Psycho-social obstacles that GPs should consider include:
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Personal beliefs and attitudes to illness and work
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Previous experience of incapacity and disability
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Resilience and coping skills
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Perceptions and expectations of work
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Motivation for remaining in work or returning to work
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The sickness and disability culture
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Financial incentives and disincentives
Organisational or occupational obstacles include:
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Labour market forces
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Reluctance of some managers to engage in early return to work
planning
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An insistence that an employee should be 100% fit before returning
to work