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The role of health-care providers in the workers' compensation system and the return-to-work process
International research has generated strong evidence that health-care providers have a key role in the return-to-work (RTW) process. However, pressure on consultation time, administrative challenges and limited knowledge about a patient's workplace can thwart meaningful engagement. This multi-jurisdictional, two-year study focused on health-care providers' experiences within the workers' compensation system and their role in the RTW process. Source: http://www.iwh.on.ca/system/files/documents/role_of_health-care_providers_in_return_to_work_final_report_2016.pdf
Costs and Work Loss Burden of Diagnosed Opioid Abuse Among Employees on Workers Compensation or Short-term Disability
Objective: To compare 12-month healthcare costs between employees with versus without diagnosed opioid abuse within 12 months after an injury-related workers' compensation (WC) or short-term disability (STD) claim. Methods: Retrospective study using 2003 to 2014 US insurance claims linked to administrative data on WC/STD claims. Multivariable models compared healthcare costs between employees with versus without diagnosed opioid abuse. Results: Study included 107,975 opioid-treated employees with an injury-related WC or STD claim. Mean number of opioid prescription fills and adjusted total...
Organizational justice and disability pension from all-causes, depression and musculoskeletal diseases
A Finnish cohort study of public sector employees Work-related psychosocial factors that are measured once may not provide an accurate estimate of long-term exposure. Thus, we used repeated measures of organizational justice to evaluate its association with disability pension in a cohort of 24 895 Finnish public sector employees. High organizational justice was associated with lower risk of disability pension due to depression and musculoskeletal diseases. Source: Juvani A, Oksanen T, Virtanen M, Elovainio M, Salo P, Pentti J, Kivimäki M, Vahtera J. Scand J Work Environ Health , 2016. http...
Research review on rehabilitation and return to work
This review is part of a project of the European Agency for Safety and Health at Work (EU-OSHA), initiated by the European Parliament, on the safety and health of older workers. The objective of the review is to provide an up-to-date summary of knowledge regarding vocational rehabilitation and return-to-work systems, programmes and interventions and their different components. Source: https://osha.europa.eu/sites/default/files/publications/documents/Research%20review%20on%20rehabilitation%20and%20return%20to%20work.pdf
Relationship Between Opioid Prescribing Patterns and Claim Duration and Cost
Objective: The aim of this study was to assess the relationship between timing and duration of opioid prescriptions, disability duration, and claims costs for work-related injuries. Method: A retrospective cohort study using lost time compensation claimant data to examine the relationship between opioid prescription patterns and claim duration and cost. Logistic regression adjusted for sex, marital status, initial reserve, attorney involvement, and spinal surgeries. Results: Odds ratios for claim cost at least $100,000 and duration at least 3 years were not statistically different between groups...
Rehabilitation and return to work
An analysis of EU and Member State systems and programmes Against the backdrop of the ageing workforce, this report gives an overview of the approaches taken to rehabilitation and return to work throughout Europe. It analyses the factors that influence whether rehabilitation and return-to-work systems are developed and implemented in countries, and it goes on to identify particular success factors of these systems in Europe. It concludes by discussing the policy-relevant findings, and identifying areas where additional research is required to bridge the current knowledge gaps. Source: https://osha...
Lag Times in Reporting Injuries, Receiving Medical Care, and Missing Work
Associations With the Length of Work Disability in Occupational Back Injuries Objective: The aim of this study is to examine the associations between lag times following occupational low back injury and the length of work disability. Methods: In a retrospective cohort study using workers' compensation claims, random effects Tobit models were used to explore how disability length relates to three lag times: the number of days from the date of injury to reporting the injury, the number of days from the date of injury to medical care, and the number of days from the date of injury to initiating...
Length of Disability and Medical Costs in Low Back Pain
Do State Workers' Compensation Policies Make a Difference? Objective: The aim of the study was to examine the impact of state workers' compensation (WC) policies regarding wage replacement and medical benefits on medical costs and length of disability (LOD) in workers with low back pain (LBP). Methods: Retrospective cohort analysis of LBP claims from 49 states (n?=?59,360) filed between 2002 and 2008, extracted from a large WC administrative database. Results: Longer retroactive periods and state WC laws allowing treating provider choice were associated with higher medical costs and longer...
Multidisciplinary biopsychosocial rehabilitation for chronic low back pain
Low back pain (LBP) is responsible for considerable personal suffering worldwide. Those with persistent disabling symptoms also contribute to substantial costs to society via healthcare expenditure and reduced work productivity. While there are many treatment options, none are universally endorsed. The idea that chronic LBP is a condition best understood with reference to an interaction of physical, psychological and social influences, the 'biopsychosocial model', has received increasing acceptance. This has led to the development of multidisciplinary biopsychosocial rehabilitation (MBR...
Assessing work ability
A cross-sectional study of interrater agreement between disability claimants, treating physicians, and medical experts Objectives It is unclear to what extent assessments of work ability differ between disability claimants, their treating physicians, and multidisciplinary medical expert teams. Methods We compared assessments of work ability for consecutive disability claimants referred to a multidisciplinary assessment center in Switzerland over a 4-year period. Assessments were made for the last job (LJ) prior to claiming a disability benefit and an alternative job (AJ) thought to suit the claimant's...
Healing or harming? Healthcare provider interactions with injured workers and insurers in workers' compensation systems
Introduction Healthcare providers (HCPs) are influential in the injured worker's recovery process and fulfil many roles in the delivery of health services. Interactions between HCPs and insurers can also affect injured workers' engagement in rehabilitation and subsequently their recovery and return to work. Consideration of the injured workers' perceptions and experiences as consumers of medical and compensation services can provide vital information about the quality, efficacy and impact of such systems. The aim of this systematic review was to identify and synthesize published qualitative...
Disability Employment Services in Australia: A Brief Primer
This review aims to highlight how the chronic condition self-management support (CCSMS) field might inform and enhance the skills of the disability employment services (DES) workforce, particularly in its interactions with clients with complex disability needs. The approach we have taken involves a consideration of current education and training, recruitment of staff into DES and issues of concern arising from these processes. The main findings of our review are that the current DES workforce may not have the required skills to fully meet the needs of the populations they serve given the growing...
Current situation and issue of industrial accident compensation insurance
Industrial Accident Compensation Insurance (IACI) has a history of about 50 yr, and is the oldest social insurance system in Korea. After more than 20 times of revision improvements in benefits, its contents and claim systems have been upgraded. It became the protector of injured workers and their families, and at the same time became the system which could cope with both financial burden of employers and their responsibilities. However, there are some issues to be reformed to upgrade the IACI: 1) the problems in the approval system of occupational diseases, 2) quality improvement of workers'...
Reexamining workers' compensation: A human rights perspective
Boden, Leslie I. (2012). Reexamining workers' compensation: A human rights perspective. American Journal of Industrial Medicine 55 (6): 483-486 Injured workers, particularly those with more severe injuries, have long experienced workers' compensation systems as stressful and demeaning, have found it difficult to obtain benefits, and, when able to obtain benefits, have found them inadequate. Moreover, the last two decades have seen a substantial erosion of the protections offered by workers' compensation. State after state has erected additional barriers to benefit receipt, making the...
Medical Interpretation for Immigrant Workers
Forst, Linda et coll. (2012). Medical Interpretation for Immigrant Workers. New Solutions: A Journal of Environment and Occupational Health Policy , 22(1): 37-50. Foreign-born workers have high rates of occupational mortality and morbidity, despite downward trends for the U.S. workforce overall. They have limited access to health care services. Medical interpreters (MIs) facilitate care of acutely injured, low-English-proficiency (LEP) patients, including those sustaining occupational injuries. Our goal was to assess the potential for MIs to serve as advocates of LEP patients injured at work and...
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