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

Won JU, Seok H, Rhie J, Yoon JH - J. Korean Med. Sci. (2016)

Bottom Line: Relative risk and 95% confidence interval were calculated using log binomial regression models.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.

View Article: PubMed Central - PubMed

Affiliation: The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea.; Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.; Graduate School of Public Health, Yonsei University College of Medicine, Seoul, Korea.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus

Return to work and hospital quality score after adjusting age, gender, injury severity, occupation, factory size, city and hospital type.Q, quartile.
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Figure 3: Return to work and hospital quality score after adjusting age, gender, injury severity, occupation, factory size, city and hospital type.Q, quartile.

Mentions: These relationships remained significant after further adjustment for injury severity, occupation, factory size, city type, and hospital type. The RR (95% CI) 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 2nd, 3rd, and 4th quartiles, respectively, compared to the 1st quartile. The RR (95% CI) in the 2nd, 3rd, and 4th 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 1st quartile score, respectively (Fig. 3).


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

Won JU, Seok H, Rhie J, Yoon JH - J. Korean Med. Sci. (2016)

Return to work and hospital quality score after adjusting age, gender, injury severity, occupation, factory size, city and hospital type.Q, quartile.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4835593&req=5

Figure 3: Return to work and hospital quality score after adjusting age, gender, injury severity, occupation, factory size, city and hospital type.Q, quartile.
Mentions: These relationships remained significant after further adjustment for injury severity, occupation, factory size, city type, and hospital type. The RR (95% CI) 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 2nd, 3rd, and 4th quartiles, respectively, compared to the 1st quartile. The RR (95% CI) in the 2nd, 3rd, and 4th 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 1st quartile score, respectively (Fig. 3).

Bottom Line: Relative risk and 95% confidence interval were calculated using log binomial regression models.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.

View Article: PubMed Central - PubMed

Affiliation: The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea.; Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.; Graduate School of Public Health, Yonsei University College of Medicine, Seoul, Korea.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus