Badii Maziar, Keen Dave, Yu Shicheng, Yassi Annalee
Occupational Health and Safety Agency for Healthcare (OHSAH), Department of Medicine, University of British Columbia, 301-1195 West Broadway, Vancouver, British Columbia, Canada.
J Occup Environ Med. 2006 Nov;48(11):1159-65. doi: 10.1097/01.jom.0000243416.18334.c8.
The objective of this study was to investigate the effectiveness of an integrated workplace-based program to reduce musculoskeletal injuries (MSIs) and the impact of those injuries in healthcare workers.
A pre-/postintervention with concurrent control study design was applied-3 years of data before the program with 1 year of data during the program.
Time-loss (TL) MSIs increased at the intervention site during the intervention year. However, the program returned injured employees back to work in a shorter time and, compared with average historical data, reduced compensation costs and healthcare costs associated with TL MSIs during the first year.
The findings that MSI-associated TL and compensation costs were significantly lower during the program illustrates the effectiveness of this program and demonstrates that increased reporting of MSIs need not be associated with increased claims costs.
本研究的目的是调查一项基于工作场所的综合计划在减少医护人员肌肉骨骼损伤（MSIs）方面的有效性以及这些损伤的影响。
采用干预前/后与同期对照研究设计——计划实施前3年的数据和计划实施期间1年的数据。
在干预年期间，干预地点的误工（TL）性MSIs有所增加。然而，该计划使受伤员工在更短时间内重返工作岗位，并且与平均历史数据相比，在第一年降低了与误工性MSIs相关的赔偿成本和医疗成本。
该计划期间与MSI相关的误工和赔偿成本显著降低这一发现说明了该计划的有效性，并表明MSIs报告的增加不一定与索赔成本的增加相关。
