回归工作实践和研究与脊髓损伤:澳大利亚的观点

E. Mpofu, A. Craig, M. Millington, G. Murphy, D. Dorstyn
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引用次数: 13

摘要

损伤后重返工作岗位(RTW)是一项重要的康复结果,无论损伤类型如何。脊髓损伤(SCI),成功的RTW的几率低于一般人群的工伤。与包括美国在内的许多其他发达国家相比,澳大利亚脊髓损伤患者的转船率更高。在澳大利亚,对相对较高的伤后伤残伤残率有重要影响的因素包括其普遍的残疾护理政策,澳大利亚的一套无过错意外保险制度,除了对康复服务提供者给予适当的奖励外,还允许向符合条件的个人提供多方面的康复服务。在为那些遭受灾难性伤害的人(如脊髓损伤)提供全面的康复服务时,这些系统因素的结合是很重要的。然而,与加强SCI后应对的干预措施相比,关于SCI后成功的RTW驱动因素的经验证据有限。未来的研究可以考虑特定RTW干预与SCI对比政策和资本制度的相对优点,以及利用考虑发病前工作参与和次要健康状况的研究设计。
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Return to Work Practices and Research with Spinal Cord Injury: An Australian Perspective
Post-injury return to work (RTW) is an important rehabilitation outcome regardless of injury type. With Spinal Cord Injury (SCI), the odds of successful RTW are lower than for the general population of work-injured. Australians living with a SCI have a higher RTW rate than many other developed countries, including the United States. Important influences on relatively higher post-injury RTW rates in the Australian context include its universal disability care policy, Australia's suite of no-fault accident insurance systems that allow for multi-faceted rehabilitation services to be provided to eligible individuals in addition to appropriate rewards for rehabilitation service providers. A combination of these systemic factors is important when delivering comprehensive rehabilitation services to those with catastrophic injuries, such as SCI. The empirical evidence on drivers of successful RTW post SCI is, however, limited in comparison to the evidence on interventions for enhanced coping following SCI. Future studies could consider the relative merits of specific RTW interventions with SCI contrasting policy and capitation systems as well as utilising study designs that take into account pre-morbid work participation and secondary health conditions.
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