ORGANIZATIONAL PREDICTORS OF SUCCESSFUL RETURN TO WORK

描述：（改编自研究者摘要） 本研究旨在确定组织实践和政策（OPPs） 有效支持受伤工人重返生产性工作 作用 本研究有两个具体目标：确定 OPPs和成功的RTW之间的关系&减少工作残疾，并检查 工人报告OPPs的有效性和可靠性。 这项研究建立了 根据一项对缅因州250例医生报告的CTS病例进行的队列研究， 由关节炎基金会（AF）资助，跟踪基线工人，2， 术后6个月和12个月，收集工人、工作和 预测工作残疾和重返工作岗位的经济因素。 用雇主一级的数据扩充个人一级的健康数据， OPPs创造了一个机会来检查迄今为止没有答案的研究 问题. 调查人员将采访80个关键组织 资料提供者（代表80名不同雇主）收集雇主层面的 8年数据（以人为本的文化，积极的安全领导，安全 尽职调查、安全培训、标准人体工程学实践、残疾案例 监控、主动“复工”、劳动管理健康与安全 委员会），并使用雇主层面的数据来预测个人层面的 返回工作岗位、损失的工作日和工作残疾（CTS症状、有偿和 无报酬工作功能事件）。 研究人员假设， 将与更少的工作日损失，更快的"恢复工作"， 改善工作、无薪工作角色功能以及减少CTS症状。 他们 还将比较雇主和工人的投诉报告。 额外假设 工人报告的性别歧视将与雇主显著共同变化， 报告的工作量;和工人的工作量将预测总损失的工作日， "重返工作岗位"，改善有酬和无酬工作的运作， 症状 由于进行雇主面试会增加成本， 证明工人自我报告是有效和可靠的，并将提供 职业健康领域迄今尚未采用的新测量工具 research. 此外，调查人员还将收取工人赔偿金 来自雇主的数据和OSHA可报告的数据，以复制所进行的研究 密歇根州的雇主。 拟议研究的第二个独特之处是 是使用新的措施，成功的"重返工作"，衡量更多的 更重要的是回归。 总之，这项研究将验证一个 关键的新工具（工人评估），并通过定义 糖尿病与健康结果之间的关联，为干预措施开辟途径 改善受伤工人的福利。

DESCRIPTION: (Adapted from Investigator's Abstract) The long-term goal of this research is to identify organizational practices and policies (OPPs) the effectively support the injured worker's return to a productive work role. The research has two specific aims: to determine the relationship between OPPs and successfully RTW & reduced work disability and to examine the validity and reliability of workers reported OPPs. This research builds upon an on-going cohort study of 250 physician-reported CTS cases in Maine funded by the Arthritis Foundation (AF) that follows workers at baseline, 2, 6, and 12 months post surgery, collecting information on worker, job, and economic factors that predict work disability and return to work. Augmentation of individual-level health data with employer-level data on OPPs creates an opportunity to examine heretofore unanswered research questions. The investigators will interview 80 key organizational informants (representing 80 different employers) to collect employer-level data on 8 OPP (people-oriented culture, active safety leadership, safety diligence, safety training, standard ergonomics practices, disability case monitoring, proactive "return to work," labor-management health and safety committees) and use the employer-level data to predict individual-level return to work, lost work days, and work disability (CTS symptoms, paid and unpaid work functioning incidents). The investigators hypothesize that OPPs will be associated with fewer lost work days, a quicker "return to work," improved work, and unpaid work role functioning and less CTS symptoms. They will also compare employer with worker OPP reports. Additional hypotheses are that worker reports of OPP will significantly co-vary with employer reports of OPP; and workers of OPP will predict total lost work days, "return to work," improved paid and unpaid work functioning and less CTS symptoms. Because of the added cost of conducting an employer interview, demonstrating worker self-reports are valid and reliable and will provide new measurement tools heretofore unavailable in occupational health research. In addition, the investigators will collect workers' compensation data from employers and OSHA reportable data to replicate research conducted among Michigan employers. A second unique feature of the proposed research is the use of new measures of successful "return to work" that measure more than the fact of returning. In summary, this research will validate a critical new instrument (worker assessment of OPP), and by defining the association between OPP and health outcomes, open avenues for interventions to enhance the well-being of injured workers.