The return to work (RTW) rate of the stroke patient in our country is 30–50% and is not parallel with the predicted functional convalescent degree. The following thing is important for successful RTW that right assessment about patient's severity of disability and job description, patient's self-understanding, implementation of the rehabilitation which considered the work contents, co-operation of a medical person to restoration, information sharing with a workplace. Japan Organization of Occupational Health and Safety has begun to train the dual support coordinator compatible who does necessary evaluation and dissemination of information appropriate time while nestling close to a patient from fiscal year 2014. After I intervened in the stroke patient who agreed to intervention from the acute stage, about 70% of RTW rate is obtained. Understanding of a workplace and appropriate consideration are necessary for success of restoration. It is more important that the medical stuff who does stroke treatment concerns from the acute stage to stop leaving the job early.
"},{"@language":"ja","@value":"要旨：わが国における脳卒中罹患労働者の復職率は30～50％であり，予測される機能回復に見合った数字には至っていない．就労支援を成功させる因子として，適切なアセスメントと患者自身の病状理解，復職を念頭に置いたリハビリテーションの実施，医療者の仕事に対する理解，職場との情報共有などが重要と考えられている．労働者健康安全機構では，平成26 年度から，患者に寄り添いながら適切な時期に必要な評価や情報提供を行う両立支援コーディネーターの養成を開始した．介入に同意した脳卒中罹患労働者に対して発症早期からの介入を行った結果，70％近い復職率が得られている．両立支援には職場側の理解や適切な配慮が必要であるが，罹患後の早期離職を防ぐためには，脳卒中診療に関与する医療者が急性期から関わることも重要である．
"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410283659845702272","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000406062295"}],"foaf:name":[{"@language":"en","@value":"Toyota Akihiro"},{"@language":"ja","@value":"豊田 章宏"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"労働者健康安全機構中国労災病院治療就労両立支援センター"},{"@language":"en","@value":"Research Center for the Health and Employment Support, Chugoku Rosai Hospital, Japan Organization of Occupational Health and Safety"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"09120726"},{"@type":"LISSN","@value":"09120726"},{"@type":"EISSN","@value":"18831923"}],"prism:publicationName":[{"@language":"en","@value":"Japanese Journal of Stroke"},{"@language":"ja","@value":"脳卒中"},{"@language":"en","@value":"Nosotchu"},{"@language":"en","@value":"Jpn. J. Stroke"},{"@language":"ja","@value":"脳卒中"}],"dc:publisher":[{"@language":"en","@value":"The Japan Stroke Society"},{"@language":"ja","@value":"一般社団法人 日本脳卒中学会"}],"prism:publicationDate":"2020","prism:volume":"42","prism:number":"1","prism:startingPage":"37","prism:endingPage":"42"},"reviewed":"false","dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","url":[{"@id":"https://www.jstage.jst.go.jp/article/jstroke/42/1/42_10690/_pdf"}],"availableAt":"2020","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=stroke","dc:title":"stroke"},{"@id":"https://cir.nii.ac.jp/all?q=return%20to%20work","dc:title":"return to work"},{"@id":"https://cir.nii.ac.jp/all?q=coordinator","dc:title":"coordinator"},{"@id":"https://cir.nii.ac.jp/all?q=stroke","dc:title":"stroke"},{"@id":"https://cir.nii.ac.jp/all?q=return%20to%20work","dc:title":"return to work"},{"@id":"https://cir.nii.ac.jp/all?q=coordinator","dc:title":"coordinator"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1390857512437284992","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Return to work among elderly patients with acquired brain injuries"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2007607798"},{"@type":"CROSSREF","@value":"10.3995/jstroke.10690"},{"@type":"CIA","@value":"130007789834"},{"@type":"OPENAIRE","@value":"doi_dedup___::feddcf72ad5609c1d2348fb829cc0144"},{"@type":"CROSSREF","@value":"10.1539/eohp.2021-0024-oa_references_DOI_Sz8B7AFWEZAkkPZ046X69J4HiAV"}]}