Workplace Outcomes in Work-Disability Prevention Research: A Review with Recommendations for Future Research.

Workplace Outcomes in Work-Disability Prevention Research: A Review with Recommendations for Future Research.
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工作场所残疾预防研究的成果:回顾及未来研究建议。

DOI:
10.1007/s10926-016-9675-9
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发表时间:
2016-12
影响因子:
3.3
通讯作者:
Linton, Steven J.
Linton, Steven J.
中科院分区:
医学2区
文献类型:
--
作者:
Young, Amanda E.;Viikari-Juntura, Eira;Boot, Cecile R. L.;Chan, Chetwyn;de Porras, David Gimeno Ruiz;Linton, Steven J.

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结果评估是工作残疾预防研究的核心问题。本文的目标是:(1)确定最显著的工作场所结果;(2)评估商业视角与科学视角的一致性;(3)阐述纵向结果评估的新视角;(4)提出了推进该领域研究成果评价的建议。方法:作者参与了为期一年的合作,并于2015年10月14日至16日在美国马萨诸塞州霍普金顿举办了为期3天的“改善雇主预防残疾实践研究”会议。此次合作包括对文献的专题回顾、确定关键领域和挑战的小组电话会议、起草初步文件、审查行业出版物、会议演示(包括同行研究人员的反馈)以及由具有直接雇主经验的知识专家组成的特别小组的问答环节。结果确定了许多工作场所工作残疾预防结果措施。分析表明,它们的适用性因工人所经历的工作残疾类型而异。对于那些有工作但有与健康相关的工作限制的人(类型1),主要结果是生产力、出勤率和与工作有关的限制的测量。对于那些因健康状况而休假的人(类型2),主要结果是休假时间、主管/员工互动和重返工作(RTW)准备的测量。对于那些已经重返工作岗位的人(类型3),主要的结果是出勤率、复工前的时间、复工百分比、就业特征、污名、工作投入、同事互动和持续或持久的复工。对于那些退出劳动力(类型4),主要结果是成本和职业地位。目前可用的措施为将来在残疾预防中使用更一致的结果提供了良好的基础。该研究领域也将受益于雇主作为利益相关者的更多参与,以及残疾结果的多层次概念化。
Introduction Outcome assessment is a central issue in work disability prevention research. The goal of this paper was to (1) ascertain the most salient workplace outcomes; (2) evaluate the congruence between business and science perspectives; (3) illustrate new perspectives on assessing longitudinal outcomes; and (4) provide recommendations for advancing outcome evaluation in this area of research. Methods The authors participated in a year-long collaboration that culminated in a sponsored 3-day conference, “Improving Research of Employer Practices to Prevent Disability”, held October 14–16, 2015, in Hopkinton, MA, USA. The collaboration included a topical review of the literature, group conference calls to identify key areas and challenges, drafting of initial documents, review of industry publications, and a conference presentation that included feedback from peer researchers and a question/answer session with a special panel of knowledge experts with direct employer experience. Results Numerous workplace work-disability prevention outcome measures were identified. Analysis indicated that their applicability varied depending on the type of work disability the worker was experiencing. For those who were working, but with health-related work limitations (Type 1), predominant outcomes were measures of productivity, presenteeism, and work-related limitations. For those who were off work due to a health condition (Type 2), predominant outcomes were measures of time off work, supervisor/employee interactions, and return-to-work (RTW) preparation. For those who had returned to work (Type 3), predominant outcomes were measures of presenteeism, time until RTW, percentage of work resumption, employment characteristics, stigma, work engagement, co-worker interactions, and sustained or durable RTW. For those who had withdrawn from the labor force (Type 4), predominant outcomes were cost and vocational status. Discussion Currently available measures provide a good basis to use more consistent outcomes in disability prevention in the future. The research area would also benefit from more involvement of employers as stakeholders, and multilevel conceptualizations of disability outcomes.
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发表时间: 2005-07-01
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