Ergonomic and Socioeconomic Risk Factors for Hospital Workers' Compensation Injury Claims
Ergonomic and Socioeconomic Risk Factors for Hospital Workers' Compensation Injury Claims
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DOI：
10.1002/ajim.20702
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发表时间：
2009-07-01
影响因子：
3.5
通讯作者：
Slatin, Craig
中科院分区：
文献类型：
--
作者：
Boyer, Jon;Galizzi, Monica;Slatin, Craig
背景医院工作人员是一个多样化的人群，肌肉骨骼疾病（MSD）的发病率很高。MSD导致工人的赔偿（WC）索赔的风险可能会表现出梯度的社会经济地位（SES），可能是部分原因，工作conditions.Methods一个单一的社区医院提供的劳动力人口统计和WC索赔记录为2003-2005年。一个符合人体工程学的工作接触矩阵（JEM）开发这些医疗保健。通过直接观察体力工作量和从O*NET在线数据库中提取体力和心理社会工作要求，职业暴露和SES类别通过他们的O*NET职称分配给工人。进行单变量和多变量泊松回归分析，以估计与个人因素、职业暴露有关的伤害索赔倾向。结果职业伤害发生率最高的职业是护士、半专业人员和半熟练技术人员。增加体力劳动和心理需求沿着低工作年限与风险增加相关，而心理社会奖励和主管支持则降低了风险。职业和个人因素介导的SES和伤害率之间的关系，claims.Conclusions这些医院的工作，沿着低的工作任期的物理和组织特征预测WC伤害索赔的风险，并解释了很大一部分的SES的影响。进一步的研究，包括生活方式的危险因素和控制以前的伤害和合并症是必要的，以加强目前的研究结果。Am. J. Ind. Med. 52：551-562，2009. (C)2009 Wiley-Liss，Inc.
Background Hospital workers are a diverse population with high rates of musculoskeletal disorders (MSDs). The risk of MSD leading to to workers' compensation (WC) claims is likely to show a gradient by socioeconomic status (SES) that may be partly explained by, working conditions.Methods A single community hospital provided workforce demographics and WC claim records for 2003-2005. An ergonomic job exposure matrix (JEM) was developed for these healthcare. jobs from direct observation of physical workload and extraction of physical and psychosocial job requirements from the O*NET online database. Occupational exposures and SES categories were assigned to workers through their O*NET job titles. Univariate and multivariate Poisson regression analyses were performed to estimate the propensity to file an injury claim in relation to individual factors, occupational exposures. and SES.Results The jobs with the highest injury rates were nurses, semi-professionals, and semi-skilled skilled. Increased physical work and psychological demands along with low job tenure were associated with an increase in risk, while risk decreased with psychosocial rewards and supervisor support. Both occupational and individual factors mediated the relationship between SES and rate of injury, claims.Conclusions Physical and organizational features of these hospital jobs along with low job tenure predicted WC injury claim risk and explained a substantial proportion of the effects of SES. Further studies that include lifestyle risk factors and control for prior injuries and co-morbidities are warranted to strengthen the current study findings. Am. J. Ind. Med. 52:551-562, 2009. (C) 2009 Wiley-Liss, Inc.