Abstract：
UNASSIGNED: To explore return-to-work (RTW) policies and practices for total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients in three European countries.
UNASSIGNED: An exploratory study in Denmark, Germany, and the Netherlands consisting of three aspects: (1) description of the healthcare and social security systems; (2) identification of national RTW guidelines; (3) a survey to gain insight into RTW practices and perceptions of orthopaedic surgeons, including barriers, facilitators, and needs.
UNASSIGNED: Healthcare and social security systems differed (e.g. fast-track vs longer postoperative stay; coverage of rehabilitation costs). National guidelines were available in Germany (THA, TKA) and the Netherlands (TKA), containing limited RTW information. The survey was completed by 168 orthopaedic surgeons (Denmark n = 51; Germany n = 39; the Netherlands n = 78). Overall, orthopaedic surgeons reported being in need of more knowledge and better collaboration with other healthcare practitioners.
UNASSIGNED: We found considerable variation in healthcare and social security systems. When available, national guidelines contained limited information. In all three countries surgeons need more knowledge and better collaboration with other healthcare practitioners. We advise that RTW multidisciplinary recommendations post THA/TKA be established by the national associations of the healthcare practitioners involved.
Orthopaedic surgeons (regardless of country) need more knowledge, including “guidelines”, “scientific evidence”, and “expertise with work/return-to-work”, to adequately support return to work.Orthopaedic surgeons need better collaboration with other healthcare practitioners to adequately support total hip arthroplasty or total knee arthroplasty patients to return to work.Multidisciplinary recommendations for returning to work after total hip arthroplasty or total knee arthroplasty should be established by the national associations of the healthcare practitioners involved.
UNASSIGNED: An exploratory study in Denmark, Germany, and the Netherlands consisting of three aspects: (1) description of the healthcare and social security systems; (2) identification of national RTW guidelines; (3) a survey to gain insight into RTW practices and perceptions of orthopaedic surgeons, including barriers, facilitators, and needs.
UNASSIGNED: Healthcare and social security systems differed (e.g. fast-track vs longer postoperative stay; coverage of rehabilitation costs). National guidelines were available in Germany (THA, TKA) and the Netherlands (TKA), containing limited RTW information. The survey was completed by 168 orthopaedic surgeons (Denmark n = 51; Germany n = 39; the Netherlands n = 78). Overall, orthopaedic surgeons reported being in need of more knowledge and better collaboration with other healthcare practitioners.
UNASSIGNED: We found considerable variation in healthcare and social security systems. When available, national guidelines contained limited information. In all three countries surgeons need more knowledge and better collaboration with other healthcare practitioners. We advise that RTW multidisciplinary recommendations post THA/TKA be established by the national associations of the healthcare practitioners involved.
Orthopaedic surgeons (regardless of country) need more knowledge, including “guidelines”, “scientific evidence”, and “expertise with work/return-to-work”, to adequately support return to work.Orthopaedic surgeons need better collaboration with other healthcare practitioners to adequately support total hip arthroplasty or total knee arthroplasty patients to return to work.Multidisciplinary recommendations for returning to work after total hip arthroplasty or total knee arthroplasty should be established by the national associations of the healthcare practitioners involved.
摘要：
■探索三个欧洲国家的全髋关节置换术（THA）和全膝关节置换术（TKA）患者的重返工作（RTW）政策和实践。
■丹麦的一项探索性研究，德国,和荷兰由三个方面组成：（1）医疗保健和社会保障系统的描述；（2）国家RTW指南的确定；（3）一项调查，以深入了解RTW实践和对整形外科医生的看法，包括障碍,主持人，和需要。
■医疗保健和社会保障系统有所不同（例如，快速跟踪与术后住院时间更长；康复费用的覆盖范围）。德国有国家指导方针(THA，TKA）和荷兰（TKA），包含有限的RTW信息。这项调查由168名整形外科医生完成（丹麦n=51；德国n=39；荷兰n=78）。总的来说,据报道，整形外科医生需要更多的知识，并与其他医疗保健从业人员更好地合作。
■我们发现医疗保健和社会保障体系存在相当大的差异。如果可用,国家准则包含有限的信息。在所有三个国家，外科医生都需要更多的知识，并与其他医疗保健从业人员更好地合作。我们建议THA/TKA后的RTW多学科建议由所涉及的国家医疗保健从业人员协会建立。
骨科医生（无论哪个国家）需要更多的知识，包括“指导方针”，"科学证据"和“工作/重返工作岗位的专业知识”，充分支持重返工作岗位。骨科医生需要与其他医疗从业者更好的合作，以充分支持全髋关节置换术或全膝关节置换术患者重返工作岗位。全髋关节置换术或全膝关节置换术后重返工作岗位的多学科建议应由相关的全国医疗保健从业人员协会制定。
■丹麦的一项探索性研究，德国,和荷兰由三个方面组成：（1）医疗保健和社会保障系统的描述；（2）国家RTW指南的确定；（3）一项调查，以深入了解RTW实践和对整形外科医生的看法，包括障碍,主持人，和需要。
■医疗保健和社会保障系统有所不同（例如，快速跟踪与术后住院时间更长；康复费用的覆盖范围）。德国有国家指导方针(THA，TKA）和荷兰（TKA），包含有限的RTW信息。这项调查由168名整形外科医生完成（丹麦n=51；德国n=39；荷兰n=78）。总的来说,据报道，整形外科医生需要更多的知识，并与其他医疗保健从业人员更好地合作。
■我们发现医疗保健和社会保障体系存在相当大的差异。如果可用,国家准则包含有限的信息。在所有三个国家，外科医生都需要更多的知识，并与其他医疗保健从业人员更好地合作。我们建议THA/TKA后的RTW多学科建议由所涉及的国家医疗保健从业人员协会建立。
骨科医生（无论哪个国家）需要更多的知识，包括“指导方针”，"科学证据"和“工作/重返工作岗位的专业知识”，充分支持重返工作岗位。骨科医生需要与其他医疗从业者更好的合作，以充分支持全髋关节置换术或全膝关节置换术患者重返工作岗位。全髋关节置换术或全膝关节置换术后重返工作岗位的多学科建议应由相关的全国医疗保健从业人员协会制定。
