KITE Research Institute, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.
Institute for Work & Health, Toronto, Ontario, Canada.
J Spinal Cord Med. 2021;44(sup1):S118-S133. doi: 10.1080/10790268.2021.1955205.
Employment and Return to Work (RTW) rates following spinal cord injury/disease (SCI/D) are low due to individual and impairments characteristics, secondary health conditions, social and environmental barriers, prior work experience, workplace supports and resources, and physical or psychosocial work demands. To improve RTW, the SCI-High Project team developed a set of Employment structure, process, and outcome indicators for adults with SCI/D in the first 18 months after rehabilitation admission.
A pan-Canadian Working Group of diverse stakeholders: (1) defined the Employment construct; (2) conducted a systematic search of available outcomes measures; (3) constructed a Driver diagram summarizing factors associated with employment. Subsequent facilitated meetings allowed for the creation of structure and process indicators, and the selection of outcome indicators.
The structure indicator is the proportion of SCI/D rehabilitation programs with an employment resource center. The process indicator is the proportion of SCI/D rehabilitation inpatients who receive an employment assessment during inpatient rehabilitation. The intermediary and final outcome measures are the Readiness for Return-to-Work Scale (RRTW) and Work Productivity and Activity Impairment (WPAI). Scale A of the RRTW for those who are unemployed and Scale B of RRTW and WPAI will be used for those who are employed.
This framework of Employment indicators intends to support the RTW needs of persons with SCI/D by ensuring that rehabilitation professionals provide opportunities to explore RTW within the first 18 months after rehab admission. Increased employment rates have the potential to enhance the wellbeing, health, and longevity of individuals with SCI/D.
脊髓损伤/疾病（SCI/D）患者的就业率和重返工作岗位（RTW）率较低，原因包括个体和损伤特征、继发健康状况、社会和环境障碍、先前的工作经验、工作场所支持和资源、身体或心理社会工作需求。为了提高 RTW，SCI-High 项目团队在康复入院后的头 18 个月内为成人 SCI/D 患者制定了一套就业结构、过程和结果指标。
一个由多元化利益相关者组成的泛加 Working Group：（1）定义了就业结构；（2）对现有结果衡量标准进行了系统搜索；（3）构建了一个驾驶员图，总结了与就业相关的因素。随后的促进会议允许创建结构和过程指标，并选择结果指标。
结构指标是具有就业资源中心的 SCI/D 康复计划的比例。过程指标是在住院康复期间接受就业评估的 SCI/D 住院患者的比例。中间和最终的结果衡量标准是重返工作准备度量表（RRTW）和工作生产力和活动障碍（WPAI）。对于失业者，使用 RRTW 的量表 A，对于就业者，使用 RRTW 的量表 B 和 WPAI。
这套就业指标框架旨在通过确保康复专业人员在康复入院后的头 18 个月内提供探索 RTW 的机会，来满足 SCI/D 患者的 RTW 需求。提高就业率有可能增强 SCI/D 患者的幸福感、健康和寿命。
