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一项关于让受伤工人重返工作岗位的工作协调员的影响的前瞻性队列研究。

A Prospective Cohort Study of the Impact of Return-to-Work Coordinators in Getting Injured Workers Back on the Job.

机构信息

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.

Institute for Safety, Compensation and Recovery Research, Monash University, Melbourne, VIC, Australia.

出版信息

J Occup Rehabil. 2018 Jun;28(2):298-306. doi: 10.1007/s10926-017-9719-9.

Abstract

Purpose To assess the impact of workplace-based return-to-work (RTW) Coordinators' interpersonal and functional activities on RTW outcomes. Methods Multivariable logistic regression analyses of cross-sectional and longitudinal survey responses of 632 injured workers with at least 10 days of work absence in Victoria, Australia, adjusting for demographic and other workplace factors. Outcome was being back at work for at least 1 month, measured at both baseline and 6 month follow-up survey. Participant responses to stressfulness of Coordinator interactions were dichotomised into good and poor and evaluated as a proxy for Coordinators' interpersonal activities, while having a RTW plan was evaluated as a proxy for functional activities. Results At baseline, RTW plans doubled the odds of RTW (OR 2.02; 95% CI 1.40-2.90) and attenuated the impact of good Coordinator interactions (1.14; 0.77-1.70). At 6-month follow-up, the opposite was observed: good interactions nearly doubled odds of RTW (1.90; 1.22-2.95) while RTW plans were non-significant (1.02; 0.68-1.54). Conclusions Differences between when the two Coordinator activities were effective may be due to the nature of claimants who RTW in each survey period. Length of shorter-duration claims are influenced by injury related factors, while psychosocial factors tend to be more important for longer-duration claims. Such factors may determine whether a claimant is more likely to respond to Coordinators' functional or interpersonal activities. The findings have important implications for increasing Coordinator effectiveness.

摘要

目的

评估工作场所重返工作(RTW)协调员的人际关系和职能活动对 RTW 结果的影响。

方法

对澳大利亚维多利亚州至少有 10 天缺勤的 632 名受伤工人的横断面和纵向调查应答进行多变量逻辑回归分析,调整了人口统计学和其他工作场所因素。结果是至少有 1 个月回到工作岗位,在基线和 6 个月随访调查中进行测量。参与者对协调员互动的压力程度的反应被分为好和差,并作为协调员人际关系活动的代理进行评估,而制定 RTW 计划则作为职能活动的代理进行评估。

结果

在基线时,RTW 计划使 RTW 的可能性增加了一倍(OR 2.02;95%CI 1.40-2.90),并减弱了良好协调员互动的影响(1.14;0.77-1.70)。在 6 个月的随访中,观察到相反的情况:良好的互动几乎使 RTW 的可能性增加了一倍(1.90;1.22-2.95),而 RTW 计划则不显著(1.02;0.68-1.54)。

结论

两种协调员活动何时有效的差异可能是由于每个调查期间 RTW 的索赔人的性质所致。较短持续时间的索赔受与伤害相关的因素影响,而心理社会因素往往对较长持续时间的索赔更为重要。这些因素可能决定索赔人更有可能对协调员的职能或人际关系活动做出反应。这些发现对提高协调员的效率具有重要意义。

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