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Systematic Reviews
Published in: Systematic Reviews 1/2019

Open Access 01-12-2019 | Back Pain | Protocol

The impact of income support systems on healthcare quality and functional capacity in workers with low back pain: a realist review protocol

Authors: Michael Di Donato, Ross Iles, Tyler Lane, Alex Collie

Published in: Systematic Reviews | Issue 1/2019

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Abstract

Background

Low back pain is the greatest contributor to the global burden of disease and can result in work disability. Previous literature has examined the influence of personal factors, the healthcare system, workplace, and income support systems on work disability due to low back pain. Income support systems may also influence healthcare and the workplace, leading to an impact on healthcare quality and functional capacity. However, there has been little insight as to how or in what contexts this influence occurs. This realist review aims to provide an explanation of how and in what contexts income support systems impact the healthcare quality and functional capacity of people who are unable to work due to low back pain.

Methods

Realist reviews are a type of literature review that seek to determine how and in what contexts a social programme such as income support leads to an outcome, rather than simply determining whether or not it works. Five initial theories about how income support systems impact healthcare quality and functional capacity are posited in this protocol. An iterative search of electronic databases for academic literature will be used to acquire and synthesise evidence that may support or refute these initial theories. Grey literature such as policy documents will be identified to characterise income support and healthcare systems and supplement contextual details. Semi-structured interviews with income support, healthcare, and low back pain experts will also be performed to complement literature searching with anecdotal and experiential evidence. At the conclusion of the review, initial theories will be supported or refuted and refined into programme theories that will be explained by evidence in context-mechanism-outcome configurations.

Discussion

Income support and healthcare systems are highly complex and fluid programmes. At the intersection between these systems are those with low back pain. By using realist review methods, we will provide explanatory rather than judgemental findings. The resulting multi-dimensional and contextual understanding of the impact of income support systems on important low back pain outcomes will provide valuable insight for future income support and healthcare policy development.
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Literature
1.
2.
Dunn KM, Hestbaek L, Cassidy JD. Low back pain across the life course. Best Pract Res Clin Rheumatol. 2013;27(5):591–600.PubMedCrossRef
3.
4.
Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, Hoy D, Karppinen J, Pransky G, Sieper J, et al. What low back pain is and why we need to pay attention. Lancet (London, England). 2018;391(10137):2356–67.CrossRef
5.
Vos T. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet (London, England). 2016;388(10053):1545–602.CrossRef
6.
Walker BF, Muller R, Grant WD. Low back pain in Australian adults: the economic burden. Asia Pac J Public Health. 2003;15(2):79–87.PubMedCrossRef
7.
Wasiak R, Kim J, Pransky G. Work disability and costs caused by recurrence of low back pain: longer and more costly than in first episodes. Spine. 2006;31(2):219–25.PubMedCrossRef
8.
Young AE, Wasiak R, Gross DP. Recurrence of work-related low back pain and disability: association between self-report and workers’ compensation data. Spine. 2013;38(26):2279–86.PubMedPubMedCentralCrossRef
9.
Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J. 2008;8(1):8–20.PubMedCrossRef
10.
Froud R, Patterson S, Eldridge S, Seale C, Pincus T, Rajendran D, Fossum C, Underwood M. A systematic review and meta-synthesis of the impact of low back pain on people’s lives. BMC Musculoskelet Disord. 2014;15:50.PubMedPubMedCentralCrossRef
11.
12.
Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP, Gross DP, Ferreira PH, Fritz JM, Koes BW, Peul W, et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet (London, England). 2018;391(10137):2368–83.CrossRef
13.
Almeida M, Saragiotto B, Richards B, Maher CG. Primary care management of non-specific low back pain: key messages from recent clinical guidelines. Med J Aust. 2018;208(6):272–5.PubMedCrossRef
14.
15.
Waddell G, Burton K. Is work good for your health and well-being? United Kingdom: UK Government Department for Work and Pensions; 2006.
16.
Cote P, Baldwin ML, Johnson WG, Frank JW, Butler RJ. Patterns of sick-leave and health outcomes in injured workers with back pain. Eur Spine J. 2008;17(4):484–93.PubMedPubMedCentralCrossRef
17.
18.
Lippel K, Lötters F. Public insurance systems: a comparison of cause-based and disability-based income support systems. In: Loisel P, Anema JR, editors. Handbook of work disability: prevention and management. New York: Springer New York; 2013. p. 183–202.CrossRef
19.
Kilgour E, Kosny A, McKenzie D, Collie A. Healing or harming? Healthcare provider interactions with injured workers and insurers in workers’ compensation systems. J Occup Rehabil. 2015;25(1):220–39.PubMedCrossRef
20.
Shraim M, Cifuentes M, Willetts JL, Marucci-Wellman HR, Pransky G. Length of disability and medical costs in low Back pain: do state workers’ compensation policies make a difference? J Occup Environ Med. 2015;57(12):1275–83.PubMedCrossRef
21.
Agency for Clinical Innovation (ACI). Management of people with acute low back pain. Chatswood: ACI; 2016.
22.
Qaseem A, Wilt TJ, McLean RM, Forciea MA. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017;166(7):514–30.PubMedCrossRef
23.
Stochkendahl MJ, Kjaer P, Hartvigsen J, Kongsted A, Aaboe J, Andersen M, Andersen MO, Fournier G, Hojgaard B, Jensen MB, et al. National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. Eur Spine J. 2018;27(1):60–75.PubMedCrossRef
24.
Graves JM, Fulton-Kehoe D, Jarvik JG, Franklin GM. Health care utilization and costs associated with adherence to clinical practice guidelines for early magnetic resonance imaging among workers with acute occupational low back pain. Health Serv Res. 2014;49(2):645–65.PubMedCrossRef
25.
Harris IA, Traeger A, Stanford R, Maher CG, Buchbinder R. Lumbar spine fusion: what is the evidence? Intern Med J. 2018;48(12):1430–4.PubMedCrossRef
26.
Webster BS, Bauer AZ, Choi Y, Cifuentes M, Pransky GS. Iatrogenic consequences of early magnetic resonance imaging in acute, work-related, disabling low back pain. Spine. 2013;38(22):1939–46.PubMedPubMedCentralCrossRef
27.
Webster BS, Choi Y, Bauer AZ, Cifuentes M, Pransky G. The cascade of medical services and associated longitudinal costs due to nonadherent magnetic resonance imaging for low back pain. Spine. 2014;39(17):1433–40.PubMedPubMedCentralCrossRef
28.
Webster BS, Cifuentes M. Relationship of early magnetic resonance imaging for work-related acute low back pain with disability and medical utilization outcomes. J Occup Environ Med. 2010;52(9):900–7.PubMedCrossRef
29.
Collie A, Newnam S, Keleher H, Petersen A, Kosny A, Vogel AP, Thompson J. Recovery Within Injury Compensation Schemes: A System Mapping Study. J Occup Rehabil. 2019;29(1):52–63.CrossRef
30.
Bartys S, Frederiksen P, Bendix T, Burton K. System influences on work disability due to low back pain: an international evidence synthesis. Health policy (Amsterdam, Netherlands). 2017;121(8):903–12.CrossRef
31.
Anema JR, Schellart AJ, Cassidy JD, Loisel P, Veerman TJ, van der Beek AJ. Can cross country differences in return-to-work after chronic occupational back pain be explained? An exploratory analysis on disability policies in a six country cohort study. J Occup Rehabil. 2009;19(4):419–26.PubMedPubMedCentralCrossRef
32.
33.
Shraim M, Cifuentes M, Willetts JL, Marucci-Wellman HR, Pransky G. Regional socioeconomic disparities in outcomes for workers with low back pain in the United States. Am J Ind Med. 2017;60(5):472–83.PubMedPubMedCentralCrossRef
34.
Volinn E, Nishikitani M, Volinn W, Nakamura Y, Yano E. Back pain claim rates in Japan and the United States: framing the puzzle. Spine. 2005;30(6):697–704.PubMedCrossRef
35.
Loisel P, Buchbinder R, Hazard R, Keller R, Scheel I, van Tulder M, Webster B. Prevention of work disability due to musculoskeletal disorders: the challenge of implementing evidence. J Occup Rehabil. 2005;15(4):507–24.PubMedCrossRef
36.
Pawson R, Greenhalgh T, Harvey G, Walshe K. Realist review--a new method of systematic review designed for complex policy interventions. J Health Serv Res Policy. 2005;10(Suppl 1):21–34.PubMedCrossRef
37.
38.
39.
O'Campo P, Molnar A, Ng E, Renahy E, Mitchell C, Shankardass K, St. John A, Bambra C, Muntaner C. Social welfare matters: a realist review of when, how, and why unemployment insurance impacts poverty and health. Soc Sci Med. 2015;132:88–94.PubMedCrossRef
40.
Molnar A, O’Campo P, Ng E, Mitchell C, Muntaner C, Renahy E, St. John A, Shankardass K. Protocol: realist synthesis of the impact of unemployment insurance policies on poverty and health. Eval Program Plann. 2015;48:1–9.PubMedCrossRef
41.
Westhorp G. Understanding mechanisms in realist evaluation and research. In: Emmel N, editor. Doing realist research. London: SAGE Publications Ltd.; 2018. p. 41–58.CrossRef
42.
Nagelhout GE, Hummel K, de Goeij MCM, de Vries H, Kaner E, Lemmens P. How economic recessions and unemployment affect illegal drug use: a systematic realist literature review. Int J Drug Policy. 2017;44:69–83.PubMedCrossRef
43.
44.
45.
46.
47.
Keleher H, Reynolds L, Willis E. Understanding the Australian health care system, 3rd edn: Chatswood, Elsevier; 2016.
48.
Bohm K, Schmid A, Gotze R, Landwehr C, Rothgang H. Five types of OECD healthcare systems: empirical results of a deductive classification. Health policy (Amsterdam, Netherlands). 2013;113(3):258–69.CrossRef
49.
Pawson R. Evidence-based policy: a realist perspective. London: SAGE Publications; 2006.CrossRef
50.
51.
52.
Heymann J, Rho HJ, Schmitt J, Earle A. Ensuring a healthy and productive workforce: comparing the generosity of paid sick day and sick leave policies in 22 countries. Int J Health Serv. 2010;40(1):1–22.PubMedCrossRef
53.
54.
55.
56.
57.
58.
59.
60.
61.
Wong G. Data gathering in realist reviews. In: Emmel N, editor. Doing realist research. London: SAGE Publications Ltd.; 2018. p. 131–45.CrossRef
62.
Manzano A. The craft of interviewing in realist evaluation. Evaluation. 2016;22(3):342–60.CrossRef
63.
64.
Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, Shekelle P, Stewart LA. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Reviews. 2015;4(1):1.PubMedPubMedCentralCrossRef
65.
Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, Woolf A, Vos T, Buchbinder R. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012;64(6):2028–37.PubMedCrossRef
66.
Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014.
Metadata
Title
The impact of income support systems on healthcare quality and functional capacity in workers with low back pain: a realist review protocol
Authors
Michael Di Donato
Ross Iles
Tyler Lane
Alex Collie
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2019
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-019-1003-y

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