administratif afin de mieux orienter la pratique clinique sur les moyens d'intervention et leurs limites.
Assuntos
Médicos , Previdência Social , Procedimentos Clínicos , HumanosRESUMO
Primary care physicians are among the specialists who most often have to deal with work-related health problems. Musculoskeletal (including the spine and limbs) and psychological problems are the most frequently encountered work-related diseases. In that context, it is essential for the primary care physician to identify the link between a disease and the occupational environment of the patient, in order to deliver appropriate care. This article deals with two clinical cases to illustrate the semiology and therapeutic aspects of burnout, and musculoskeletal disorders of the upper limb, respectively. It gives some clues to the primary care physician, about how to guide his practice in a multimodal way, oriented toward the patient himself, but also toward his occupational environment.