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Research review on rehabilitation and return to work
This review is part of a project of the European Agency for Safety and Health at Work (EU-OSHA), initiated by the European Parliament, on the safety and health of older workers. The objective of the review is to provide an up-to-date summary of knowledge regarding vocational rehabilitation and return-to-work systems, programmes and interventions and their different components. Source: https://osha.europa.eu/sites/default/files/publications/documents/Research%20review%20on%20rehabilitation%20and%20return%20to%20work.pdf
Rehabilitation and return to work
An analysis of EU and Member State systems and programmes Against the backdrop of the ageing workforce, this report gives an overview of the approaches taken to rehabilitation and return to work throughout Europe. It analyses the factors that influence whether rehabilitation and return-to-work systems are developed and implemented in countries, and it goes on to identify particular success factors of these systems in Europe. It concludes by discussing the policy-relevant findings, and identifying areas where additional research is required to bridge the current knowledge gaps. Source: https://osha...
Lag Times in Reporting Injuries, Receiving Medical Care, and Missing Work
Associations With the Length of Work Disability in Occupational Back Injuries Objective: The aim of this study is to examine the associations between lag times following occupational low back injury and the length of work disability. Methods: In a retrospective cohort study using workers' compensation claims, random effects Tobit models were used to explore how disability length relates to three lag times: the number of days from the date of injury to reporting the injury, the number of days from the date of injury to medical care, and the number of days from the date of injury to initiating...
Length of Disability and Medical Costs in Low Back Pain
Do State Workers' Compensation Policies Make a Difference? Objective: The aim of the study was to examine the impact of state workers' compensation (WC) policies regarding wage replacement and medical benefits on medical costs and length of disability (LOD) in workers with low back pain (LBP). Methods: Retrospective cohort analysis of LBP claims from 49 states (n?=?59,360) filed between 2002 and 2008, extracted from a large WC administrative database. Results: Longer retroactive periods and state WC laws allowing treating provider choice were associated with higher medical costs and longer...
Healing or harming? Healthcare provider interactions with injured workers and insurers in workers' compensation systems
Introduction Healthcare providers (HCPs) are influential in the injured worker's recovery process and fulfil many roles in the delivery of health services. Interactions between HCPs and insurers can also affect injured workers' engagement in rehabilitation and subsequently their recovery and return to work. Consideration of the injured workers' perceptions and experiences as consumers of medical and compensation services can provide vital information about the quality, efficacy and impact of such systems. The aim of this systematic review was to identify and synthesize published qualitative...
Current situation and issue of industrial accident compensation insurance
Industrial Accident Compensation Insurance (IACI) has a history of about 50 yr, and is the oldest social insurance system in Korea. After more than 20 times of revision improvements in benefits, its contents and claim systems have been upgraded. It became the protector of injured workers and their families, and at the same time became the system which could cope with both financial burden of employers and their responsibilities. However, there are some issues to be reformed to upgrade the IACI: 1) the problems in the approval system of occupational diseases, 2) quality improvement of workers'...
Return to work and productive activities following a spinal cord injury
The role of income and insurance Study design:We analyzed longitudinal data on secondary outcomes from participants in a telerehabilitation study.Objectives:To examine the factors affecting return to productive activities and employment and the time to these events following a spinal cord injury (SCI).Setting:A large southeastern rehabilitation hospital in the United States.Methods:We used hazard regression models to analyze data from newly injured people (n=111) participating in an educational intervention post discharge who were followed for up to 2 years. Outcomes were time to return to productive...
Preserving workers' dignity in workers' compensation systems
An international perspective Background: Workers' compensation systems are among the most generous disability insurance systems in North America, although they are also known to be potentially adversarial and may have iatrogenic effects on claimants. This article examines issues to be considered to ensure fair compensation provided in a way that respects the dignity of workers. Methods: An overview of the literature on characteristics and effects of workers' compensation systems is followed by an analysis based on classic legal methods, including those of comparative law, complemented with...
The impact of the Belgian workers’ compensation system on return to work after rotator cuff surgery
We retrospectively assessed time off work after rotator cuff repair, in relation with the compensation system and the shoulder loading demand at work. The Belgian insurance system distinghuises three main financial compensation systems for time off work. Patients with a work-related accident receive the highest compensation. A second group includes employees suffering a private accident or a chronic rotator cuff tear. Self-employed workers receive the lowest compensation. Work-demand on the shoulder was graded level I to IV according to the Iannotti classification. From a series of 201 young patients...
Health professionals, advocacy and return to work: Taking up the challenge
There are many opportunities for health professionals to enhance their roles as advocates for individuals returning to work and advocates for change to policies and practices. Overall, it is important for advocates to be aware of the multiple stakeholders involved in the return to work process and to adopt a multipronged approach that considers the immediate needs of individual workers as well as the long term needs to create more inclusive and accommodating workplace environments. In addition, health care professionals are well positioned to advance the needs of disabled workers and to offer solutions...

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