Workplace-based return-to-work interventions: A systematic review of the quantitative literature
Workplace-based return-to-work interventions: A systematic review of the quantitative literature
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DOI：
10.1007/s10926-005-8038-8
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发表时间：
2005-12-01
影响因子：
3.3
通讯作者：
Frank, J
中科院分区：
文献类型：
--
作者：
Franche, RL;Cullen, K;Frank, J
引言：进行了系统的审查，以审查工作场所为基础的重返工作（RTW）干预措施的有效性。方法：在1990年1月至2003年12月期间，以英语和法语检索了7个数据库，以获取在工作场所向与肌肉骨骼或其他疼痛相关疾病相关的工作残疾工人提供RTW干预措施的同行评议研究。方法学质量评价和数据提取由成对的评价者进行。结果：在通过检索确定的4124篇论文中，有10篇研究的质量足以纳入综述。有强有力的证据表明，工作残疾的持续时间显着减少的工作住宿提供和医疗服务提供者和工作场所之间的接触;和中度的证据表明，它是减少干预措施，包括早期接触工人的工作场所，符合人体工程学的工作现场访问，并存在一个RTW协调员。对于这五个干预组成部分，有适度的证据表明，他们降低了与工作残疾持续时间相关的成本。这些影响可持续性的证据不足或有限。关于编外人员替代的影响的证据不足。关于干预成分对生活质量影响的证据水平不足或好坏参半。结论：我们的系统性综述提供了证据基础，支持基于工作场所的RTW干预措施可以减少工作残疾持续时间和相关成本，但有关其对生活质量结果影响的证据要弱得多。
Introduction: A systematic review was conducted to review the effectiveness of workplace-based return-to-work (RTW) interventions. Method: Seven databases were searched, in English and French, between January 1990 and December 2003 for peer-reviewed studies of RTW interventions provided at the workplace to workers with work disability associated with musculoskeletal or other pain-related conditions. Methodological quality appraisal and data extraction were conducted by pairs of reviewers. Results: Of a total of 4124 papers identified by the search, 10 studies were of sufficient quality to be included in the review. There was strong evidence that work disability duration is significantly reduced by work accommodation offers and contact between healthcare provider and workplace; and moderate evidence that it is reduced by interventions which include early contact with worker by workplace, ergonomic work site visits, and presence of a RTW coordinator. For these five intervention components, there was moderate evidence that they reduce costs associated with work disability duration. Evidence for sustainability of these effects was insufficient or limited. Evidence regarding the impact of supernumerary replacements was insufficient. Evidence levels regarding the impact of the intervention components on quality-of-life was insufficient or mixed. Conclusions: Our systematic review provides the evidence base supporting that workplace-based RTW interventions can reduce work disability duration and associated costs, however the evidence regarding their impact on quality-of-life outcomes was much weaker.