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Working Health Services Scotland: a 4-year evaluation.
E Demou1,2, M Hanson3, A Bakhshi2
1MRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Occupational Medicine (Oxford, England)
|February 2, 2018
Summary
Working Health Service Scotland (WHSS) improved employee health and return-to-work rates. This program positively impacted general health, sustained over six months, offering economic benefits for employees and employers.
Area of Science:
- Occupational Health
- Public Health
- Health Services Research
Background:
- Working Health Service Scotland (WHSS) provides support for self-employed individuals and employees in small and medium-sized enterprises (SMEs) in Scotland.
- The service assists those with health conditions impacting their work ability, including those currently absent or at risk of absence.
Purpose of the Study:
- To evaluate the impact of WHSS on the health and work outcomes of its clients over a four-year period.
- To assess the effectiveness of the program in facilitating return-to-work and improving overall well-being.
Main Methods:
- Data collection occurred at enrollment, entry, discharge, and 3- and 6-month follow-ups.
- Validated health questionnaires (EuroQol, VAS, HADS, COPM) were administered at entry and discharge.
- Analysis included 11,748 eligible clients referred over four years.
Main Results:
- A significant majority of referrals (84%) were for musculoskeletal conditions, with 12% for mental health conditions.
- 18% of clients absent at entry returned to work by discharge.
- All health measures improved significantly from entry to discharge, with general health improvements sustained at follow-up.
Conclusions:
- Participation in WHSS is associated with positive changes in client health and return-to-work status.
- The observed improvements in health and work ability have significant potential economic value for both employees and employers.
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