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Hospital Qualities Related to Return to Work from Occupational Injury after Controlling for Injury Severity as Well as Occupational Characteristics

We examined associations between hospital quality in the workers’ compensation system and injured patients’ return to work after controlling for injury severity, occupational factors, and demographic factors. Return to work data of injured workers were constructed from 2 datasets: 23,392 patients in...

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Autores principales: Won, Jong-Uk, Seok, Hongdeok, Rhie, Jeongbae, Yoon, Jin-Ha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4835593/
https://www.ncbi.nlm.nih.gov/pubmed/27134489
http://dx.doi.org/10.3346/jkms.2016.31.5.695
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author Won, Jong-Uk
Seok, Hongdeok
Rhie, Jeongbae
Yoon, Jin-Ha
author_facet Won, Jong-Uk
Seok, Hongdeok
Rhie, Jeongbae
Yoon, Jin-Ha
author_sort Won, Jong-Uk
collection PubMed
description We examined associations between hospital quality in the workers’ compensation system and injured patients’ return to work after controlling for injury severity, occupational factors, and demographic factors. Return to work data of injured workers were constructed from 2 datasets: 23,392 patients injured in 2009–2011 from the Korea Workers’ Compensation & Welfare Service and return to work data from Korea Employment Information Services. After de-identifying the data, quality scores were matched for each hospital that cared for injured patients. Injury severity was measured by Abbreviated Injury Scales. Relative risk and 95% confidence interval were calculated using log binomial regression models. After adjusting for age, sex, injury severity, occupation, factory size, city, and hospital type, the relative risk (95% confidence interval) for the total score was 1.04 (1.02–1.06), 1.06 (1.04–1.09), and 1.07 (1.05–1.10) in the 2(nd), 3(rd), and 4(th) quartiles, respectively, compared to the 1(st) quartile. The RR (95% CI) in the 2(nd), 3(rd), and 4(th) quartiles was 1.05 (1.02–1.07), 1.05 (1.02–1.08), and 1.06 (1.04–1.09) for the process score; and 1.02 (1.01–1.04), 1.05 (1.03–1.07), and 1.06 (1.04–1.09) for the outcome score compared to the 1(st) quartile score, respectively. In conclusion, our study design with blinded merge methods shows that total, process, and outcome qualities are related to the return to work of injured workers after controlling for other factors.
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spelling pubmed-48355932016-05-01 Hospital Qualities Related to Return to Work from Occupational Injury after Controlling for Injury Severity as Well as Occupational Characteristics Won, Jong-Uk Seok, Hongdeok Rhie, Jeongbae Yoon, Jin-Ha J Korean Med Sci Original Article We examined associations between hospital quality in the workers’ compensation system and injured patients’ return to work after controlling for injury severity, occupational factors, and demographic factors. Return to work data of injured workers were constructed from 2 datasets: 23,392 patients injured in 2009–2011 from the Korea Workers’ Compensation & Welfare Service and return to work data from Korea Employment Information Services. After de-identifying the data, quality scores were matched for each hospital that cared for injured patients. Injury severity was measured by Abbreviated Injury Scales. Relative risk and 95% confidence interval were calculated using log binomial regression models. After adjusting for age, sex, injury severity, occupation, factory size, city, and hospital type, the relative risk (95% confidence interval) for the total score was 1.04 (1.02–1.06), 1.06 (1.04–1.09), and 1.07 (1.05–1.10) in the 2(nd), 3(rd), and 4(th) quartiles, respectively, compared to the 1(st) quartile. The RR (95% CI) in the 2(nd), 3(rd), and 4(th) quartiles was 1.05 (1.02–1.07), 1.05 (1.02–1.08), and 1.06 (1.04–1.09) for the process score; and 1.02 (1.01–1.04), 1.05 (1.03–1.07), and 1.06 (1.04–1.09) for the outcome score compared to the 1(st) quartile score, respectively. In conclusion, our study design with blinded merge methods shows that total, process, and outcome qualities are related to the return to work of injured workers after controlling for other factors. The Korean Academy of Medical Sciences 2016-05 2016-03-18 /pmc/articles/PMC4835593/ /pubmed/27134489 http://dx.doi.org/10.3346/jkms.2016.31.5.695 Text en © 2016 The Korean Academy of Medical Sciences. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Won, Jong-Uk
Seok, Hongdeok
Rhie, Jeongbae
Yoon, Jin-Ha
Hospital Qualities Related to Return to Work from Occupational Injury after Controlling for Injury Severity as Well as Occupational Characteristics
title Hospital Qualities Related to Return to Work from Occupational Injury after Controlling for Injury Severity as Well as Occupational Characteristics
title_full Hospital Qualities Related to Return to Work from Occupational Injury after Controlling for Injury Severity as Well as Occupational Characteristics
title_fullStr Hospital Qualities Related to Return to Work from Occupational Injury after Controlling for Injury Severity as Well as Occupational Characteristics
title_full_unstemmed Hospital Qualities Related to Return to Work from Occupational Injury after Controlling for Injury Severity as Well as Occupational Characteristics
title_short Hospital Qualities Related to Return to Work from Occupational Injury after Controlling for Injury Severity as Well as Occupational Characteristics
title_sort hospital qualities related to return to work from occupational injury after controlling for injury severity as well as occupational characteristics
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4835593/
https://www.ncbi.nlm.nih.gov/pubmed/27134489
http://dx.doi.org/10.3346/jkms.2016.31.5.695
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