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Outcome analysis of work-hardening programs

P M King1

  • 1Occupational Therapy Department, Mount Mary College, Milwaukee, Wisconsin.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|July 1, 1993
PubMed
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Work hardening programs are increasingly evaluated for outcomes. Most clients, primarily men with lumbar spine injuries, successfully returned to work after treatment, demonstrating program effectiveness.

Area of Science:

  • Rehabilitation Medicine
  • Occupational Health
  • Health Services Research

Background:

  • Healthcare payers demand accountability, driving the need for work hardening program evaluation.
  • Outcome data is crucial for demonstrating the value and efficacy of rehabilitation services.

Purpose of the Study:

  • To compile and analyze program performance data from work hardening programs.
  • To identify client demographics, diagnoses, treatments, and outcomes in work hardening.

Main Methods:

  • A retrospective study analyzing data from 22 work hardening programs in Wisconsin over 11 months.
  • Collected client data included demographics, occupation, insurance, diagnosis, services, attendance, and discharge outcomes.

Main Results:

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  • The majority of clients were men aged 26-46, often in miscellaneous occupations, with worker's compensation as the primary reimbursement.
  • Lumbar spine injuries were the most frequent condition treated, with most clients discharged within 3 weeks.
  • Over half of the clients successfully returned to their usual and customary jobs post-treatment.

Conclusions:

  • Work hardening programs demonstrate positive outcomes, with a significant majority of clients returning to work.
  • The findings support the value of work hardening programs in occupational rehabilitation and injury recovery.
  • Program evaluation and outcome data are essential for accountability in the competitive healthcare market.