Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/10461
Title: Implementing the work disability prevention paradigm among therapists in Hong Kong : facilitators and barriers
Authors: Szeto, GPY 
Cheng, ASK 
Lee, EWC
Schonstein, E
Gross, DP
Keywords: Disability prevention
Occupational rehabilitation
Occupational therapy
Physiotherapy
Issue Date: 2011
Publisher: Springer
Source: Journal of occupational rehabilitation, 2011, v. 21, no. 1, p. 76-83 How to cite?
Journal: Journal of occupational rehabilitation 
Abstract: Introduction This is a discussion paper to examine the issues surrounding management of work-related injuries by physiotherapists and occupational therapists in Hong Kong. Therapists working in public hospitals are faced with managing injured workers with limited resources and this frequently results in suboptimal outcomes. Methods In this paper, five experienced therapists critically reviewed the current practices in the physiotherapy and occupational therapy professions in Hong Kong, with regard to managing patients with work injuries. In many hospitals, therapists still practice with a disease-based model focusing on symptom relief and restoration of general physical function. We collated information about current programs initiated by physiotherapists and occupational therapists to provide more strategic intervention strategies for early screening of high-risk patients and adaptive biopsychosocial interventions targeting return-to-work outcomes. Clinical and system-level barriers and facilitators of a major paradigm shift towards work disability prevention are discussed. Conclusion Physiotherapists and occupational therapists need to develop more strategic collaborations and actively voice out the need for major systematic changes within the local healthcare system, in order to provide a more effective management approach in line with the concept of Work Disability Prevention.
URI: http://hdl.handle.net/10397/10461
ISSN: 1053-0487
DOI: 10.1007/s10926-010-9256-2
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