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Systematic Review of the Impact on Return to Work of Return-to-Work Coordinators
Journal of Occupational Rehabilitation ( IF 3.134 ) Pub Date : 2021-04-21 , DOI: 10.1007/s10926-021-09975-6
M Dol 1 , S Varatharajan 1 , E Neiterman 1 , E McKnight 1 , M Crouch 1 , E McDonald 1 , C Malachowski 2 , N Dali 1 , E Giau 1 , E MacEachen 1, 2
Affiliation  

Purpose We conducted a systematic review to understand the impact that return-to-work coordinators (RTWCs) have on return to work (RTW) outcomes for sick/injured workers. Methods MEDLINE, EMBASE, CINAHL, PsycINFO, Web of Science, and ABI Inform were searched from January 1, 2000 to September 16, 2020. Of 2,927 retrieved and screened citations, 14 quantitative articles fulfilled the eligibility and quality criteria. Quality assessment, data extraction, and evidence synthesis followed article screening. Results We focused on the impact of RTWCs for outcomes of work absence, RTW rates, quality of life, and cost–benefit. Our final synthesis included 14 articles. We found strong evidence that work absence duration was reduced when workers had face-to-face contact with a RTWC. As well, there was strong evidence linking face-to-face RTWC interventions with higher RTW rates and moderate evidence that this reduced intervention costs. RTWC interventions involving the identification of barriers and facilitators to RTW also showed promising results. However, only limited evidence was found that RTWCs improved quality of life for workers. Conclusions Our synthesis identifies key features of RTW interventions that improve RTW outcomes. Future high-quality research should measure long-term outcomes of RTWC interventions to evaluate sustainability and consider the nature of work. They should also focus on RTWC impact on worker quality of life assessments and for older workers and workers with chronic health conditions.



中文翻译:

对复工协调员复工影响的系统审查

目的我们进行了系统审查,以了解重返工作岗位协调员 (RTWC) 对生病/受伤工人重返工作岗位 (RTW) 结果的影响。方法从 2000 年 1 月 1 日至 2020 年 9 月 16 日检索 MEDLINE、EMBASE、CINAHL、PsycINFO、Web of Science 和 ABI Inform。在检索和筛选的 2,927 篇引文中,14 篇定量文章符合资格和质量标准。在文章筛选之后进行质量评估、数据提取和证据合成。结果我们关注 RTWC 对缺勤结果、RTW 率、生活质量和成本效益的影响。我们的最终综合包括 14 篇文章。我们发现强有力的证据表明,当工人与 RTWC 面对面接触时,工作缺勤时间会减少。同样,有强有力的证据表明面对面的 RTWC 干预与较高的 RTW 率有关,并且有中等证据表明这降低了干预成本。涉及识别 RTW 障碍和促进因素的 RTWC 干预也显示出有希望的结果。然而,只有有限的证据表明 RTWC 提高了工人的生活质量。结论我们的综合确定了可改善 RTW 结果的 RTW 干预措施的关键特征。未来的高质量研究应该衡量 RTWC 干预的长期结果,以评估可持续性并考虑工作的性质。他们还应关注 RTWC 对工人生活质量评估以及对老年工人和患有慢性健康状况的工人的影响。

更新日期:2021-04-21
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