Development and Validation of a Predictive Model of Return-to-work Outcomes of Injured Employees in Minnesota

Development and Validation of a Predictive Model of Return-to-work Outcomes of Injured Employees in Minnesota PDF Author: Adrian Bentley Hankins
Publisher:
ISBN:
Category : Disabilities
Languages : en
Pages : 458

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Book Description
In Minnesota's workers' compensation system, injured employees at risk for sustaining permanent disability may be eligible for receipt of vocational rehabilitation (VR) services if they are determined to be capable of benefitting from such services. VR services can be a valuable resource to injured employees who need assistance minimizing their work disability and maximizing their residual wage-earning capacity. However, for VR services to be effective at a system level, it is necessary to precisely and accurately identify an injured employee's rehabilitation potential. Failure to do so is likely to result in the misallocation of a scarce and costly resource. Given recent trends in Minnesota's workers compensation system (e.g., higher VR service costs and lower RTW rates among injured employees with indemnity claims), this study was conducted with the purpose of developing and validating an objective, evidence-based method of predicting the RTW status as of claim closure of injured Minnesota employees who sustained permanent impairment and received VR services. To accomplish this purpose, a closed-claim, retrospective design was implemented. Data for this cross-sectional study was obtained from the Minnesota administrative claims database. There were 15,372 claims that met all eligibility criteria. With guidance from the biopsychosocial disablement models developed by Nagi and the World Health Organization, 15 discrete predictor variables that represented medical, individual, and workplace factors were selected for study inclusion. Descriptive and predictive analyses were used to assess the relationship between this study's RTW outcome and its set of RTW predictors. Using logistic regression, an optimal RTW model was first developed and then internally validated with a split-dataset approach. The optimal RTW model included four main effects (attorney involvement; severity of permanent impairment; age; job tenure) and three first-order interaction effects (pre-injury average weekly wage X pre-injury industry; attorney involvement X severity of permanent impairment; attorney involvement X job tenure). Though not retained in the optimal RTW model, part of body affected and education also had notable bivariate relationships with the outcome. The optimal RTW model's performance regarding goodness-of-fit and clinical usefulness suggests it may be of value to those assessing rehabilitation potential within Minnesota's workers compensation system.

Development and Validation of a Predictive Model of Return-to-work Outcomes of Injured Employees in Minnesota

Development and Validation of a Predictive Model of Return-to-work Outcomes of Injured Employees in Minnesota PDF Author: Adrian Bentley Hankins
Publisher:
ISBN:
Category : Disabilities
Languages : en
Pages : 458

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Book Description
In Minnesota's workers' compensation system, injured employees at risk for sustaining permanent disability may be eligible for receipt of vocational rehabilitation (VR) services if they are determined to be capable of benefitting from such services. VR services can be a valuable resource to injured employees who need assistance minimizing their work disability and maximizing their residual wage-earning capacity. However, for VR services to be effective at a system level, it is necessary to precisely and accurately identify an injured employee's rehabilitation potential. Failure to do so is likely to result in the misallocation of a scarce and costly resource. Given recent trends in Minnesota's workers compensation system (e.g., higher VR service costs and lower RTW rates among injured employees with indemnity claims), this study was conducted with the purpose of developing and validating an objective, evidence-based method of predicting the RTW status as of claim closure of injured Minnesota employees who sustained permanent impairment and received VR services. To accomplish this purpose, a closed-claim, retrospective design was implemented. Data for this cross-sectional study was obtained from the Minnesota administrative claims database. There were 15,372 claims that met all eligibility criteria. With guidance from the biopsychosocial disablement models developed by Nagi and the World Health Organization, 15 discrete predictor variables that represented medical, individual, and workplace factors were selected for study inclusion. Descriptive and predictive analyses were used to assess the relationship between this study's RTW outcome and its set of RTW predictors. Using logistic regression, an optimal RTW model was first developed and then internally validated with a split-dataset approach. The optimal RTW model included four main effects (attorney involvement; severity of permanent impairment; age; job tenure) and three first-order interaction effects (pre-injury average weekly wage X pre-injury industry; attorney involvement X severity of permanent impairment; attorney involvement X job tenure). Though not retained in the optimal RTW model, part of body affected and education also had notable bivariate relationships with the outcome. The optimal RTW model's performance regarding goodness-of-fit and clinical usefulness suggests it may be of value to those assessing rehabilitation potential within Minnesota's workers compensation system.

Handbook of Return to Work

Handbook of Return to Work PDF Author: Izabela Z. Schultz
Publisher: Springer
ISBN: 1489976272
Category : Psychology
Languages : en
Pages : 712

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Book Description
This comprehensive interdisciplinary synthesis focuses on the clinical and occupational intervention processes enabling workers to return to their jobs and sustain employment after injury or serious illness as well as ideas for improving the wide range of outcomes of entry and re-entry into the workplace. Information is accessible along key theoretical, research, and interventive lines, emphasizing a palette of evidence-informed approaches to return to work and stay at work planning and implementation, in the context of disability prevention. Condition-specific chapters detail best return to work and stay at work practices across diverse medical and psychological diagnoses, from musculoskeletal disorders to cancer, from TBI to PTSD. The resulting collection bridges the gap between research evidence and practice and gives readers necessary information from a range of critical perspectives. Among the featured topics: Understanding motivation to return to work: economy of gains and losses. Overcoming barriers to return to work: behavioral and cultural change. Program evaluation in return to work: an integrative framework. Working with stakeholders in return to work processes. Return to work after major limb loss. Improving work outcomes among cancer survivors. Return to work among women with fibromyalgia and chronic fatigue syndrome. The Handbook of Return to Work is an invaluable, unique and comprehensive resource for health, rehabilitation, clinical, counselling and industrial psychologists, rehabilitation specialists, occupational and physical therapists, family and primary care physicians, psychiatrists and physical medicine and rehabilitation as well as occupational medicine specialists, case and disability managers and human resource professionals. Academics and researchers across these fields will also find expert guidance and direction in these pages. It is an essential reading for all return to work and stay at work stakeholders.

Return to Work Outcomes for Injured Workers

Return to Work Outcomes for Injured Workers PDF Author: Sharon E. Fox
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 138

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Book Description


Return to Work

Return to Work PDF Author: Thomas J. Beedem
Publisher:
ISBN:
Category : Workers' compensation
Languages : en
Pages : 114

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Book Description


Predicting Return to Work After Workplace Injury

Predicting Return to Work After Workplace Injury PDF Author: Richard Hilton
Publisher:
ISBN:
Category : Industrial accidents
Languages : en
Pages : 144

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Book Description
The economic and public health benefits of improving return to work outcomes after workplace injury remain major goals for employers, injured workers and compensation administrators. A step to improving return to work outcomes is identifying which workers have the greatest risk of not being successful. While there has been considerable study in this area there has not been a bringing together of current knowledge, nor is there consensus regarding predictors of return to work.

Predicting Return-to-work Outcomes for the Injured Worker

Predicting Return-to-work Outcomes for the Injured Worker PDF Author: Horace Ting
Publisher:
ISBN:
Category : Decision making
Languages : en
Pages : 341

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Book Description


Pain E-Book

Pain E-Book PDF Author: Hubert van Griensven
Publisher: Elsevier Health Sciences
ISBN: 0702059242
Category : Medical
Languages : en
Pages : 442

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Book Description
The highly anticipated new edition of Pain: a textbook for health professionals (previous subtitle a textbook for therapists) has undergone a major rewrite in order to reflect the rapid developments in the field of pain management. It highlights an effective and evidence-based method, providing the theoretical basis to help with the assessment and management of persistent pain, while also discussing in depth a range of specific approaches. Pain: a textbook for health professionals is written emphatically from a biopsychosocial perspective. In order to set the scene, the introductory section includes chapters on the patient’s voice and social determinants of pain. This ensures that the deeply personal and social aspects of pain are not lost among the more technical and biological commentary. These aspects provide an overall context, and are revisited in chapters on participation of life roles, work rehabilitation and psychology. The basic science section includes key chapters on the psychology, neuroanatomy and neurophysiology of pain. This provides a basis for subsequent chapters on specific approaches such as pharmacology, physical therapy and complementary medicine. Pain in specific patient groups, including children, the elderly and those with cancer, are dealt with in separate chapters, as are pain problems such as complex regional pain syndrome and chronic spinal pain. Although the emphasis of the book is on long term pain, acute pain is discussed as a possible precursor and determinant of chronicity. Patient-centred approach to care – advocates listening to the patient’s voice Covers social determinants of pain Guides the reader from pain psychology to the practical application of psychological interventions Learning aids – chapter objectives, reflective exercises, case examples, and revision questions Emphasizes an evidence-based perspective Written by an international team of experts topics such as pain in children and the elderly, pain education for professionals, disability and medico-legal aspects expanded focus on complex regional pain syndrome, acupuncture and psychology improved layout for a better learning and studying experience

Index Medicus

Index Medicus PDF Author:
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 1940

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Book Description
Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.

Occupational Health and Industrial Medicine

Occupational Health and Industrial Medicine PDF Author:
Publisher:
ISBN:
Category : Industrial hygiene
Languages : en
Pages : 428

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Book Description


Handbook of Psychology, Forensic Psychology

Handbook of Psychology, Forensic Psychology PDF Author: Irving B. Weiner
Publisher: John Wiley & Sons
ISBN: 0470639172
Category : Psychology
Languages : en
Pages : 727

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Book Description
Psychology is of interest to academics from many fields, as well as to the thousands of academic and clinical psychologists and general public who can't help but be interested in learning more about why humans think and behave as they do. This award-winning twelve-volume reference covers every aspect of the ever-fascinating discipline of psychology and represents the most current knowledge in the field. This ten-year revision now covers discoveries based in neuroscience, clinical psychology's new interest in evidence-based practice and mindfulness, and new findings in social, developmental, and forensic psychology.