دورية أكاديمية
Quality improvement activity in occupational healthcare associated with reduced need for disability retirement: A Bayesian mixed effects modelling study in Finland
| العنوان: | Quality improvement activity in occupational healthcare associated with reduced need for disability retirement: A Bayesian mixed effects modelling study in Finland |
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| المؤلفون: | Jarmo Kuronen, Klas Winell, Juho Kopra, Kimmo Räsänen |
| المصدر: | Scandinavian Journal of Work, Environment & Health, Vol 46, Iss 6, Pp 630-638 (2020) |
| بيانات النشر: | Nordic Association of Occupational Safety and Health (NOROSH), 2020. |
| سنة النشر: | 2020 |
| المجموعة: | LCC:Public aspects of medicine |
| مصطلحات موضوعية: | depression, alcohol, disability, quality improvement, finland, disability retirement, disability pension, occupational healthcare, pension, networking, health check-up, bayesian mixed effects modelling, work ability, retirement, Public aspects of medicine, RA1-1270 |
| الوصف: | OBJECTIVES: There is evidence that occupational healthcare (OHC) may improve employees’ work ability. This research was designed to study whether common quality improvement (QI) activities in the OHC quality network (OQN) – a voluntary collaborative forum – can reduce the need for disability pensions. METHODS: The study population comprised employees under the care of 19 OHC units in Finland affiliated with the OQN. The association of 12 QI activities with new disability pensions during the years 2011–2017 was analyzed by Bayesian mixed effects modelling. RESULTS: Patients of OHC units affiliated with the OQN have fewer full permanent disability pensions [odds ratio (OR) 0.77, 95% credible interval (CI) 0.60–0.98] and full provisional disability pensions (OR 0.68, 95% CI 0.53–0.87) than patients of unaffiliated units. Of the studied QI activities, the measurements of intervening in excessive use of alcohol had the strongest association with the incidence of all disability pensions (OR 0.53, 95% CI 0.41–0.68). Participation in the focus of work measurements and quality facilitator training was also associated with the reduced incidence of disability pensions (OR 0.84, 95% CI 0.71–0.98, and OR 0.92, 95 CI 0.84–0.99, respectively). CONCLUSIONS: Affiliation with a quality network seemed to improve outcomes by reducing full disability pensions or replacing them by partial disability pensions. Some QI activities in the OQN were associated with a reduction of disability pensions. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0355-3140 1795-990X |
| العلاقة: | https://www.sjweh.fi/show_abstract.php?abstract_id=3901Test; https://doaj.org/toc/0355-3140Test; https://doaj.org/toc/1795-990XTest |
| DOI: | 10.5271/sjweh.3901 |
| الوصول الحر: | https://doaj.org/article/d86fe53a7aa249cd8802c667e576deffTest |
| رقم الانضمام: | edsdoj.86fe53a7aa249cd8802c667e576deff |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 03553140 1795990X |
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| DOI: | 10.5271/sjweh.3901 |