caa a22 4500 606210652 CHVBK 20210128101034.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s10926-014-9521-x doi (NATIONALLICENCE)springer-10.1007/s10926-014-9521-x Healing or Harming? Healthcare Provider Interactions with Injured Workers and Insurers in Workers' Compensation Systems [Elektronische Daten] [Elizabeth Kilgour, Agnieszka Kosny, Donna McKenzie, Alex Collie] Introduction Healthcare providers (HCPs) are influential in the injured worker's recovery process and fulfil many roles in the delivery of health services. Interactions between HCPs and insurers can also affect injured workers' engagement in rehabilitation and subsequently their recovery and return to work. Consideration of the injured workers' perceptions and experiences as consumers of medical and compensation services can provide vital information about the quality, efficacy and impact of such systems. The aim of this systematic review was to identify and synthesize published qualitative research that focused on the interactions between injured workers, HCPs and insurers in workers' compensation systems in order to identify processes or interactions which impact injured worker recovery. Method A search of six electronic databases for literature published between 1985 and 2012 revealed 1,006 articles. Screening for relevance identified 27 studies which were assessed for quality against set criteria. A final 13 articles of medium and high quality were retained for data extraction. Results Findings were synthesized using a meta-ethnographic approach. Injured workers reported that HCPs could play both healing and harming roles in their recovery. Supportive patient-centred interaction with HCPs is important for injured workers. Difficult interactions between HCPs and insurers were highlighted in themes of adversarial relations and organisational pressures. Insurer and compensation system processes exerted an influence on the therapeutic relationship. Recommendations to improve relationships included streamlining administrative demands and increasing education and communication between the parties. Conclusion Injured workers with long term complex injuries experience difficulties with healthcare in the workers' compensation context. Changes in insurer administrative demands and compensation processes could increase HCP participation and job satisfaction. This in turn may improve injured worker recovery. Further research into experiences of distinct healthcare professions with workers' compensation systems is warranted. Springer Science+Business Media New York, 2014 Injured worker nationallicence Healthcare provider nationallicence Insurer nationallicence Workers compensation nationallicence Qualitative nationallicence Systematic review nationallicence Kilgour Elizabeth Institute for Safety Compensation and Recovery Research (ISCRR) and Department of Epidemiology and Preventive Medicine, Faculty of Medicine Nursing and Health Science, Monash University, Level 11, 499 St Kilda Rd, 3004, Melbourne, VIC, Australia aut Kosny Agnieszka Monash Centre for Occupational and Environmental Health (MonCOEH) and Department of Epidemiology and Preventive Medicine, Faculty of Medicine Nursing and Health Science, Monash University, 6th Floor, The Alfred Centre 99 Commercial Road, 3004, Melbourne, VIC, Australia aut McKenzie Donna Family Violence Unit, Ministry of Social Development, Level 7, Bowen Street, 6140, Wellington, New Zealand aut Collie Alex Institute for Safety Compensation and Recovery Research (ISCRR) and Department of Epidemiology and Preventive Medicine, Faculty of Medicine Nursing and Health Science, Monash University, Level 11, 499 St Kilda Rd, 3004, Melbourne, VIC, Australia aut Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/1(2015-03-01), 220-239 1053-0487 25:1<220 2015 25 10926 https://doi.org/10.1007/s10926-014-9521-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10926-014-9521-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kilgour Elizabeth Institute for Safety Compensation and Recovery Research (ISCRR) and Department of Epidemiology and Preventive Medicine, Faculty of Medicine Nursing and Health Science, Monash University, Level 11, 499 St Kilda Rd, 3004, Melbourne, VIC, Australia aut NATIONALLICENCE 700 1- Kosny Agnieszka Monash Centre for Occupational and Environmental Health (MonCOEH) and Department of Epidemiology and Preventive Medicine, Faculty of Medicine Nursing and Health Science, Monash University, 6th Floor, The Alfred Centre 99 Commercial Road, 3004, Melbourne, VIC, Australia aut NATIONALLICENCE 700 1- McKenzie Donna Family Violence Unit, Ministry of Social Development, Level 7, Bowen Street, 6140, Wellington, New Zealand aut NATIONALLICENCE 700 1- Collie Alex Institute for Safety Compensation and Recovery Research (ISCRR) and Department of Epidemiology and Preventive Medicine, Faculty of Medicine Nursing and Health Science, Monash University, Level 11, 499 St Kilda Rd, 3004, Melbourne, VIC, Australia aut NATIONALLICENCE 773 0- Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/1(2015-03-01), 220-239 1053-0487 25:1<220 2015 25 10926