Insurance Work and Health Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; and Centre for Research Excellence in Recovery Following Road Traffic Injuries, Monash University, Melbourne, Australia (Dr Gray, Dr Collie).
J Occup Environ Med. 2020 Nov;62(11):e630-e635. doi: 10.1097/JOM.0000000000002022.
To determine: 1) different return to work (RTW) pathways among road traffic crash (RTC) survivors; 2) RTW differences between RTC and workers' compensation schemes, and; 3) factors associated with relapse and attempting graduated RTW.
Administrative income support data from RTC survivors with compensated work absence in Victoria, Australia were arranged as daily income payments, pattern recognition determined RTW pathways. Multivariable logistic regression showed odds of relapse or attempting graduated RTW by covariate.
Most had successful RTWs without relapse (66.7% full, 7.2% graduated), 22% relapsed at least once, and 17% attempted gradual RTW. Sex, injury type, length of hospital stay, road user group, and compensation scheme were associated with relapse and graduated RTW attempt likelihood.
Results help identify people likely to benefit from RTW interventions, such as programs that incentivise graduated RTW.
确定：1）道路交通碰撞（RTC）幸存者的不同重返工作岗位（RTW）途径；2）RTC 与工人赔偿计划之间的 RTW 差异；3）与复发和尝试渐进式 RTW 相关的因素。
从澳大利亚维多利亚州因工作缺勤而获得赔偿的 RTC 幸存者的行政收入支持数据被安排为每日收入支付，模式识别确定了 RTW 途径。多变量逻辑回归显示了协变量的复发或尝试渐进式 RTW 的可能性。
大多数人成功地重返工作岗位而没有复发（66.7%完全，7.2%渐进），22%至少复发过一次，17%尝试逐渐重返工作岗位。性别、受伤类型、住院时间、道路使用者群体和赔偿计划与复发和尝试渐进式 RTW 可能性相关。
研究结果有助于确定可能从 RTW 干预中受益的人群，例如奖励渐进式 RTW 的计划。
