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Fit For Work EuropeThe Work Foundation

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“Going back to work made me feel alive again.” Fit for Work Patient case study: Purificación Tejeda from Spain

Purification Tejeda, a patient suffering from extreme pain from carpal tunnel syndrome, described how she benefitted from the support of an early intervention clinic: “I was so scared about the impact it would have on my personal working life. I was given the right diagnosis, treatment and care very quickly and this helped to take away my unbearable pain. Thanks to this clinic, I can go back to work again. Work is so important to me. It makes me feel useful and responsible. I feel alive again.”

Watch Purificación Tejeda’s full story on fighting her condition and work disability:

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This entry was posted on Wednesday, October 16th, 2013 at 10:59 am and is filed under Health Policy, Musculoskeletal Disorders, Physical therapy, Rehabilitation. You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.

One Response to ““Going back to work made me feel alive again.” Fit for Work Patient case study: Purificación Tejeda from Spain”

  1. If every aspect of social services and healthcare were driven by a mission of “Back to work”, or, alternatively, “back to where we started from”, that is, to bring the patient as far and as fast as possible back to a pre-diseased functional state, then a great deal would be better.

    Imagine a system in which all incentives are positive instead of negative, where every player in the system is maximally motivated to achieve the lowest effective level of care while adhering to the highest possible quality standards, where evidence is applied where it is relevant but experience based care plays a more central role. A system in which the population is maximally motivated to achieve and maintain the best possible health status, where flexibility and nearness are the watchwords and technology is state of the art. A system where primary care is advanced as far as possible to keep finances in that sector instead of them being siphoned off by centralized hospitals, and the motivation to get this system up and running and maintaining it is clear. This system would not only empower primary care and a healthy living impetus among the population, it would furthermore provide an excellent postgraduate training setting and be a powerful motivator of positive developments in undergraduate training. These facets are predicated by the novelty and flexibility of the envisaged system, which would require these same traits among personnel.

    If this sounds utopian and undoable, it is merely because we have not thought this through. There are no obstacles to achieving such a level of continuity of care with optimal communication, coordination and follow-up except our own limited thinking concerning how best to achieve this. What is needed is a clear and compelling roadmap that can be followed by those who are convinced that this is the way to go. The tendency towards heavy reliance on centralized facilities that suck the life out of primary care has gone far beyond the limits of reason and left communities with no access save to travel to the centralized unit. This is further complicated by heavy use of expensive hospital beds for no other reason than the primary care system has insufficient technology or personnel to take care of patients closer to or in their homes. On a grander scale, it is the same mechanism that drives qualified personnel to centralized units both within limited geographical areas and internationally. The roadmap would lead us away from this tendency and forward to greater health. An important facet of such health improvement would be predicated by budgetary commonality between healthcare and social services. This would motivate both sectors to optimize coordination and communication. It stands to reason that the greatest benefit of achieving this system would come in those areas with the lowest level of resources available, since it is in these settings that the greatest benefit from the lowest effective level of care would emerge. The roadmap exists, and it is in the form of a book called Managed Care in a Public Setting, searchable via the internet.

    Richard Evan (Rick) Steele, MD, MPH, PDC, BCSPHM
    Tele: +45 2216 1923 or +46 727 037 748, FAX: +45 8724 4026
    Email: steele@dadlnet.dk
    Web: http://www.klinikken-livet.dk

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