Conversations about Work in Healthcare: making every contact count?
PHE ePoster Library. Chadborn T. 09/12/19; 274533; 9
Dr. Tim Chadborn
Dr. Tim Chadborn
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Abstract Introduction
As part of a 10-year strategy to improve employment outcomes for working-age people with health conditions and/or disabilities, The Joint Work & Health Unit has funded Public Health England to implement its ‘work as a health outcome' programme. The programme has been informed by the evidence base for Making Every Contact Count (MECC). To further understand whether and/or to what extent the MECC framework is transferable to this context, a comprehensive literature review with stakeholder engagement was conducted.MethodFollowing a search of peer-reviewed and grey literature sources, 79 articles and documents were included in a realist best evidence synthesis. In addition, 59 online surveys were completed, and 16 telephone interviews were conducted. Data were synthesised and presented as key findings, aligned to specified research questions.
Despite the launch of numerous, potentially relevant initiatives over the last decade, few have been directed specifically at stimulating conversations about work during routine clinical encounters. Widespread promotion and implementation of these initiatives has been limited, and as a result, healthcare awareness, engagement, and adoption has remained stubbornly low. The evidence reveals many barriers; at the individual level and within the healthcare system.
The evidence points to short- and long-term solutions to better equip HCPs to have supportive conversations about work with their patients, and to further embed the ‘work as a health outcome' agenda within routine healthcare. These are conceptualised as ‘cultural awareness', ‘conversation starters' and ‘practice integration'. External funding details Public Health England funded this work.
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