Exploring the Factors that Influence Workforce Participation for People with Multiple Sclerosis: A Discrete Choice Experiment.
Exploring the Factors that Influence Workforce Participation for People with Multiple Sclerosis: A Discrete Choice Experiment.
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DOI：
10.1007/s10926-020-09952-5
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发表时间：
2021-09
影响因子：
3.3
通讯作者：
Green C
中科院分区：
文献类型：
--
作者：
Goodwin E;Hawton A;Whitty JA;Green C
研究表明，就业对多发性硬化症（MS）患者有益。然而，与一般人群相比，MS患者通常面临劳动力参与率降低的问题。使用离散选择实验（DCE），我们探讨了哪些因素是最重要的影响就业选择的人与MS，以及是否因素的相对重要性不同的亚组。方法的DCE的属性和水平，开发了一个系统的文献综述和公众参与技术与MS的人。在一个在线调查中，受访者被要求选择两个假设的工作场景描述使用六个属性。我们使用大型国家登记册（英国MS Register）招募年龄在18-64岁之间诊断为MS的参与者。使用多项式logit和潜在类别模型分析选择数据。结果分析的基础上，从2350人与MS的反应。首选的模型规格是一个潜在的类模型，有三类受访者。不同阶层的人对属性的相对重要性各不相同，其中一个阶层最重视工作对生活其他方面的影响，第二个是拥有支持他们的老板和同事，第三个是工作的灵活性。这些班级在年龄和性别、MS类型和社会经济地位方面存在显着差异。结论MS患者在影响其就业决策的因素方面存在明显的异质性。关于工作的影响，在工作场所的态度和工作的灵活性的属性出现更有影响力比那些关于物理工作场所的适应。本文的在线版本（10.1007/s10926-020-09952-5）包含补充材料，可供授权用户使用。
Purpose Research indicates that employment is beneficial for people with multiple sclerosis (MS). However, people with MS typically face reduced workforce participation compared to the general population. Using a discrete choice experiment (DCE) we explored which factors are most important in influencing employment choices of people with MS, and whether the relative importance of factors differs between subgroups. Methods Attributes and levels for the DCE were developed using a systematic literature review and public involvement techniques with people with MS. In an online survey, respondents were asked to choose between two hypothetical job scenarios described using six attributes. We used a large, national register (the UK MS Register), to recruit participants aged 18–64 years with a diagnosis of MS. Choice data were analysed using multinomial logit and latent class models. Results Analyses were based on responses from 2350 people with MS. The preferred model specification was a latent class model, with three classes of respondent. The relative importance of attributes varied between classes, with one giving the greatest weight to the impact of work on other aspects of their lives, the second to having supportive bosses and colleagues, and the third to job flexibility. The classes differed significantly in terms of age and gender, type of MS, and socio-economic status. Conclusions Significant heterogeneity was apparent among people with MS regarding the factors that influence their employment decisions. Attributes concerning the impact of work, attitudes in the workplace and job flexibility appear more influential than those concerning physical workplace adaptations. The online version of this article (10.1007/s10926-020-09952-5) contains supplementary material, which is available to authorized users.
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DOI：
10.3233/wor-152200
发表时间：
2015-01-01
影响因子：
2.3
作者：
Bishop, Malachy;Rumrill, Phillip D.
通讯作者：
Rumrill, Phillip D.
影响因子：
4.5
作者：
Lagarde M;Blaauw D
通讯作者：
Blaauw D
影响因子：
4.5
作者：
Johnson, F. Reed;Lancsar, Emily;Bridges, John F. P.
通讯作者：
Bridges, John F. P.
影响因子：
4.8
作者：
Pacifico, Daniele;Yoo, Hong Il
通讯作者：
Yoo, Hong Il
影响因子：
6
作者：
O'Connor, R;Cano, SJ;Playford, ED
通讯作者：
Playford, ED