PMID- 34894930
OWN - NLM
STAT- MEDLINE
DCOM- 20221227
LR  - 20230117
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 44
IP  - 25
DP  - 2022 Dec
TI  - The implementation of clinical guidelines concerning return to work after 
      myocardial infarction.
PG  - 7848-7853
LID - 10.1080/09638288.2021.2000048 [doi]
AB  - PURPOSE: To examine the implementation, clinical effects, and adherence of 
      occupational physicians to the clinical practice guidelines (CPG) published in 
      2003 in Israel, regarding return to work following acute myocardial infarction 
      (AMI). METHODS: We analyzed 3 populations referred to Maccabi Health Services 
      occupational clinics for fitness for work examinations following AMI, either 
      before the guidelines were published (group 1), after their first publications in 
      2003 (group 2) or after they were re-published in Harefuah Journal in 2007 
      (group3). RESULTS: The documentation among groups 1,2,3 of different parameters 
      like years of education (18.8%, 45.1%. 57.5%, p < 0.001), type of occupation 
      (86.5%, 98.2%, 100.0%, p < 0.001) and New York Heart Association (NYHA) class 
      (69.8%, 81.4%, 92.5%, p < 0.001) has all improved respectively over the years. No 
      significant difference in sick leave was noted between the three populations. 
      CONCLUSION: The CPG should be interdisciplinary in the phase of writing and 
      publication. Economical resources are needed in order to implement 
      CPG.Implications for RehabilitationThe clinical practice guidelines should be 
      interdisciplinary in the phase of writing and should involve all rehabilitation 
      professionals as a team.The clinical practice guidelines need disseminating 
      widely alongside a resource plan in order to implement it.
FAU - Krakov, Ayala Olga
AU  - Krakov AO
AD  - The Occupational Medicine Department, Maccabi Healthcare Services, Rishon 
      Letzion, Israel.
AD  - The Division of Environmental and Occupational Medicine, The School of Public 
      Health, Sackler Faculty of Medicine, Tel-Aviv, Israel.
FAU - Tzuberi, Miri
AU  - Tzuberi M
AD  - The Department of Physiotherapy, Central District, Maccabi Healthcare Services, 
      Tel-Aviv Israel.
FAU - Hodik, Gabriel
AU  - Hodik G
AD  - The Division of Environmental and Occupational Medicine, The School of Public 
      Health, Sackler Faculty of Medicine, Tel-Aviv, Israel.
AD  - Maccabi Healthcare Services, Central Headquarter, Tel-Aviv, Israel.
FAU - Rinsky-Halivni, Lilah
AU  - Rinsky-Halivni L
AD  - The Department of Occupational Medicine, Clalit Health Services, Tel-Aviv, 
      Israel.
AD  - Braun School of Public Health and Community Medicine, Hadassah-Hebrew University 
      Medical School, Jerusalem, Israel.
AD  - Department of Global Health and Population, T.H. Chan Harvard School of Public 
      Health, Boston, USA.
FAU - Sahar Kostis, Yael
AU  - Sahar Kostis Y
AUID- ORCID: 0000-0002-0670-0986
AD  - The Division of Environmental and Occupational Medicine, The School of Public 
      Health, Sackler Faculty of Medicine, Tel-Aviv, Israel.
AD  - The Department of Occupational Medicine, Clalit Health Services, Tel-Aviv, 
      Israel.
FAU - Moshe, Shlomo
AU  - Moshe S
AD  - The Occupational Medicine Department, Maccabi Healthcare Services, Rishon 
      Letzion, Israel.
AD  - The Division of Environmental and Occupational Medicine, The School of Public 
      Health, Sackler Faculty of Medicine, Tel-Aviv, Israel.
LA  - eng
PT  - Journal Article
DEP - 20211211
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Humans
MH  - *Return to Work
MH  - *Myocardial Infarction/rehabilitation
MH  - Employment
MH  - Israel
OTO - NOTNLM
OT  - Outcome assessment
OT  - fitness for work
OT  - guidelines adherence
OT  - myocardial infarction
OT  - return to work
EDAT- 2021/12/14 06:00
MHDA- 2022/12/28 06:00
CRDT- 2021/12/13 11:24
PHST- 2021/12/14 06:00 [pubmed]
PHST- 2022/12/28 06:00 [medline]
PHST- 2021/12/13 11:24 [entrez]
AID - 10.1080/09638288.2021.2000048 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2022 Dec;44(25):7848-7853. doi: 10.1080/09638288.2021.2000048. 
      Epub 2021 Dec 11.