Predictors of Vocational Rehabilitation Return-to-Work Outcomes in Workers' Compensation

2003 ◽  
Vol 46 (2) ◽  
pp. 108-114 ◽  
Author(s):  
Terry L. Blackwell ◽  
Stephen J. Leierer ◽  
Stephanie Haupt ◽  
Angeliki Kampitsis
Keyword(s):  
Return To Work ◽  
Vocational Rehabilitation ◽  
Work Outcomes ◽  
Workers Compensation

The Reformed Californian Workers' Compensation System: Outcomes for Injured Workers

1999 ◽  
Vol 5 (1) ◽  
pp. 23-30
Author(s):  
Sandra Bentley
Keyword(s):  
Return To Work ◽  
Vocational Rehabilitation ◽  
New South ◽  
Compensation System ◽  
Injured Workers ◽  
Work Outcomes ◽  
Workers Compensation ◽  
Post Injury ◽  
Legislative Reform ◽  
South Wales

In a period of legislative reform, New South Wales' workers compensation stakeholders can learn at least broad lessons by making comparisons with the experience of other countries in post reform review. This article considers the overall impact of the 1993 reforms on the Californian workers' compensation system, with focus on reforms and outcomes in the Vocational Rehabilitation sector. It was found post reform that the number of claims and paid benefits have decreased substantially, and total premiums paid and Vocational Rehabilitation expenditures are down dramatically. However, the changes are blamed for an increase in legal complexity, as return-to work outcomes and post-injury earnings for injured workers appear to have worsened. Additionally benefit levels remain a continuing concern.

Return to Work After Primary Rotator Cuff Repair: A Systematic Review and Meta-analysis

2021 ◽  
pp. 036354652097542
Author(s):  
Eric D. Haunschild ◽  
Ron Gilat ◽  
Ophelie Lavoie-Gagne ◽  
Michael C. Fu ◽  
Tracy Tauro ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Return To Work ◽  
Rotator Cuff Repair ◽  
Meta Analysis ◽  
Work Outcomes ◽  
Workers Compensation ◽  
Work Intensity ◽  
Rates Of Return ◽  
Cuff Repair

Background: Rotator cuff tears are a prevalent pathology in injured workers, causing significant economic ramifications and time away from work. To date, published articles on work outcomes after rotator cuff repair have not been cumulatively assessed and analyzed. Purpose: To systematically review reports on return to work after rotator cuff repair and perform a meta-analysis on factors associated with improved work outcomes. Study Design: Systematic review and meta-analysis; Level of evidence, 4. Methods: A systematic review of return-to-work investigations was performed using PubMed, Embase, and the Cochrane Database of Systematic Reviews in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Individual studies reporting rates of return to previous work with level of evidence 1 to 4 were independently screened by 2 authors for inclusion, and study quality was assessed using the Methodologic Index for Non-randomized Studies and Newcastle-Ottawa Scale. Work outcome data were synthesized and analyzed using random effects modeling to identify differences in rates of return to previous work as a function of operative technique, work intensity, and workers’ compensation status. Results: Thirteen retrospective investigations comprising 1224 patients who underwent rotator cuff repair met inclusion criteria for this investigation. Across all investigations, a weighted average of 62.3% of patients returned to previous level of work at 8.15 ± 2.7 months (mean ± SD) after surgery. Based on random effects modeling, higher rates of return to previous work were identified with decreasing work intensity ( P < .001), while rates were similar between open and arthroscopic repair technique ( P = .418) and between workers’ compensation and non–workers’ compensation cohorts ( P = .089). All shoulder pain and functional outcome assessments demonstrated significant improvements at final follow-up when compared with baseline across all investigations. Conclusion: The majority of injured workers undergoing rotator cuff repair return to previous work at approximately 8 months after surgery. Despite this, >35% of patients are unable to return to their previous work level after their repair procedure. Similar rates of return to work can be anticipated regardless of workers’ compensation status and operative technique, while patients in occupations with higher physical intensity experience inferior work outcomes.

Vocational rehabilitation factors associated with successful return to work outcomes for clients with Parkinson’s disease

2020 ◽  
Vol 52 (2) ◽  
pp. 145-156 ◽  
Author(s):  
Cahit Kaya ◽  
Mykal Leslie ◽  
Bradley McDaniels ◽  
Sergio Cuevas ◽  
Hu Wu ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Return To Work ◽  
Vocational Rehabilitation ◽  
Work Outcomes ◽  
Factors Associated

scholarly journals The Impact of Provider Choice on Workers' Compensation Costs and Outcomes

ILR Review ◽  
2007 ◽  
Vol 61 (1) ◽  
pp. 121-142 ◽  
Author(s):  
David Neumark ◽  
Peter S. Barth ◽  
Richard A. Victor
Keyword(s):  
Return To Work ◽  
Work Outcomes ◽  
Workers Compensation ◽  
Policy Changes ◽  
Provider Choice ◽  
Compensation Claims ◽  
The Impact ◽  
Recent Policy ◽  
Physical Recovery ◽  
Prior Relationship

Using survey data collected in 2002 and 2003 in California, Massachusetts, Pennsylvania, and Texas on workers injured 3 to 3.5 years earlier, coupled with information on the associated workers' compensation claims from the Workers Compensation Research Institute, the authors examine how provider choice in workers' compensation is related to costs and to workers' outcomes. They find that employee choice of the provider, by comparison with employer choice, was associated with higher costs and worse return-to-work outcomes. Although the same rate of physical recovery was found for both groups, workers who chose their providers reported higher satisfaction with medical care. The higher costs and worse return-to-work outcomes associated with employee choice arose largely when employees selected a new provider, rather than a provider with whom they had a pre-existing relationship. The findings lend some support to recent policy changes limiting workers' ability to choose a provider with whom they do not have a prior relationship.

scholarly journals Return to work rate rises in the Sunshine State (Queensland, Australia)

2014 ◽  
Vol 9 ◽  
Author(s):  
Sharon Stratford
Keyword(s):  
Return To Work ◽  
Work Rate ◽  
Injured Workers ◽  
Work Outcomes ◽  
Workers Compensation ◽  
Annual Survey ◽  
Work Outcome ◽  
State Records

Measuring return to work outcomes after injury is in itself a challenge for most workers’ compensation schemes. Increasing return to work rates is even more difficult. In Australia, the national return to work measure obtained via an annual survey of injured workers has not risen since its introduction in 1997/98. However, unlike most other Australian jurisdictions, Queensland, Australia's ‘sunshine state’, records return to work outcomes at the end of every time lost claim. More than this, Queensland has increased its overall return to work outcome in recent years from 90% to over 95%. A number of specific strategies were introduced to improve these return to work results. The presentation will outline these strategies which other jurisdictions and countries can hopefully learn from. In addition, WorkCover Queensland, the state's monopoly insurer outside self-insurers, has introduced further return to work measures it successfully uses both internally and externally.

Managing Work Disability: Why First Return to Work is Not a Measure of Success

ILR Review ◽  
1995 ◽  
Vol 48 (3) ◽  
pp. 452-469 ◽  
Author(s):  
Richard J. Butler ◽  
William G. Johnson ◽  
Marjorie L. Baldwin
Keyword(s):  
Return To Work ◽  
Vocational Rehabilitation ◽  
Work Disability ◽  
Workers Compensation ◽  
Data Set ◽  
Time Period ◽  
Rich Data ◽  
Rate Of Success

Studies of the effectiveness of medical and vocational rehabilitation and the disincentive effects of workers' compensation benefits frequently assume that a return to work signals the end of the limiting effects of injuries. This study is the first to test that assumption empirically. The authors use a rich data set on Ontario workers with permanent partial impairments resulting from injuries that occurred between 1974 and 1987 to show that the effects of injuries on employment are more enduring than previous studies indicate. The rate of successful returns to employment, measured by first return to work, is 85%, but the rate of success evaluated over a longer time period is only 50%.

Consumer perspectives of vocational rehabilitation and return to work following acquired brain injury

2021 ◽  
pp. 1-21
Author(s):  
Kerrin Watter ◽  
Areti Kennedy ◽  
Vanette McLennan ◽  
Jessica Vogler ◽  
Sarah Jeffery ◽  
...  
Keyword(s):  
Brain Injury ◽  
Return To Work ◽  
Vocational Rehabilitation ◽  
Acquired Brain Injury ◽  
System Level ◽  
Structured Interviews ◽  
Post Injury ◽  
Vocational Rehabilitation Services ◽  
Workplace Supports ◽  
Vocational Goals

Abstract Introduction: Following acquired brain injury, the goal of return to work is common. While return to work is supported through different rehabilitation models and services, access to vocational rehabilitation varies within and between countries, and global rates of employment post-injury remain low. The literature identifies outcomes from vocational programs and experiences with return to work, yet little is known about individuals’ perceptions and experiences regarding rehabilitation to support their vocational goals and experiences in attempting to return to work. Method: This qualitative study investigated the experiences of community-living adults with acquired brain injury (n = 8; mean age 45 years; mean time post-injury of 5.5 years) regarding their vocational rehabilitation and return to work. Focus groups and semi-structured interviews were conducted, with data analyzed via thematic analysis. Results: Participants identified negative and positive experiences with vocational rehabilitation and return to work. Five overarching themes were identified: addressing vocational rehabilitation in rehabilitation; facilitators of recovery and return to work; the importance and experience of working again; acquired brain injury and identity; and services, systems and policies. Participants also identified five key areas for early vocational rehabilitation services: education; service provision; employer liaison; workplace supports; and peer mentors. Study findings inform current and future practice and service delivery, at a clinical, service and system level.

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