Saf Health Work.  2018 Sep;9(3):347-351. 10.1016/j.shaw.2017.11.001.

Predicting Employment Status of Injured Workers Following a Case Management Intervention

Affiliations
  • 1Social Security Research Centre, University of Malaya, Kuala Lumpur, Malaysia. halima@um.edu.my
  • 2Faculty of Economics and Administration, University of Malaya, Kuala Lumpur, Malaysia.

Abstract

BACKGROUND
The success of an injury intervention program can be measured by the proportion of successful return to work (RTW). This study examined factors of successful return to employment among workers suffering from work-related injuries.
METHODS
Data were obtained from the Social Security Organization, Malaysia database consisting of 10,049 RTW program participants in 2010-2014. The dependent variable was the RTW outcome which consisted of RTW with same employer, RTW with new employer or unsuccessful return. Multinomial logistic regression was performed to test the likelihood of successful return with same employer and new employer against unsuccessful return.
RESULTS
Overall, 65.3% of injured workers were successfully returned to employment, 52.8% to the same employer and 12.5% to new employer. Employer interest; motivation; age 30-49 years; intervention less than 9 months; occupational disease; injuries in the lower limbs, upper limbs, and general injuries; and working in the manufacturing, services, and electrical/electronics were associated with returning to work with the same employer against unsuccessful return. Male, employer interest, motivation, age 49 years or younger, intervention less than 6 months, occupational disease, injuries in the upper limbs and services sector of employment were associated with returning to new employer against unsuccessful return.
CONCLUSION
There is a need to strengthen employer commitment for early and intensified intervention that will lead to improvement in the RTW outcome.

Keyword

Employer; Rehabilitation; Return to work; Multinomial logistic; Work-related injuries

MeSH Terms

Case Management*
Employment*
Humans
Logistic Models
Lower Extremity
Malaysia
Male
Motivation
Occupational Diseases
Rehabilitation
Return to Work
Social Security
Upper Extremity
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