对新加坡一家公立医院受伤工人的重返工作协调计划的评估
Zhenzhen Chen1, Siok Kee Pow1, Li Xin Ong1
1Occupational Therapy Section, Department of Rehabilitation, National University Hospital, Singapore.
Annals of the Academy of Medicine, Singapore
|June 21, 2024
概括
基于医院的返回工作计划 (RTW) 显著加快受伤工人的康复. 早期转诊和个性化病例管理是成功恢复工作成果的关键.
科学领域:
- 职业健康 职业健康 职业健康
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 职场伤害对员工福祉和经济生产力构成重大挑战.
- 有效的返回工作 (RTW) 计划对于最大限度地减少残疾持续时间和促进员工重新融入工作至关重要.
- 在RTW计划中的个性化案例管理可能会改善受伤工人的结果.
研究的目的:
- 评估基于医院的返回工作 (RTW) 计划的有效性,利用个性化病例管理.
- 确定影响RTW计划成功的因素,并检查相关的学率.
主要方法:
- 一个准实验性设计,比较RTW干预组 (n=108) 与接受常规治疗的对照组 (n=81).
- 分析的重点是RTW的时间和与学相关的因素.
- 用分层分析和多变量逻辑回归来控制潜在的选择偏差.
主要成果:
- 干预组平均比对照组早59.5天返回工作.
- 84%的干预组在6个月内实现了RTW,而对照组的这一比例为63% (P<0.01).
- 该计划证明了特定的人口统计和行业的改善结果,较低的工作能力得分 (WAS) 和延迟的初始评估与延迟的RTW有关.
结论:
- 在RTW协调护理模式是有效的,以促进及时返回工作.
- 早期的项目推是RTW成功的重要促进因素.
- 工作能力评分 (WAS) 作为一种有价值的选工具,用于识别有延迟RTW风险的个人.
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