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Return to work: A comparison of psychological and physical injury claims
The report examines the similarities and differences between psychological and physical claims. Two main areas are considered: RTW by potential influencing factors, and employees responses and experiences. Source: https://www.safeworkaustralia.gov.au/doc/return-work-comparison-psychological-and-physical-injury-claims
Legislative change enabling use of early part-time sick leave enhanced return to work and work participation in Finland
Part-time sick leave is used in many countries to enhance return to work, however its effectiveness – especially at the early stage of work disability – is not known. This quasi-experiment utilizing propensity score matching shows that part-time sick leave, started during the first 12 weeks of work disability, enhances return to work and increases work participation over a 2-year period. Source: Viikari-Juntura E, Virta LJ, Kausto J, Autti-Rämö I, Martimo K-P, Laaksonen M, Leinonen T, Husgafvel-Pursiainen K, Burdorf A, Solovieva S. (2017). Scand J Work Environ Health . 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
Effects of graded return-to-work
A propensity-score-matched analysis Objectives: Graded work exposure is deemed to have a therapeutic effect. In Germany, graded return-to-work (GRTW) is therefore frequently used following a rehabilitation program if workers are still unable to perform full job duties. The aim of the analyses was to determine long-term effects on disability pension and regular employment. Methods: Analyses were performed with longitudinal administrative data. Patients aged 18–60 years who attended an orthopedic, cardiac, oncological, or psychosomatic rehabilitation between January and June 2007 were eligible...
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...
Is Early Prescribing of Opioid and Psychotropic Medications Associated With Delayed Return to Work and Increased Final Workers’ Compensation Cost?
Objective: To explore the association between the initial 60 days of prescriptions for psychotropic medications and final workers' compensation claim outcomes. Methods: A cohort of 11,394 claimants involved in lost time injuries between 1999 and 2002 were followed through December 31, 2009. Logistic regressions and Cox Proportional Hazard Models were used in the analysis. Results: The initial 60 days of prescriptions for psychotropic medications were significantly associated with a final claim cost at least $100,000. Odds ratios were 1.88 for short-acting opioids, 2.14 for hypnotics, antianxiety...
Leaving Some Behind: What Happens When Workers Get Sick
In a given year, six percent of Canadian workers will experience a personal health issue that will require them to adjust their work status. This can include being away from work for an extended period of time, changing from full- to part-time work, or leaving the labour market entirely. Interrupting work is costly for everyone. In 2010, Canadian governments and insurance carriers provided $29 billion in direct income support to individuals dealing with a personal illness or disability. The loss of productivity to employers, the demand for care and the decline in consumption among households when...
Quel est l’impact du système d’indemnisation maladie sur la durée des arrêts de travail pour maladie ?
En France, les indemnités journalières versées à un salarié en cas d'absence au travail pour maladie sont fi nancées par un système à trois étages. Le premier étage est constitué des indemnités journalières versées par l'Assurance maladie. Le deuxième étage dépend des dispositions de la convention collective dont le salarié relève. Le troisième étage, facultatif pour les employeurs, est négocié au niveau de chaque entreprise, et...
Development and validation of a clinical prediction rule of the return-to-work status of injured employees in Minnesota
PURPOSE: Vocational rehabilitation services can be a valuable resource to injured employees at risk for sustaining permanent disability. The aim of this study was to develop and validate a predictive model of return-to-work (RTW) status at workers' compensation claim closure that may assist rehabilitation counselors tasked with determining how to allocate such services. METHODS: A cross-sectional, retrospective study was conducted using data obtained from 15,372 workers' compensation claims in Minnesota's administrative claims database. The association between a set of 15 predictor...
After the storm: the social relations of return to work following electrical injury
In this study, we explored the experiences of 13 individuals who had suffered an electrical injury at work and had subsequently returned to work. In this article, we report on the social, institutional, and relational elements that workers perceived to influence return to work experiences and the provision of workplace accommodations. These elements included (a) worker resources, (b) job characteristics, (c) workplace setting, (d) injury elements, (e) workers' compensation context, and (f) supports and advocacy provided. We conclude that the availability and provision of supportive accommodations...
Work-injury absence and compensation among partnered and lone mothers and fathers
Background: The purpose of this study is to examine the risk of a work-injury absence and the likelihood of receiving compensation among partnered and lone mothers and fathers. Methods: This study utilized data from an annual survey of Canadian residents. Logistic regression models examined the association between family status and the receipt of workers' compensation, and absences due to work-related injury or illnesses of 7 or more days. Results: Being a lone mother was significantly associated with the risk of work-injury absence. Gender differences were observed for workers' compensation...
Prognostic Factors for Return to Work, Sickness Benefits, and Transitions Between These States
A 4-year Follow-up After Work-Related Rehabilitation Purpose The aim of this study was to examine if age, gender, medical diagnosis, occupation, and previous sick leave predicted different probabilities for being at work and for registered sickness benefits, and differences in the transitions between any of these states, for individuals that had participated in an interdisciplinary work-related rehabilitation program. Methods 584 individuals on long-term sickness benefits (mean 9.3 months, SD = 3.4) were followed with official register data over a 4-year period after a rehabilitation program. 66...
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...
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