Kuhnen Ann E, Burch Steven P, Shenolikar Rahul A, Joy Karen A
Employee Health and Performance, GlaxoSmithKline, Philadelphia, PA 19102, USA.
J Occup Environ Med. 2009 Sep;51(9):1041-8. doi: 10.1097/JOM.0b013e3181b32071.
To assess the relationship between self-assessed employee health risk status and future workers' compensation (WC) and short-term disability (STD) claims.
A historical cohort study linking Health Risk Assessment (HRA) survey data with subsequent WC and STD claims. HRA participants who developed a WC or STD claim in the subsequent 12 months were identified as cases and compared with HRA participants who did not develop a claim in the subsequent 12 months.
High-risk participants had higher odds of filing a WC claim, when compared with low-risk participants (OR: 2.99, 95% CI: 1.22 to 7.32) despite adjustment for demographic factors including job type. Medium-risk participants had 1.5 times higher odds, when compared with low-risk participants to file for STD (OR: 1.45, 95% CI: 1.15 to 1.82). Other relationships trended similarly but did not reach statistical significance.
Self-assessed personal health risk does impact future lost productivity in WC and STD claims even after adjustment for demographic, health factors, and job type (WC only). Employers wishing to reduce the impact of lost productivity should consider a worker's personal health risks as predictors of future lost productivity and may want to address this in broad risk reduction programs.
评估员工自我评估的健康风险状况与未来工伤赔偿（WC）及短期残疾（STD）索赔之间的关系。
一项历史性队列研究，将健康风险评估（HRA）调查数据与后续的WC和STD索赔相联系。在随后12个月内提出WC或STD索赔的HRA参与者被确定为病例，并与在随后12个月内未提出索赔的HRA参与者进行比较。
与低风险参与者相比，高风险参与者提出WC索赔的几率更高（比值比：2.99，95%置信区间：1.22至7.32），尽管对包括工作类型在内的人口统计学因素进行了调整。与低风险参与者相比，中等风险参与者提出STD索赔的几率高出1.5倍（比值比：1.45，95%置信区间：1.15至1.82）。其他关系也呈现类似趋势，但未达到统计学显著性。
即使在对人口统计学、健康因素和工作类型（仅针对WC）进行调整后，自我评估的个人健康风险确实会影响未来WC和STD索赔中的生产力损失。希望降低生产力损失影响的雇主应将工人的个人健康风险视为未来生产力损失的预测指标，并可能希望在广泛的风险降低计划中加以解决。
