Medically unexplained chronic pain in Australia: difficulties for rehabilitation providers and workers in pain

Work : a Journal of Prevention, Assessment, and Rehabilitation
Coralie WalesMichelle Donelly

Abstract

In Australia, evidence of an ageing population and a skills shortage are imminent challenges for employers [5,50]. A further concern arises from the work injury and motor accident compensation schemes, where many claims for soft tissue injuries result in permanent impairment depriving the community of otherwise productive workers [85]. In many cases, it is chronic pain that becomes the major barrier to a return to productive work. This study will review the operation of rehabilitation within Australian Workers' and Motor Accidents compensation systems in order to identify values and attitudes underpinning the vocational rehabilitation ethos. The models underlying current practice will also be identified. A comprehensive review of published literature and policy documents was undertaken. We identified a variety of contextual factors that influenced progress back into the workforce for people living with persistent pain. The conceptual models underpinning these factors within rehabilitation systems were explored. They were all driven by a strong focus on early return to work and at the same time the sustainability of rehabilitation as a profitable industry. Implications of these findings on the relationship between the rehabilita...Continue Reading

Citations

Jan 31, 2014·Occupational Medicine·M GuestC N Culvern
Mar 12, 2016·Work : a Journal of Prevention, Assessment, and Rehabilitation·Pam GartonPaul O'Halloran
Jul 25, 2019·International Journal of Environmental Research and Public Health·Suk Won BaeJong-Uk Won

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