Reeuwijk Kerstin G, Robroek Suzan J W, Hakkaart Leona, Burdorf Alex
Department of Public Health, Erasmus Medical Center, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.
J Occup Rehabil. 2014 Dec;24(4):631-9. doi: 10.1007/s10926-013-9492-3.
The aim of this study was to explore how work impairments and work ability are associated with health care use by workers with musculoskeletal disorders (MSD), cardiovascular disorders (CVD), or mental disorders (MD).
In this cross-sectional study, subjects with MSD (n = 2,074), CVD (n = 714), and MD (n = 443) were selected among health care workers in 12 Dutch organizations. Using an online questionnaire, data were collected on individual characteristics, health behaviors, work impairments, work ability, and consultation of a general practitioner (GP), physiotherapist, specialist, or psychologist in the past year. Univariate and multivariate logistic regression analyses were performed to explore the associations of work impairments and work ability with health care use.
Lower work ability was associated with a higher likelihood of consulting any health care provider among workers with common disorders (OR 1.05-1.45). Among workers with MSD work impairments increased the likelihood of consulting a GP (OR 1.55), specialist (OR 2.05), and physical therapist (OR 1.98). Among workers with CVD work impairments increased the likelihood of consulting a specialist (OR 1.94) and physical therapist (OR 2.73). Among workers with MD work impairments increased the likelihood of consulting a specialist (OR 1.79) and psychologist (OR 1.82).
Work impairments and reduced work ability were associated with health care use among workers with MSD, CVD, or MD. These findings suggest that addressing work-related problems in workers with common disorders may contribute in reducing health care needs.
本研究旨在探讨患有肌肉骨骼疾病（MSD）、心血管疾病（CVD）或精神疾病（MD）的工人的工作障碍和工作能力如何与医疗保健利用相关联。
在这项横断面研究中，从荷兰12个组织的医护人员中选取了患有MSD（n = 2074）、CVD（n = 714）和MD（n = 443）的受试者。使用在线问卷收集了有关个人特征、健康行为、工作障碍、工作能力以及过去一年中咨询全科医生（GP）、物理治疗师、专科医生或心理学家的数据。进行单变量和多变量逻辑回归分析以探讨工作障碍和工作能力与医疗保健利用之间的关联。
工作能力较低与患有常见疾病的工人咨询任何医疗保健提供者的可能性较高相关（OR 1.05 - 1.45）。在患有MSD的工人中，工作障碍增加了咨询全科医生（OR 1.55）、专科医生（OR 2.05）和物理治疗师（OR 1.98）的可能性。在患有CVD的工人中，工作障碍增加了咨询专科医生（OR 1.94）和物理治疗师（OR 2.73）的可能性。在患有MD的工人中，工作障碍增加了咨询专科医生（OR 1.79）和心理学家（OR 1.82）的可能性。
工作障碍和工作能力下降与患有MSD、CVD或MD的工人的医疗保健利用相关。这些发现表明，解决患有常见疾病的工人的工作相关问题可能有助于减少医疗保健需求。
