Perspectives from employers, insurers, lawyers and healthcare providers on factors that influence workers' return-to-work following surgery for non-traumatic upper extremity conditions

Peters, Susan E., Coppierters, Michel W., Ross, Mark and Johnston, Venerina (2016) Perspectives from employers, insurers, lawyers and healthcare providers on factors that influence workers' return-to-work following surgery for non-traumatic upper extremity conditions. Journal of Occupational Rehabilitation, 27 3: 1-16. doi:10.1007/s10926-016-9662-1


Author Peters, Susan E.
Coppierters, Michel W.
Ross, Mark
Johnston, Venerina
Title Perspectives from employers, insurers, lawyers and healthcare providers on factors that influence workers' return-to-work following surgery for non-traumatic upper extremity conditions
Journal name Journal of Occupational Rehabilitation   Check publisher's open access policy
ISSN 1053-0487
1573-3688
Publication date 2016-09-01
Sub-type Article (original research)
DOI 10.1007/s10926-016-9662-1
Open Access Status Not yet assessed
Volume 27
Issue 3
Start page 1
End page 16
Total pages 16
Place of publication New York, NY, United States
Publisher Springer New York LLC
Language eng
Abstract Return-to-work (RTW) stakeholders have varied roles and may therefore hold their own perspectives regarding factors that may influence outcomes. This study aimed to determine stakeholders' perspectives on factors influencing RTW following surgery for non-traumatic upper extremity conditions.

A questionnaire was distributed to RTW stakeholders via gatekeeper organizations. Stakeholders rated 50 potential prognostic factors from 'not' to 'extremely' influential. Data were dichotomized to establish stakeholders' level of agreement. Disagreements between stakeholder groups were analyzed using χ 2. The relationship between stakeholder demographic variables and rating of a factor was determined via regression analysis.

One thousand and eleven stakeholders completed the survey: healthcare providers (77.8 %); employer representatives (12.2 %); insurer representatives (6.8 %); and lawyers (3.2 %). Factors with the highest stakeholder agreement for influencing RTW were: self-efficacy (92.2 %); post-operative psychological status (91.8 %); supportive employer/supervisor (91.4 %); employer's willingness to accommodate job modifications (90.7 %); worker's recovery expectations (88.3 %); mood disorder diagnosis (86.6 %); post-operative pain level (86.4 %); and whether the job can be modified (86.3 %). Disagreements between stakeholder groups were found for 19 (36 %) factors. The strongest disagreements were for: age; gender; obesity; doctor's RTW recommendation; and presence of a RTW coordinator. Respondents' characteristics (e.g., age, workers' compensation jurisdiction, work experience, stakeholder group) were associated with factor rating.

The factors stakeholders rated as having the greatest influence on RTW were predominately psychosocial and modifiable. These variables should be the focus of future research to determine prognostic factors for RTW for workers with upper extremity conditions, and to develop effective RTW interventions.
Formatted abstract
Purpose: Return-to-work (RTW) stakeholders have varied roles and may therefore hold their own perspectives regarding factors that may influence outcomes. This study aimed to determine stakeholders’ perspectives on factors influencing RTW following surgery for non-traumatic upper extremity conditions.

Methods: A questionnaire was distributed to RTW stakeholders via gatekeeper organizations. Stakeholders rated 50 potential prognostic factors from ‘not’ to ‘extremely’ influential. Data were dichotomized to establish stakeholders’ level of agreement. Disagreements between stakeholder groups were analyzed using χ2. The relationship between stakeholder demographic variables and rating of a factor was determined via regression analysis.

Results: One thousand and eleven stakeholders completed the survey: healthcare providers (77.8 %); employer representatives (12.2 %); insurer representatives (6.8 %); and lawyers (3.2 %). Factors with the highest stakeholder agreement for influencing RTW were: self-efficacy (92.2 %); post-operative psychological status (91.8 %); supportive employer/supervisor (91.4 %); employer’s willingness to accommodate job modifications (90.7 %); worker’s recovery expectations (88.3 %); mood disorder diagnosis (86.6 %); post-operative pain level (86.4 %); and whether the job can be modified (86.3 %). Disagreements between stakeholder groups were found for 19 (36 %) factors. The strongest disagreements were for: age; gender; obesity; doctor’s RTW recommendation; and presence of a RTW coordinator. Respondents’ characteristics (e.g., age, workers’ compensation jurisdiction, work experience, stakeholder group) were associated with factor rating.

Conclusion: The factors stakeholders rated as having the greatest influence on RTW were predominately psychosocial and modifiable. These variables should be the focus of future research to determine prognostic factors for RTW for workers with upper extremity conditions, and to develop effective RTW interventions.
Keyword Hand
Wrist
Shoulder
Workers' compensation
Prognosis
Disability
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 1 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Sat, 24 Sep 2016, 00:13:04 EST by Dr Venerina Johnston on behalf of School of Health & Rehabilitation Sciences