Don’t endorse clinically unnecessary absence from work.

There is substantial evidence to support the positive link between work and health (physical, mental and social health). Both employment and income are separate determinants of health and are used as health status indicators. Absence from work contributes to declining health, slower recovery times, and longer duration of disability. Maintaining and restoring working capacity is an important function of health services which improves function and can also impact upon recovery and prognosis. Supporting unnecessary restrictions or total disability (absence from work) creates disability which in turn negatively impacts upon health. When asked to provide an opinion on functional abilities to employers or insurers, the focus should be on abilities; restrictions should be objective, specific, and listed only when absolutely medically indicated.

 

Sources:

ACOEM. Summary Proceedings: Inaugural Meeting of IOMSC [Internet]. 2013 May [cited 2014 Sep 19].

Black C. Working for a healthier tomorrow. Dame Carol Black’s Review of the health of Britain’s working age population [Internet]. London (UK): TSO (The Stationary Office); 2008 Mar 17 [cited 2014 Sep 19].

CMA Policy. The Treating Physician’s Role in Helping Patients Return to Work after an Illness or Injury [Internet]. 2013 [cited 2014 Sep 19].

Mental Health Commission of Canada. Psychological health and safety in the workplace – Prevention, promotion, and guidance to staged implementation [Internet]. 2013 [cited 2014 Sep 19].

The Public Health Agency of Canada. What Determines Health? [Internet]. 2011 Oct 21 [cited 2014 Sep 19].

Stay-at-Work and Return-to-Work Process Improvement Committee. Preventing needless work disability by helping people stay employed. J Occup Environ Med. 2006 Sep;48(9):972-87. PMID: 16966965.

World Health Organization. Connecting Health and Labour. Bringing together occupational health and primary care to improve the health of working people. Executive Summary of the WHO Global Conference 2011 November 29-December 1 [Internet]. The Hague, The Netherlands. 2012 [cited 2014 Sep 23].