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Do return to work interventions for workers with disabilities and health conditions achieve employment outcomes and are they cost effective? A systematic narrative review
Employee Relations ( IF 2.688 ) Pub Date : 2018-10-01 , DOI: 10.1108/er-01-2017-0023
Pauline Dibben , Geoffrey Wood , Rachel O’Hara

Purpose The purpose of this paper is to evaluate existing evidence on whether return to work interventions achieve employment outcomes and are cost effective in order to better inform those needing accommodations at work, as well as their line managers and trade union representatives, occupational health specialists and HR managers. Design/methodology/approach The paper uses a systematic narrative review to evaluate the evidence on the employment outcomes and cost effectiveness of return to work initiatives. Findings Evidence on interventions for musculoskeletal conditions such as lower back pain indicates that certain forms of intervention such as vocational rehabilitation and workplace-based rehabilitation facilitate outcomes such as employment, reduced sick leave and effective return to work. However, there is very little evidence on whether these interventions are cost effective. More generally there are glaring gaps in evidence on cardio-respiratory (heart and breathing) and mental health conditions with regard to both employment outcomes and the cost of interventions. Research limitations/implications This systematic review has critical and timely implications for both knowledge development and practice. While highlighting methodological limitations in the existing research base, it also presents avenues for further research on return work strategies and the factors inhibiting and facilitating their adoption and effective operation. Originality/value Although there is much existent literature on the return to work process, far less attention has been paid to the employment outcomes and cost effectiveness of interventions. This paper highlights the interventions for musculoskeletal conditions such as lower back conditions that may result in positive employment outcomes, with implications for practice. However, it also highlights gaps in evidence on the employment outcomes and cost effectiveness of interventions for cardio-respiratory (heart and breathing) and mental health conditions.

中文翻译:

残疾和健康状况工人的重返工作干预措施能否实现就业成果,并且具有成本效益吗?系统的叙述性评论

目的本文的目的是评估有关回归工作干预措施是否能达到就业成果并具有成本效益的现有证据,以便更好地告知需要在工作场所住宿的人员及其直属经理和工会代表,职业健康专家以及人力资源经理。设计/方法/方法本文使用系统的叙述性评论来评估有关就业成果和重返工作计划的成本效益的证据。调查结果有关下肢疼痛等肌肉骨骼疾病的干预措施的证据表明,某些形式的干预措施,例如职业康复和工作场所康复,可促进诸如就业,减少病假和有效重返工作等结果。然而,这些干预措施是否具有成本效益的证据很少。在就业结果和干预费用方面,关于心脏呼吸(心脏和呼吸)和心理健康状况的证据普遍存在明显差距。研究的局限性/意义这种系统的审查对知识的发展和实践都具有关键和及时的意义。在强调现有研究基地的方法学局限性的同时,还为进一步研究退货工作策略以及阻碍和促进其采用和有效运作的因素提供了途径。原创性/价值尽管关于返工过程的文献很多,但对就业成果和干预措施成本效益的关注却很少。本文重点介绍了肌肉骨骼疾病(例如下背部疾病)的干预措施,这些措施可能会带来积极的就业成果,并对实践产生影响。但是,它也凸显了针对心肺(心脏和呼吸)和精神健康状况的干预措施的就业结果和成本效益方面的证据空白。
更新日期:2018-10-01
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