Intervention targeted at physicians’ treatment of musculoskeletal disorders and sickness certification: an interrupted time series analysis
| العنوان: | Intervention targeted at physicians’ treatment of musculoskeletal disorders and sickness certification: an interrupted time series analysis |
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| المؤلفون: | Jenni Ervasti, Tea Lallukka, Jaakko Harkko, Tom Rosenström, Ossi Rahkonen, Anne Kouvonen, Ari Väänänen, Leena Kaila-Kangas, Johanna Kausto, Olli Pietiläinen |
| المساهمون: | Faculty Common Matters (Faculty of Medicine), Department of Psychology and Logopedics, Center for Population, Health and Society, Department of Public Health, Faculty Common Matters (Faculty of Social Sciences), Helsinki Inequality Initiative (INEQ), Social Policy |
| المصدر: | BMJ Open BMJ Open, Vol 11, Iss 12 (2021) Kausto, J, Rosenström, T H, Ervasti, J, Pietiläinen, O, Kaila-Kangas, L, Rahkonen, O, Harkko, J, Väänänen, A, Kouvonen, A & Lallukka, T 2021, ' Intervention targeted at physicians’ treatment of musculoskeletal disorders and sickness certification: an interrupted time series analysis ', BMJ Open, vol. 11, no. 12, pp. e047018 . https://doi.org/10.1136/bmjopen-2020-047018 |
| بيانات النشر: | BMJ Publishing Group, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Certification, occupational & industrial medicine, GUIDELINES, Interrupted Time Series Analysis, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, SDG 3 - Good Health and Well-being, Managing pain, Intervention (counseling), Physicians, Health care, IMPLEMENTATION, Medicine, Humans, 030212 general & internal medicine, Musculoskeletal Diseases, Public health, business.industry, PRIMARY-CARE, General Medicine, ABSENCE, Sickness certification, 3142 Public health care science, environmental and occupational health, 3. Good health, BACK-PAIN, 3121 General medicine, internal medicine and other clinical medicine, Sick leave, HEALTH-CARE, Physical therapy, Public Health, musculoskeletal disorders, Sick Leave, business, 030217 neurology & neurosurgery, LISTING PRACTICE, Cohort study |
| الوصف: | ObjectiveAn intervention was carried out at the occupational healthcare services (OHS) of the City of Helsinki beginning in 2016. We investigated the association between the intervention and employee sick leaves using interrupted time series analysis.DesignRegister-based cohort study with a quasi-experimental study design.SettingEmployees of the City of Helsinki.ParticipantsWe analysed individual-level register-based data on all employees who were employed by the city for any length of time between 2013 and 2018 (a total 86 970 employees and 3 014 075 sick leave days). Sick leave days and periods that were OHS-based constituted the intervention time series and the rest of the sick leave days and periods contributed to the comparison time series.InterventionRecommendations provided to physicians on managing pain and prescribing sick leave for low back, shoulder and elbow pain.Outcome measuresNumber of sick leave days per month and sick leave periods per year.ResultsFor all sick leave days prescribed at OHS, there was no immediate change in sick leave days, whereas a gradual change showing decreasing number of OHS-based sick leave days was detected. On average, the intervention was estimated to have saved 2.5 sick leave days per year per employee. For other sick leave days, there was an immediate increase in the level of sick leave days after the intervention and a subsequent gradual trend showing decreasing number of sick leave days.ConclusionsThe intervention may have reduced employee sick leaves and therefore it is possible that it had led to direct cost savings. However, further evidence for causal inferences is needed. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2044-6055 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6dfc26a09aba887aa707c4327b0ad1b8 http://europepmc.org/articles/PMC8647396 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....6dfc26a09aba887aa707c4327b0ad1b8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20446055 |
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