Annals of Occupational and Environmental Medicine

  • 제18권3호
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  • Pages.221-231
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  • 2006
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  • 1225-3618(pISSN)
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  • 2052-4374(eISSN)
대한직업환경의학회 (The Korean Society of Occupational & Environmental Medicine)
권호 표지

산업재해 근로자의 직장복귀 및 원직복귀 예측 요인

Predictors of Return to Work and Job Retention after Work-Related Injury or Illness

강희태;권영준;주영수;임형준;김용규;이화평;김정민

  • 발행 : 20060900
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: This research was conducted to investigate workers’return to work rate after work-related injury or illness and to determine which factors could predict return to work and job retention. Methods: From the documents held by the six local branches of the Korea Labor Welfare Corporation(KLWP), 2,464 cases of work-related injury or illness which had telephone numbers were identified from September to December, 2003. Data about the employment status was gained from 921 occupationally injured workers through telephone questionnaire and was merged with the electronic data obtained from KLWP with included information of the workers whose worker's compensation period was ended from 2002 to 2004. Finally the data for 516 workers was analysed by logistic regression using SAS 9.0. Results: The return to work rate was 50.3% and the job retention rate was 28.3%. Decreased return to work rate was associated with old age, shorter employment duration, longer treatment duration, higher disability grade, lower average wage and manual worker. Decreased job retention rate was associated with a smaller number of employees, shorter employment duration and work in the construction industry. Conclusions: This research highlighted the numerous occupationally injured workers who couldn't return to work and the multiple factors that were associated with the return to work or job retention. Based on this and related research, rehabilitation programs which consider the issues of return to work and job retention have to be implemented.

키워드

참고문헌

  1. Abenheim L, Rossignol M, Gobeille D, Bonvalot Y, Fines P, Scott S. The prognostic consequences in the making of the initial medical diagnosis of work-related back injuries. Spine 1995;20:791-5 https://doi.org/10.1097/00007632-199504000-00010
  2. Baldwin ML, Jhonson W, Butler RJ. The error of using returns-to-work to measure the outcomes of health care. Am J Ind Med 1996;29:632-41 https://doi.org/10.1002/(SICI)1097-0274(199606)29:6<632::AID-AJIM7>3.0.CO;2-L
  3. Butler RJ, Jhonson WG, Baldwin ML. Managing work disability: why first return to work is not a measure of success. Industrial and Labor Relations Review 1995;48(3)
  4. Butterfield PG, Spencer PS, Redmond N, Feldstein A, Perrin N. Low back pain: predictors of absenteeism, residual symptoms, functional impairment, and medical costs in Oregon workers' compensation recipients. Am J Ind Med 1998;34:559-67 https://doi.org/10.1002/(SICI)1097-0274(199812)34:6<559::AID-AJIM3>3.0.CO;2-3
  5. Cheadle A, Franklin G, Wolfhagen C, Savarino J, Liu PY, Salley C, Weaver M. Factors influencing the duration of work-related disability: a population-based study of Washington State Workers' Compensation. Am J Public Health 1994;84:190-6 https://doi.org/10.2105/AJPH.84.2.190
  6. Cho KJ. The determinants of job-retention possibility of the workers with disability resulting from on-the-job injuries [dissertation]. Seoul National University. 2003. (Korean)
  7. Gatchel R, Polatin P, Kinney R. Predicting outcome of chronic back pain using clinical predictors of psychopathology: a prospective analysis. Health Psychol 1995;14:415-20 https://doi.org/10.1037/0278-6133.14.5.415
  8. Go DK, Yoo SH, Song JS, Won JW, Roh JH. Factors associated with patients' willingness of return-to-work in industrial accident hospitals. Korean J Occup Med 1998;10(3):379-87. (Korean)
  9. Hazard RG, Haugh LD, Reid S, Preble JB, MacDonald L. Early prediction of chronic disability after occupational low back injury. Spine 1996;21:945-51 https://doi.org/10.1097/00007632-199604150-00008
  10. Hogg-Johnson S, Frank JW, Rael E. Prognostic risk factor models for low back pain: why they have failed and a new hypothesis. Ontario Workers' Compensation Institute. Toronto. 1994. Working Paper no 19
  11. Infante-Rivard C, Lortie M. Prognostic factors for return to work after a first compensated episode of back pain. Occup Environ Med 1996;53:488-94 https://doi.org/10.1136/oem.53.7.488
  12. Jeong WM, Park CY, Koo JW, Roh YM. Predictors of return to work in occupational injured workers. Korean J Occup Environ Med 2003;15(2):119-31. (Korean)
  13. Kim SA. Effects of the midstream-disabled's psychological characteristics to the employment. Korea Employment Promotion Agency for the Disabled. 1996. (Korean)
  14. Korea Labor Welfare Corporation. Analysis of employment status survey in the occupational disabled, 2004. Korea Labor Welfare Corporation. 2005. (Korean)
  15. Krause N, Lynch J, Kaplan GA, Cohen RD, Goldberg DE, Salonen JT. Predictors of disability retirement. Scan J Work Environ Health 1997;23(6):403-13 https://doi.org/10.5271/sjweh.262
  16. Krause N, Frank JW, Dasinger LK, Sullivan TJ, Sinclair SJ. Determinants of duration of disability and return-to-work after work-related injury and illness: challenges for future research. Am J Ind Med 2001;40:464-84 https://doi.org/10.1002/ajim.1116
  17. Kuijer W, Groothoff JW, Brouwer S, Geetzen JH, Dijkstra PU. Prediction of sickness absence in patients with chronic low back pain: a systematic review. J Occup Rehabil 2006;16(2):192-200 https://doi.org/10.1007/s10926-006-9023-6
  18. Lee SR. Return to work and it's predictors of the injured workers. Korea Labor Institute. 2003. (Korean)
  19. McIntosh G, Frank J, Hogg-Jhonson S, Bombardier C, Hall H. Prognostic factors for time receiving workers' compensation benefits in a cohort of patients with low back pain. Spine 2000;25:147-57 https://doi.org/10.1097/00007632-200001150-00003
  20. Ministry of Labor. Analysis of occupational injury and illness, 2004. Ministry of Labor. 2005. Available : http://www.molab.go.kr. (Korean)
  21. Oleinick A, Gluck JV, Guire K. Factors affecting first return to work following a compensable occupational back injury. Am J Ind Med 1996;30:540-55 https://doi.org/10.1002/(SICI)1097-0274(199611)30:5<540::AID-AJIM3>3.0.CO;2-X
  22. Park SK. A Study on factors affecting reemployment of the disabled workers owing to industrial injury in Korea. korean J Social Welfare 1999;37(4):67-88. (Korean)
  23. Reid S, Haugh LD, Hazard RG, Tripathi M. Occupational low back pain: recovery curves and factors associated with disability. J Occup Rehab 1997;7:1-14 https://doi.org/10.1007/BF02765872
  24. Roh SS. A study of return to work in work-related musculoskeletal diseases approved by Korea Labor Welfare Corporation [dissertation]. Yeonsei University. 2005. (Korean)
  25. Rossignol M, Suissa S, Abenhaim L. The evolution of compensated occupational spinal injuries. A three-year follow-up study. Spine 1992;17(9):1043-7 https://doi.org/10.1097/00007632-199209000-00006
  26. Seland K, Cherry N, Beach J. A study of factors influencing return to work after wrist or ankle fractures. Am J Ind Med 2006;49(3):197-203 https://doi.org/10.1002/ajim.20258
  27. Sim KB. Current status and plan in the supply of construction workers. Construction and Economy Research Institute of Korea. 2002. Available : http://www.cerik.re.kr. (Korean)
  28. Turner JA, Franklin G, Turk DC. Predictors of chronic disability in injured workers: a systematic literature synthesis. Am J Ind Med 2001;38:707-22 https://doi.org/10.1002/1097-0274(200012)38:6<707::AID-AJIM10>3.0.CO;2-9