Background: Australian workers' compensation data reports a reduction in injury rates and claim incidence but no improvement in Return to Work (RTW) rates.
Objective: To identify factors associated with a positive RTW outcome and describe those referred to Workplace Rehabilitation Providers (WRPs) in the New South Wales (NSW) Australian workers' compensation scheme.
Methods: A retrospective review of 65,762 de-identified WRP case records over a 5 year period. 9,262 cases specifically referred for RTW assistance were analysed to identify factors associated with a positive RTW outcome
Results: Overall 47% of those referred for RTW services were able to upgrade their work status whilst 30% maintained their Stay at Work or pre-referral work status. The significant independent predictors associated with a positive RTW outcome were a shorter duration of disability (p< 0.001) (0R, 0.971; 95% CI, 0.964-0.977) and a higher socio economic index score (p=0.002) (OR, 1.131; 95% CI, 1.045-1.223).
Conclusions: The study suggests that WRPs are seeing an increased focus on management of workers with increasing disability, with socio-economic disadvantage, increasing age, from blue collar backgrounds. The duration of disability is a significant determinant in achieving positive RTW outcomes suggesting that injured workers should be referred earlier for RTW services.
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http://dx.doi.org/10.3233/WOR-131608 | DOI Listing |
BMC Health Serv Res
January 2025
University of Eastern Finland, School of Medicine, Institute of Public Health and Clinical Nutrition, Yliopistonranta 1, Kuopio, 70210, Finland.
Background: Mental disorders are a major public health challenge, and their prevalence is globally increasing. They substantially affect work ability, quality of life, and the number of years of disability. A new model for referring psychiatric patients to occupational health services (OHS) aims to improve the continuity of care and to promote the early return to work (RTW) of workers with diagnosed mental health conditions.
View Article and Find Full Text PDFBMC Cancer
January 2025
Medical Sociology Unit, Hannover Medical School, Hannover, Germany.
Background: Evidence suggests a deterioration of health-related quality of life (HRQL) after breast cancer diagnosis and therapy. This study examines sociodemographic and health-related factors that could be associated with the HRQL of working women with breast cancer during the first five years after primary surgery. Second, it explores potential vulnerable groups with respect to HRQL using decision tree analyses.
View Article and Find Full Text PDFJ Occup Rehabil
November 2024
Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.
Purpose: By considering work-related aspects during early intervention and treatment of employees with (subclinical) symptoms of common mental disorders, psychotherapeutic consultation at work (PT-W) aims to increase work-specific self-efficacy (SE) to finally reduce sickness absence and contribute to successful return to work. This study, thus, aims to investigate interrelations between working conditions and work-specific SE among employees before receiving PT-W.
Methods: The study uses baseline data of a randomized controlled trial testing the efficacy of PT-W in Germany (n = 535).
Qual Life Res
December 2024
São João de Deus School of Nursing, University of Évora, Évora, Portugal.
Top Stroke Rehabil
October 2024
Centre for Rehabilitation & Ageing Research (CRAR), Injury, Recovery Sciences, and Inflammation (IRIS), School of Medicine, University of Nottingham, Nottingham, UK.
Background: Employers are key in supporting stroke survivors to return to work (RTW) but do not always have knowledge/skills or guidance to do so.
Objectives: To explore employers' needs for provision of post-stroke RTW support.
Methods: Mixed-methods study.
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