Physician decision-making in the management of work related upper extremity injuries

Work : a Journal of Prevention, Assessment, and Rehabilitation
Mike SzekeresRuby Grewal

Abstract

Physicians working in a tertiary care injured worker clinic are faced with clinical decision-making that must balance the needs of patients and society in managing complex clinical problems that are complicated by the work-workplace context. The purpose of this study is to describe and characterize the decision-making process of upper extremity specialized surgeons when managing injured workers within a specialized worker's compensation clinic. Surgeons were interviewed in a semi-structured manner. Following each interview, the surgeon was also observed in a clinic visit during a new patient assessment, allowing observation of the interactional patterns between surgeon and patient, and comparison of the process described in the interview to what actually occurred during clinic visits. The primary central theme emerging from the surgeon interviews and the clinical observation was the focus on the importance of comprehensive assessment to make the first critical decision: an accurate diagnosis. Two subthemes were also found. The first of these involved the decision whether to proceed to management strategies or to continue with further investigation if the correct diagnosis is uncertain. Once the central theme of diagnosis was ac...Continue Reading

References

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Nov 3, 2006·Qualitative Health Research·Margarete SandelowskiJulie Barroso
Jan 25, 2007·Journal of Occupational Rehabilitation·Joy C MacDermidRobert McMurtry
Jun 18, 2010·Work : a Journal of Prevention, Assessment, and Rehabilitation·Lynn ShawMelissa Knott
Oct 15, 2011·International Journal of Nursing Studies·Bernadette Dierckx de CasterléYvonne Denier
Mar 28, 2013·Work : a Journal of Prevention, Assessment, and Rehabilitation·Petrina P CaseyIan D Cameron
Jan 21, 2015·Scandinavian Journal of Primary Health Care·Stein NilsenLiv Heide Magnussen
Feb 6, 2016·Journal of Occupational and Environmental Medicine·Aaron M S ThompsonMarc Erick Theriault

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Citations

Dec 1, 2020·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Helen BuchananKaren Grimmer

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