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A Stakeholder-Based System Dynamics Model of Return-to-Work: A Research Protocol.

Arif Jetha1, Glenn Pransky2, Jon Fish2

  • 1Liberty Mutual Research Institute for Safety , Hopkinton, MA, USA ; Department of Work Environment, University of Massachusetts , Lowell, MA, USA.

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Summary

Returning to work after injury is complex. System dynamics modeling (SDM) offers a new tool to understand and improve return-to-work (RTW) processes by analyzing feedback between influential components.

Keywords:
System dynamics modelling methodologycomplexityreturn-to-worksociotechnical systems thinkingwork disability

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Area of Science:

  • Occupational health and safety
  • Systems science
  • Public health

Background:

  • Return-to-work (RTW) after injury or illness is a complex process influenced by personal, psychosocial, and organizational factors.
  • System dynamics modeling (SDM) provides a sociotechnical systems perspective to analyze RTW as a system with interconnected feedback relationships.

Purpose of the Study:

  • To develop a System Dynamics Model (SDM) for the return-to-work (RTW) process.
  • To create a simulation tool for understanding complex RTW cases and evaluating disability management policies.

Main Methods:

  • A mixed-method approach including key informant interviews and stakeholder-based models from two manufacturing companies.
  • Interviews and focus groups with management, frontline workers, and supervisors to identify influential components.
  • Utilizing Vensim software for model visualization and simulation, followed by preliminary validity testing.

Main Results:

  • The study will generate an SDM of the RTW process, mapping feedback relationships between key components.
  • The developed model will serve as a simulation tool to analyze system behavior in complex RTW scenarios.
  • Preliminary validity testing will offer insights into the model's generalizability and sensitivity.

Conclusions:

  • The proposed SDM offers a novel approach to understanding the multifaceted nature of return-to-work.
  • This simulation tool can aid in examining the potential consequences of disability management policies.
  • Improving RTW outcomes has significant public health benefits, including enhanced individual well-being and reduced societal costs.