RESUMEN
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.
Asunto(s)
Médicos de Atención Primaria , Reinserción al Trabajo , Humanos , AseguradorasRESUMEN
The concept of fast track surgery (FT) is a multimodal strategy aiming to decrease postoperative pains and chirurgical stress-induced organ dysfunction. The key elements of this program are: information and preoperative education, perioperative hydric balance, optimized analgesia, early oral nutrition and early mobilization of the patients. A multidisciplinary teamwork is essential. FT program is applicable in open surgery and in laparoscopy and has proven its effectiveness in colorectal surgery. Using this strategy in gynecological surgery, which resembles it in many points, will prove its effectiveness and facilitate its wider implementation.