Franche Renée-Louise, Severin Colette N, Hogg-Johnson Sheilah, Côté Pierre, Vidmar Marjan, Lee Hyunmi
Institute for Work & Health, University of Toronto, Toronto, Ontario, Canada.
J Occup Environ Med. 2007 Sep;49(9):960-74. doi: 10.1097/JOM.0b013e31814b2e9f.
To examine, using administrative and self-reported data, the relationship between early return-to-work (RTW) strategies and work absence duration.
Using a cohort of 632 claimants with work-related musculoskeletal injuries, Cox proportional hazard analyses were performed with RTW strategies measured 1 month after injury as predictors. Outcomes were 6-month self-reported work absence duration and time receiving wage replacement benefits from an administrative database.
Work accommodation offer and acceptance and advice from health care provider (HCP) to the workplace on re-injury prevention were significant predictors of shorter work absence duration indexed by both self-report and administrative data. Receiving an ergonomic visit was a significant predictor of shorter duration receiving benefits only.
Analyses using administrative and self-reported indices of work absence generally converged. Work accommodation and targeted HCP communication with the workplace are critical for effective early RTW interventions.
利用行政数据和自我报告数据，研究早期重返工作岗位（RTW）策略与工作缺勤时长之间的关系。
以632名与工作相关的肌肉骨骼损伤索赔者为队列，进行Cox比例风险分析，将受伤1个月后测量的RTW策略作为预测因素。结果指标为自我报告的6个月工作缺勤时长以及从行政数据库获取工资替代福利的时间。
工作调整的提供与接受，以及医疗保健提供者（HCP）就预防再次受伤向工作场所提供的建议，是自我报告数据和行政数据所索引的较短工作缺勤时长的显著预测因素。接受人体工程学检查仅是较短福利领取时长的显著预测因素。
使用行政和自我报告的工作缺勤指标进行的分析总体上是一致的。工作调整以及HCP与工作场所的针对性沟通对于有效的早期RTW干预至关重要。
