Evaluating illness absence period by musculoskeletal and psychological well being points: a retrospective cohort examine of Scottish healthcare employees.
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 employees is related to occupational and non-occupational threat elements and impacts worker well being, healthcare supply and affected person well being. On the similar time, healthcare is without doubt one of the employment sectors with the best charges of work-related ailing 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 situations impression on SA period. The examine goal is to find out variations in SA period by MH and MSK problems in healthcare staff.
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 situations.
RESULTS: MSK and MH situations 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 situations. For MSK situations, staff with low again or neck ache had the quickest RTW (median P50: 7 days), whereas staff absent on account of despair took the longest (P50: 54 days). Probably the most influential sociodemographic variables affecting RTW have been age, gender and job class.
CONCLUSIONS: Utilizing a novel and wealthy database, we discovered vital variations in SA period by presenting situation in healthcare employees. MH situations, and despair particularly, accounted for probably the most working days’ absence. Vital variations in period have been additionally noticed for MSK situations. Our findings can inform public well being practitioners and healthcare managers of probably the most vital elements impacting MSK-related and MH-related SA to develop and implement tailor-made and focused office interventions.
PMID: 29374662 [PubMed – in process]