ORGANIZATIONAL PREDICTORS OF SUCCESSFUL RETURN TO WORK

描述：(改编自《调查摘要》)的长期目标 本研究旨在确定组织实践和政策(OPP) 有效地支持受伤工人重返生产岗位 角色。这项研究有两个具体目的：确定两者之间的关系 在OPS和成功的RTW之间，减少工作残疾并进行检查 工人报告OPPS的效度和可靠性。这项研究建立在 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，该基金会跟踪基线工人，2， 术后6个月和12个月，收集有关工人、工作和 预测工作残疾和重返工作岗位的经济因素。 使用雇主级别的数据增强个人级别的健康数据 OPS创造了一个机会来检查迄今未得到回答的研究 问题。调查人员将约谈80个关键组织 举报人(代表80个不同的雇主)收集雇主层面的信息 8 OPP数据(以人为本文化、积极安全领导、安全 勤奋、安全培训、标准人体工程学实践、残疾案例 监测、积极主动地“重返工作岗位”、劳动管理健康和安全 委员会)，并使用雇主级别的数据来预测个人级别 重返工作岗位、失去工作日和工作残疾(CTS症状、有薪和 无偿工作运作事件)。调查人员假设，与 损失的工作日会更少，恢复工作的速度会更快， 工作改善，无偿工作角色运作，CTS症状减轻。他们 还将比较雇主和工人的OPP报告。其他假设 员工对OPP的报告是否会与雇主显著不同 OPP的报告；OPP的工作人员将预测总损失工作日， “重返工作岗位”改善了有偿和无偿工作的运作，减少了CTS 症状。由于进行雇主面谈的额外成本， 证明员工自我报告是有效和可靠的，将提供 在职业健康领域中迄今没有的新测量工具 研究。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，以重复进行的研究 在密歇根州的雇主中。拟议研究的第二个独特之处 是否使用新的衡量成功的“重返工作”的措施 比回来的事实更重要。总而言之，这项研究将验证 关键的新工具(OPP的工人评估)，并通过定义 OPP与健康结局的关联，为干预开辟了途径 以增进受伤工人的福祉。

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.