Missed work, lost income, and job loss in survivors of colorectal cancer and their partners: A dyadic study.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 145-145
Author(s):  
Christine M Veenstra ◽  
Paul Abrahamse ◽  
Arden M. Morris ◽  
Sarah T. Hawley
Keyword(s):  
Colorectal Cancer ◽  
Job Loss ◽  
Employment Outcomes ◽  
Cancer Center ◽  
Work Schedule ◽  
Flexible Work ◽  
Job Support ◽  
Community Oncology ◽  
Flexible Work Schedule ◽  
Oncology Practice

145 Background: Many survivors of colorectal cancer face long-term job loss stemming from their diagnosis. However, little is known about employment outcomes among their partners and virtually nothing is known about employment impacts among survivor-partner dyads. Methods: In 2019-20 we surveyed 1150 patients who, in 2014-18, underwent resection of Stage III colorectal cancer and were seen at a community oncology practice, academic cancer center, or reported to Georgia SEER (51% RR). Patients gave a separate survey to their partner. 299 partners (73% RR) completed surveys. Patients and partners were asked about employment consequences of the patient’s cancer. Availability of job support benefits and prevalence of adverse employment outcomes were described among partners. Descriptive statistics were generated to identify trends in job loss within dyads. Results: Among partners, 56% were <age 65, 63% female, 86% white, 27% had < high school education. 61% were employed at time of patient’s diagnosis. Among these, 15% had no job support benefits. 33% had paid sick leave, 47% had flexible work schedule, 28% had unpaid time off. Due to the patient’s cancer, 43% missed 7-30 days work and 13% missed >1 month. Due to the patient’s cancer, 18% lost $2000-$10,000 in income and 11% lost >$10,000. 27% were no longer working at the time of survey. In 47% of dyads, both patient and partner were working before patient’s diagnosis. Among those, in 29% only 1 member of dyad was still working at time of survey and in 11% neither member of dyad was still working. In 15% of dyads, only the partner was working before patient’s diagnosis. Among those, in 50% the partner was no longer working at time of survey. In 16% of dyads, only the patient was working before diagnosis. Among those, in 48% the patient was no longer working at time of survey. Job loss in dyads was associated with older age, lower annual income, and lack of flexible work schedule. Conclusions: Missed work and loss of income are common among partners of patients with colorectal cancer. Job loss affects nearly half of dyads in the survivorship period. Employer accommodations such as flexible scheduling may help mitigate job loss among survivors and their partners. [Table: see text]

A multicenter analysis of patient reported risk factors for not working during cancer therapy.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 6523-6523
Author(s):  
Victoria Susana Blinder ◽  
Carolyn E. Eberle ◽  
Emeline Aviki ◽  
Stephen Matthew Schleicher ◽  
Sujata Patil ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cancer Therapy ◽  
Cancer Diagnosis ◽  
Cancer Center ◽  
Work Status ◽  
Work Schedule ◽  
Flexible Work ◽  
Poverty Level ◽  
Patient Reported ◽  
Flexible Work Schedule

6523 Background: Treatment for most types of cancer results in work disruptions. The aim of this study is to identify risk factors for not working during cancer therapy using a patient-reported outcome tool. Methods: Patients of all cancer types, who were undergoing treatment with curative or palliative intent, were enrolled in a survey-based study at Memorial Sloan Kettering Cancer Center and the North Carolina Cancer Hospital from 1/2014 to 7/2015. All patients working full- or part- time at the time of cancer diagnosis were included in this analysis. Patient reported outcomes were collected using a survey tool at any time during active cancer treatment. The primary outcome of this analysis was self-reported work status at the time of survey completion. Results: Of 119 patients who were working before their cancer diagnosis, 68% were working at the time of survey completion. The mean age was 52.9 (range 20-80). Younger age was associated with working: 82% of patients age < 40 were working during treatment vs. 31% of patients age > 65 (p=0.01). The number of days patients reported being completely unable to work in the past month was significantly associated with work status; only 26% of patients who missed > 10 days continued to work compared to 69% who missed ≤ 10 days (p<0.01). Patients who report having a flexible work schedule were 23% more likely to continue to work during treatment (69% vs. 46%, p=0.01). In a multivariable model controlling for having an employer contingent health plan, and household income > 200% of the federal poverty level (fpl), only age, having a flexible work schedule, and inability to work > 10 days were independently associated with work status during treatment (Table). Conclusions: Having a flexible work schedule allowed for more work interruptions without job loss. Patients who are likely to miss more than 10 days of work and who have inflexible work schedules are at high risk of unemployment and should be targeted for employment retention initiatives. [Table: see text]

scholarly journals Spokojenost školních psychologů a pohled na klady a zápory jejich práce

E-psychologie ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 17-30
Author(s):  
Marie Herynková ◽  
Keyword(s):  
Job Satisfaction ◽  
School Psychologists ◽  
Research Study ◽  
Working Hours ◽  
Work Schedule ◽  
Flexible Work ◽  
Flexible Work Schedule

The research study discusses the view of school psychologists on the positive and negative aspects of their profession. In addition, the research aims to discover to what extent school psychologists are satisfied with their work. The results show that the most frequently mentioned positive aspects of the work of school psychologists are the possibility of direct work with clients, a flexible work schedule and a flexibility in working approach and diversity. On the contrary, the most frequently mentioned disadvantages are difficult relationships in the workplace, unclear role, and loneliness. A large part of the respondent sample (N = 61, 59 women) are job-satisfied. A statistically significant correlation was found between job satisfaction and the practice length as well as the number of weekly working hours.

Embedded model palliative care (PC) at a community oncology practice in central Nebraska.

2019 ◽  
Vol 37 (31_suppl) ◽  
pp. 64-64
Author(s):  
Cindy Kathman ◽  
Mehmet Sitki Copur ◽  
Penny Price ◽  
Carrie Edwards ◽  
Pornchai Jonglertham ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Symptom Management ◽  
Hospice Care ◽  
Prognostic Index ◽  
Cancer Center ◽  
Care Utilization ◽  
Community Oncology ◽  
Oncology Practice ◽  
Active Cancer

64 Background: PC combined with cancer care has been shown to improve patient outcomes and caregiver satisfaction while lessening unnecessary health care utilization. 85% of cancer patients receive their oncology care in the communities they live. Establishing a viable and sustainable outpatient PC service in the community oncology setting is challenging and rare nationwide. We present our 18-month PC services since its implementation at Morrison Cancer Center, a community oncology practice. Methods: Cancer patients were referred to PC by oncologists for symptom management, psychosocial support, and Advanced Care Planning (APC). PC visits were provided at the oncology clinic, home, nursing home, or hospital by our PC team (APRN, Social Workers, Chaplain and RN's). Palliative Care Prognostic Index (PPI), time to PC consultation, proportion of patients --on chemotherapy, switching to hospice care, receiving chemotherapy within the last 30 days of life, visiting ER and/or being admitted to hospital within the last 30 days of life-- were studied. Results: Over an 18-month period 72 patients were referred for a total of 470 visits. Lung, pancreas, gastroesophageal, and head and neck cancers were topmost sites. PC referrals per quarter increased from an initial 4 to an 18 at 18 months. Mean time from diagnosis to PC referral was 5.6 months (range: 1-36). Referral reasons included symptom management/support (58%), goals of care (50%), and/or predetermined triggers (15%). Mean PPI score was 50% (range 30-70). All patients had ACP. While 83% of patients were able to continue on active cancer treatment, only 5% received chemotherapy within the last 30 days of life, and 4 % had two or more ER visits with or without a hospital admission. Eventually, 17% of PC patients transitioned to hospice care. Conclusions: A PC program fostering expert symptom management, seamless communication, and trusting relationships between oncologists, palliative care team, and patients, without prematurely stopping active cancer treatments, is feasible and can be incorporated into a community oncology practice as demonstrated by the growth and success of our program. Our model may set an example for similar practices in the community oncology setting.

scholarly journals WFM Systems as a Digital Business Transformation Tool

2020 ◽  
Vol 17 (4) ◽  
pp. 187-194
Author(s):  
A. A. Grigoryan
Keyword(s):  
Current Problem ◽  
Working Hours ◽  
Work Schedule ◽  
Flexible Work ◽  
Work Time ◽  
Management Tools ◽  
Workforce Management ◽  
Advantages And Disadvantages ◽  
Flexible Work Schedule ◽  
Time Planning

The article focuses on the current problem – the efficiency of employees' working hours through the use of special systems for work time planning (workforce management). An analysis of the use of various management tools to create an effective employee schedule is presented. It has been shown that the number of companies implementing automated programs for recording and planning employees' working hours is gradually growing. The main advantages and disadvantages identified by managers implementing digital solutions in the work schedule process were identified. Various types of specialized software for creating a flexible work schedule have been investigated, as well as key criteria by which the best WFM systems are determined. In the course of this classification, parameters have been defined, which should be given special attention when deciding on the use of the WFM system in the company. Based on the results of the study conducted by the author, recommendations were developed for the implementation of such digital solutions in the company. The author concluded that these systems were necessary for enterprises focused on digitalizing their business, since they made it possible to optimize staff costs and increase employee efficiency.

Increasing clinical trial enrollment with the use of incentives in a community oncology practice.

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 205-205
Author(s):  
Elizabeth M Blanchard ◽  
Ann-Marie Soucy ◽  
Therese M. Mulvey
Keyword(s):  
Clinical Trials ◽  
Fiscal Year ◽  
Cancer Center ◽  
Incentive Programs ◽  
Community Oncology ◽  
Medical Oncologists ◽  
Investigator Initiated Trials ◽  
Clinical Trial Enrollment ◽  
Oncology Practice ◽  
Oncology Providers

205 Background: Clinical trials represent a critical component of progress in cancer care, however, enrollment of patients onto adult cancer clinical trials remains disturbingly low at 3-5 percent of patients. In an effort to increase enrollment onto open trials at our center as well as to meet our ACOS requirements, our community cancer center instituted an incentive program to compensate the time medical oncology providers spend enrolling patients onto trials. Methods: In October of 2013 (the beginning of fiscal year 2014), an incentive was given to medical oncologists in our practice if they met an enrollment target of 1% of patients onto trials open at our center. Comparison of enrollment was performed between fiscal year 2014, when the incentive existed, and corresponding months of fiscal year 2013. Results: Enrollment at our center from October 2012-May 2013 was 9 patients with an average of 1.125 per month. For the corresponding period of October 2013-May 2014, when the incentive existed, enrollment was 48 patients, with an average of 6 patients per month. This far exceeded the 1% threshold required to achieve the incentive and has not abated despite the completion of the metric. In addition, enrollment has been similar to unfunded investigator initiated trials and pharmaceutical trials. Cooperative group trials remain limited by lack of funding. All physicians in the group have qualified for the incentive. Conclusions: Incentive programs designed to compensate the time involved with enrolling patients onto clinical trials was very effective in this busy community oncology practice.

Partner engagement and patients’ receipt of colorectal cancer surveillance.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e19106-e19106
Author(s):  
Christine M Veenstra ◽  
Paul Abrahamse ◽  
Arden M. Morris ◽  
Sarah T. Hawley
Keyword(s):  
Colorectal Cancer ◽  
High School ◽  
School Education ◽  
Cancer Surveillance ◽  
High School Education ◽  
Cancer Center ◽  
Surveillance Colonoscopy ◽  
Female Partners ◽  
Colorectal Cancer Surveillance ◽  
Oncology Practice

e19106 Background: Over 50% of survivors of colorectal cancer do not receive guideline-concordant surveillance. In light of growing recognition that members of couples influence each other’s health behaviors, we sought to describe partner engagement in surveillance and evaluate associations between partner engagement and patient receipt of surveillance. Methods: In 2019 we surveyed patients who, in 2014-18, underwent resection of Stage III colorectal cancer and were seen at a community oncology practice, an academic cancer center, or reported to Georgia SEER (current RR 46%). Patients gave a separate survey to their partner. 254 partners (68% RR) completed surveys. Using existing measures, we assessed 3 partner-reported elements of engagement: 1) informed about surveillance; 2) involved (extent of and satisfaction with) in surveillance; 3) aware of patients’ values/preferences. Each measure was scored on a continuous scale with higher scores indicating greater engagement. We assessed patient receipt of surveillance by patient-report of receipt of CEA blood test, imaging, and colonoscopy/sigmoidoscopy (all y/n response). We performed multivariable regression analyses to assess associations between each element of partner engagement and patient receipt of surveillance, controlling for important partner- and patient-level variables. Results: Most partners (85%) were > age 50, female (64%), and white (86%). 27% had <high school education. Most patients (60%) had colon primary (vs rectal), received chemotherapy (95%), and were 3-4 years out from diagnosis (62%). Female partners and those with <high school education were more likely to report a greater extent of involvement; Partners < age 50 were more likely to report greater satisfaction with involvement. Female partners, those with <high school education, and partners of patients who received chemotherapy were more likely to report greater awareness (all p < 0.05). Being informed did not vary by partner or patient factors. Having a more aware partner was associated with greater patient receipt of surveillance colonoscopy/sigmoidoscopy (p = 0.01). Receipt of surveillance CEA or imaging did not vary by partner engagement. Conclusions: Partner engagement in patients’ surveillance varied by partner age, gender and education. Partner awareness of patient preferences was associated with patient receipt of surveillance colonoscopy/sigmoidoscopy. Our findings suggest that interventions to engage partners in patients’ surveillance may improve receipt of guideline-concordant care for survivors of colorectal cancer.

scholarly journals Problems of labor productivity management in difficult epidemiological situation

2021 ◽  
Vol 6 (2) ◽  
pp. 146-153
Author(s):  
L. V. Trunkina ◽  
◽  
T. V. Telyatnikova ◽  
N. A. Kuzmina ◽  
◽  
...  
Keyword(s):  
Labor Productivity ◽  
Work Schedule ◽  
Flexible Work ◽  
Effective Leader ◽  
Flexible Work Schedule ◽  
The Face ◽  
Increase Productivity ◽  
Leader Performance ◽  
The Impact ◽  
Epidemiological Situation

In modern conditions the problem of labor productivity growth is becoming increasingly relevant. Its enhancement is paid to attention both at the federal level and at the level of enterprises. This article discusses the increase in labor productivity in the face of the epidemiological situation. The main blocks of programs of the national project to increase productivity are highlighted. In the context of the epidemiological situation, there are problems of preserving and improving productivity in connection with the transition of enterprise personnel on various forms of non-standard employment: televodder, flexible work schedule, durability, etc. The impact of a complex epidemiological situation on labor productivity is disclosed, the main competencies of an effective leader (performance leader) are presented

scholarly journals 6 óra munka, 9 óra pihenés, 9 óra szórakozás

2021 ◽  
Vol 3 (4) ◽  
pp. 77-93
Author(s):  
Dávid Adrián Máté
Keyword(s):  
Labour Market ◽  
21St Century ◽  
Work Performance ◽  
Working Hours ◽  
Point Of View ◽  
Work Schedule ◽  
Flexible Work ◽  
Practical Point ◽  
Flexible Work Schedule ◽  
New Challenges

The digital changes of the 21st century have brought us many new tools, technologies, and, with them, new challenges. The changes fully permeate economic processes and at the same time have a significant impact on work performance. As a result of the changes, many jobs will be lost, new ones will be created, and we will witness ever-faster changes in the labour market. Employers and employees need to adapt to these changed circumstances, in which working time and its scheduling play a key role. In the course of the present work, I examine the feasibility of the shorter working hours that have become available due to technical development, both from a theoretical and a practical point of view. In connection with this, the development of a flexible work schedule will also be subject to a legal examination.

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