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Claire Holmes and Karen Walker-Bone
Background: Neither public health nor traditional healthcare have generally concerned themselves with employment participation. Most of the outcomes we measure are health-related and in practice we rarely take note of the occupation of our patients or populations or consider the impact of our healthcare on their ability to work.
Methods: We report the results of a study of current clinical practice involving patients receiving outpatient care for chronic long-term conditions.
Results: Healthcare workers do not take their opportunities to discuss work participation with their patients.
Conclusion: Work participation needs more emphasis by healthcare commissioners and providers. The optimal way to achieve this would be for work participation to become a health outcome. Prioritisation of work would lead to important improvements in the health of individuals and societies.