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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

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.

Suggested Citation

  • Bartys, Serena & Frederiksen, Pernille & Bendix, Tom & Burton, Kim, 2017. "System influences on work disability due to low back pain: An international evidence synthesis," Health Policy, Elsevier, vol. 121(8), pages 903-912.
    • Handle: RePEc:eee:hepoli:v:121:y:2017:i:8:p:903-912
    DOI: 10.1016/j.healthpol.2017.05.011
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    References listed on IDEAS

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    1. Jos H Verbeek, 2006. "How Can Doctors Help Their Patients to Return to Work?," PLOS Medicine, Public Library of Science, vol. 3(3), pages 1-1, March.
    2. Soklaridis, Sophie & Ammendolia, Carlo & Cassidy, David, 2010. "Looking upstream to understand low back pain and return to work: Psychosocial factors as the product of system issues," Social Science & Medicine, Elsevier, vol. 71(9), pages 1557-1566, November.
    3. Brooker, Ann-Sylvia & Frank, John W. & Tarasuk, Valerie S., 1997. "Back pain claim rates and the business cycle," Social Science & Medicine, Elsevier, vol. 45(3), pages 429-439, August.
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    Cited by:

    1. Gray, Shannon E. & Lane, Tyler J. & Sheehan, Luke & Collie, Alex, 2019. "Association between workers’ compensation claim processing times and work disability duration: Analysis of population level claims data," Health Policy, Elsevier, vol. 123(10), pages 982-991.
    2. Tove Lundberg & Stina Melander, 2021. "Professional Coping Strategies in a Temporal Perspective: A Pilot Study on How Swedish General Practitioners Deal With Challenges Inherent in Pain Management," SAGE Open, , vol. 11(3), pages 21582440211, August.
    3. Fabrizio Russo & Sergio De Salvatore & Luca Ambrosio & Gianluca Vadalà & Luca Fontana & Rocco Papalia & Jorma Rantanen & Sergio Iavicoli & Vincenzo Denaro, 2021. "Does Workers’ Compensation Status Affect Outcomes after Lumbar Spine Surgery? A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(11), pages 1-21, June.
    4. Chandola, Tarani & Rouxel, Patrick, 2021. "The role of workplace accommodations in explaining the disability employment gap in the UK," Social Science & Medicine, Elsevier, vol. 285(C).

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