Identifying Local Obstacles and Facilitators of Implementation



Return-to-work (RTW) interventions are complex and disruptive innovations. They require the collaboration of multiple stakeholders with divergent interests within the healthcare system, the workplace system, and the insurance system. Implementation failures were reported in various countries as a consequence of this complexity. This chapter aims at describing the barriers and facilitators to implementing RTW interventions that are reported in the literature within the different systems at the individual, organisational, and legal levels. A conceptual integrative framework is proposed in order to identify barriers and facilitators prior to implementing RTW interventions in a new context. Further issues in implementation are discussed pertaining to the selection of implementation strategies and the challenge of the routinization of interventions.


Implementation Strategy Knowledge Translation Healthcare Practitioner Adoption System Work Disability Prevention 
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© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Occupational Health and MedicineHospices Civils de Lyon/Université Claude Bernard Lyon 1Bron cedexFrance

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