Methodology and Computing in Applied Probability最新文献

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'Yes, I've got the job, but my challenge is keeping the job': an evaluation of a new pathway to open employment to meet the needs of people with acquired brain injury in Australia. 是的，我找到了工作，但我面临的挑战是如何保住这份工作"：为满足澳大利亚后天性脑损伤患者的需求，对新的公开就业途径进行评估。

IF 0.8 4区数学 Q3 STATISTICS & PROBABILITY

Methodology and Computing in Applied Probability

Pub Date : 2023-09-01 Epub Date: 2022-05-30 DOI: 10.1017/BrImp.2022.6

Em Bould, Libby Callaway, Natasha K Brusco

Background and objectives: In Australia, people with disability continue to experience low employment rates (48%), compared to the national average (79%), and employment is even lower (30%) for people with acquired brain injury (ABI). This paper evaluates a pilot study of a new mainstream employment pathway following ABI, called Employment CoLab.

Method: Employment CoLab was piloted across multiple industries using a mix of reasonable employer adjustments, insurance-funded supports and/or access to capacity-building supports. Semi-structured interviews were undertaken with four stakeholders; (1) Employees with ABI (n = 5, age 31-49 years, time since injury M(R) = 11(4-26) years); (2) Employers/co-workers (n = 3); (3) Allied health professionals/vocational providers (n = 4); and (4) Injury insurance funders who hold portfolio responsibility for disability employment (n = 5). An explorative economic evaluation was also conducted to compare the cost to the funder for Employment CoLab compared to traditional employment pathways.

Results: Employment CoLab offered a new approach for people with ABI to gain and sustain open employment. Four major themes were identified from participant interviews: valuing employment and diversity; barriers to mainstream employment; reflections on being employed; and being supported over time. The economic evaluation was unable to detect if the pathway was, or was not, less costly when compared to traditional employment pathways.

Conclusions: Employment CoLab is a person-centred collaborative approach which, together with effective social disability insurance approaches, has built new opportunities for inclusive mainstream economic participation following ABI.

背景和目标：在澳大利亚，与全国平均水平（79%）相比，残疾人的就业率仍然很低（48%），而后天性脑损伤（ABI）患者的就业率则更低（30%）。本文评估了一项名为 "就业实验室"（Employment CoLab）的新主流就业途径试点研究：Employment CoLab 在多个行业进行试点，采用雇主合理调整、保险资助支持和/或获得能力建设支持的组合方式。对以下四位利益相关者进行了半结构化访谈：（1）有残疾的雇员（n = 5，年龄 31-49 岁，受伤后时间 M(R) = 11(4-26) 年）；（2）雇主/合作者（n = 3）；（3）专职医疗人员/职业提供者（n = 4）；以及（4）负责残疾人就业的伤害保险基金提供者（n = 5）。此外，还进行了一项探索性经济评估，以比较与传统就业途径相比，Employment CoLab 为资助方带来的成本：结果：Employment CoLab 为有 ABI 的人获得并维持公开就业提供了一种新方法。从参与者访谈中发现了四大主题：重视就业和多样性；主流就业的障碍；就业反思；长期支持。经济评估无法确定与传统就业途径相比，该途径的成本是否更低：就业 CoLab 是一种以人为本的合作方法，它与有效的社会残疾保险方法一起，为人工髋关节置换术后的包容性主流经济参与创造了新的机会。

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