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Implementing a pilot work injury management program in Hong Kong.

Hon-Sun Lai¹, Chetwyn C H Chan

¹Total Rehabilitation Management (Hong Kong) Limited, Hong Kong, China.

Journal of Occupational Rehabilitation

|October 31, 2007

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Implementing a pilot case management system for work injuries in Hong Kong significantly reduced sick leave and compensation costs. While return-to-work rates were similar, case management proved more effective overall for injured workers.

Area of Science:

Occupational Health
Rehabilitation Medicine
Public Health Policy

Background:

A pilot case management system was implemented for work injuries in Hong Kong.
This system involved a dedicated case manager for each injured worker, acting as assessor, referral agent, counselor, work-site liaison, and return-to-work (RTW) expert.

Purpose of the Study:

To evaluate the effectiveness of a case management approach for work injuries in Hong Kong.
To compare return-to-work and workers' compensation outcomes between case management and conventional rehabilitation groups.

Main Methods:

A quasi-experimental study design was employed.
The study compared injured workers in a cleaning company, with 296 in the case management group and 137 in the conventional rehabilitation group.

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Outcomes were assessed at a 6-month follow-up.

Main Results:

Return-to-work rates were high in both groups (97.0% for case management, 94.2% for conventional).
The case management group showed significantly fewer sick leave days (27.5 vs. 41.6) and lower compensation costs (HK$7,212.2 vs. $20,617.3).
Workers aged 41-50 benefited most from case management, experiencing shorter sick leave and lower costs. Work status was maintained by the majority (over 95%) at 6 months in both groups.

Conclusions:

The case management approach demonstrated greater overall effectiveness within the Hong Kong workers' compensation system.
Challenges remain in integrating this approach into a system primarily focused on compensation and medical interventions.