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腹部外科手术,就业和生产力结果:系统性审查
Qing Xia1, Thomasina Donovan1, Jiahao Diao2
1Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
JAMA surgery
|October 1, 2025
概括
减肥手术可以提高短期的工作生产力和就业,但长期的好处是不确定的. 需要针对老年人和女性等子组提供有针对性的支持,以维持这些职业收益.
科学领域:
- 代谢和腹部手术 代谢和腹部手术
- 职业健康 职业健康 职业健康
- 卫生经济学 卫生经济学
背景情况:
- 腹部外科手术的健康益处是公认的,但它对工作生产率和就业的影响需要系统的综合.
- 了解职业成果对于减肥手术的经济评估至关重要.
研究的目的:
- 系统地分析现有证据,分析减肥手术后的职业结果.
- 综合了手术前后就业和生产率变化的数据.
主要方法:
- 在5个数据库中进行了系统的文献搜索,截至2024年4月.
- 包括来自15个国家的42项研究,比较了手术前和手术后的职业结果.
- 识别了重返工作或提高生产力的障碍和推动因素.
主要成果:
- 腹部外科手术显示,在临床现场,工作时间和就业率方面,短期有所改善.
- 长期就业率遵循了反向的U形,在手术后的5年左右恢复到基线.
- 障碍包括体重减轻不足,女性性别,年龄较大,并发症和生活质量较低.
结论:
- 腹部外科手术提供了积极的短期职业效应,但长期的可持续性是不确定的.
- 女性和老年人可能需要特殊的手术后支持,以保持就业和生产力.
- 长期战略和有针对性的干预措施对于最大化和维持职业福利至关重要.
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