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Economic evaluations of ergonomic interventions preventing work-related musculoskeletal disorders
A systematic review of organizational-level interventions Background: Work-related musculoskeletal disorders (WMSD) represent a major public health problem and economic burden to employers, workers and health insurance systems. This systematic review had two objectives: (1) to analyze the cost-benefit results of organizational-level ergonomic workplace-based interventions aimed at preventing WMSD, (2) to explore factors related to the implementation process of these interventions (obstacles and facilitating factors) in order to identify whether economic results may be due to a successful or unsuccessful...
Implementing powered stretcher and load systems was a cost effective intervention to reduce the incidence rates of stretcher related injuries in a paramedic service
Paramedic services are considering moving towards the use of powered stretcher and load systems to reduce stretcher related injuries, but cost is perceived as a barrier. This study compared injury incidence rates, days lost, and compensation costs between Niagara Emergency Medical Service (NEMS) and Hamilton Paramedic Service (HPS) pre- (four years) and post- (one year) implementation of powered stretcher and load systems in NEMS. Prior to the intervention stretcher related musculoskeletal disorder (MSD) incidence rates averaged 20.0 (±6.8) and 17.9 (±6.4) per 100 full time equivalent...
Tarification à l’expérience, incidence des troubles musculo-squelettiques et arrêts de travail
Dans un grand nombre de pays, l'assurance des risques professionnels est financée par les entreprises qui versent des contributions modulées selon leur sinistralité passée. En France, pour une entreprise de plus de 10 salariés, plus le nombre et la gravité des accidents et maladies professionnels sont importants, plus le montant de sa contribution sera élevée. Ce mode de tarification devrait contribuer à sensibiliser les employeurs à l'intérêt de développer des démarches préventives ...
The Effectiveness of Post-Offer Pre-Placement Nerve Conduction Screening for Carpal Tunnel Syndrome
Objective: We evaluated post-offer pre-placement (POPP) nerve conduction studies (NCS) for carpal tunnel syndrome (CTS), testing diagnostic yield and cost-effectiveness. Methods: A total of 1027 newly hired workers underwent baseline NCS and were followed for an average of 3.7 years for diagnosed CTS. Measures of diagnostic yield included sensitivity, specificity, and positive predictive value (PPV). Cost-effectiveness of POPP screening was evaluated using a range of inputs. Results: Abnormal NCS was strongly associated with future CTS with univariate hazard ratios ranging from 2.95 to 11.25, depending...
Tracking Low Back Problems in a Major Self-Insured Workforce
Toward Improvement in the Patient's Journey Objective: To assess the cost outcomes of treatment approaches to care for back problems in a major self-insured workforce, using published guidelines to focus on low back pain. Methods: Longitudinally tracked episodes of three types of International Classification of Diseases, Ninth Revision diagnosis code–identified back problems (n = 14,787) during 2001 to 2009. Identified five patterns of care on the basis of the first 6 weeks of claims and compared their total costs per episode with tests that included splits by episode type and duration...
How much do preexisting chronic conditions contribute to age differences in health care expenditures after a work-related musculoskeletal injury?
OBJECTIVES: To estimate the contribution of preexisting chronic conditions on age differences in health care expenditures for the management of work-related musculoskeletal injuries in British Columbia. METHODS: A secondary analysis of workers' compensation claims submitted over the 5-year period between January 1, 2002 and December 31, 2006 (N=55,827 claims among men and 32,141 claims among women). Path models examined the relationships between age and health care expenditures, and the extent to which age differences in health care expenditures were mediated by preexisting chronic conditions...
Interventions pour la prévention des TMS - Mesure de l’exposition aux facteurs de risque et aspects économiques
Les troubles musculo-squelettiques (TMS) au dos et aux membres supérieurs constituent un problème majeur ayant des retombées au point de vue humain, social et économique. Ainsi, au cours des dernières années, plusieurs méthodes d'évaluation de l'exposition aux facteurs de risque (MÉEFR) de TMS ont été proposées par la communauté scientifique afin de soutenir les efforts de prévention. Toutefois, relativement peu d'information existe sur l'utilisation pratique de ces différentes...
La Cour des Comptes pointe les dysfonctionnements de la prise en charge des TMS
Dans son rapport annuel révélé le 12 février, la Cour des Comptes relève un système de reconnaissance trop souple. Le tableau 57, concernant les affections péri-articulaires provoquées par certains gestes et postures de travail, est le plus important et le plus dynamique. Mais paradoxalement c’est également celui dont les conditions sont le moins précisément définies. En comparant les données au niveau européen, le rapport de la Cour des Comptes souligne que la France est, avec L’Espagne...
The association between compensation and chronic disabling back pain
BACKGROUND: Low back pain (LBP) is a common and major health problem. Although it is known that psychosocial factors are important predictors of LBP outcome, some factors, including financial compensation, have not been fully studied in Japan. This cross-sectional study aimed to examine the association between LBP compensation (workers' compensation and automobile insurance claims) and lifetime experience of chronic LBP and back pain disability (chronic disabling LBP) in a Japanese adult population. METHODS: In February 2011, 1,063,083 adults aged 20-79 years registered as Internet research...
Fit for Work?
Musculoskeletal Disorders in the European Workforce Published: September 2009 Authors: Stephen Bevan, Tatiana Quadrello, Robin McGee, Michelle Mahdon, Anna Vavrovsky, Leela Barham Series: Fit for Work Abstract : This groundbreaking study conducted across 25 European countries and beyond finds that 100 million Europeans suffer from musculoskeletal disorders( MSDs), accounting for 49% of workplace absence and 60% of permanent work incapacity in the EU. It looks at the causes, and crucially, steps that can be taken to reduce the serious, negative socio-economic impact of MSDs Soure : http://www.theworkfoundation...
Analyse coût-bénéfice des actions de prévention. Exemple du risque de manutention pour le personnel soignant
TRONTIN C., GLOMOT L., SABATHÉ J.P. Cet article, publié par l'INRS, présente les résultats d'une évaluation coût-bénéfice réalisée dans deux hôpitaux ayant mis en place des programmes de prévention du risque de manutention manuelle. Dans un cas, l'évaluation montre, avec l'hypothèse d'une réduction de 60 % des accidents du travail, que les investissements en prévention sont rentabilisés au terme de 3,3 années. Pour le second cas, les bénéfices...

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