Evaluating illness absence period by musculoskeletal and psychological well being points: a retrospective cohort examine of Scottish healthcare staff.
BMJ Open. 2018 Jan 26;eight(1):e018085
Authors: Demou E, Smith S, Bhaskar A, Mackay DF, Brown J, Hunt Ok, Vargas-Prada S, Macdonald EB
OBJECTIVES: Illness absence (SA) amongst healthcare staff is related to occupational and non-occupational threat components and impacts worker well being, healthcare supply and affected person well being. On the identical time, healthcare is among the employment sectors with the best charges of work-related unwell well being within the UK. Musculoskeletal (MSK) and psychological well being (MH) points are main causes of SA, however there’s a lack of analysis on how sure MSK/MH circumstances affect on SA period. The examine intention is to find out variations in SA period by MH and MSK issues in healthcare workers.
METHODS: Survival analyses have been used to estimate SA period on account of MSK and MH issues over 6?years, and Cox’s proportional hazards fashions to find out the HRs of returning to work, utilizing a bespoke Scottish well being board database with over 53 000 SA occasions. SA period and time to return-to-work (RTW) have been estimated for workers by age, gender, job and well being circumstances.
RESULTS: MSK and MH circumstances accounted for 27% and 6% of all SA occasions and 23.7% and 19.5% of all days misplaced, respectively. Common SA period was 43.5 days for MSK and 53.9 days for MH circumstances. For MSK circumstances, workers with low again or neck ache had the quickest RTW (median P50: 7 days), whereas workers absent on account of melancholy took the longest (P50: 54 days). Probably the most influential sociodemographic variables affecting RTW have been age, gender and job class.
CONCLUSIONS: Utilizing a singular and wealthy database, we discovered important variations in SA period by presenting situation in healthcare staff. MH circumstances, and melancholy particularly, accounted for probably the most working days’ absence. Vital variations in period have been additionally noticed for MSK circumstances. Our findings can inform public well being practitioners and healthcare managers of probably the most important components impacting MSK-related and MH-related SA to develop and implement tailor-made and focused office interventions.
PMID: 29374662 [PubMed – in process]