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Evaluation of the Early Intervention Physiotherapist Framework for Injured Workers in Victoria, Australia: Data Analysis Follow-Up.
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- Author(s): Akbarzadeh Khorshidi, Hadi; Aickelin, Uwe; de Silva, Andrea
- Source:
Healthcare (2227-9032); Aug2023, Vol. 11 Issue 15, p2205, 11p- Subject Terms:
WOUND & injury classification; STATISTICS; PHYSICAL therapy services; WORK-related injuries; TIME; PHYSICAL therapy; WORKERS' compensation; MULTIVARIATE analysis; CONVALESCENCE; HEALTH outcome assessment; REGRESSION analysis; HUMAN services programs; EMPLOYEES; HEALTH insurance reimbursement; MEDICAL referrals; SURVIVAL analysis (Biometry); KAPLAN-Meier estimator; DESCRIPTIVE statistics; RESEARCH funding; EMPLOYMENT reentry; EARLY medical intervention - Source:
- Additional Information
- Subject Terms:
- Abstract: Purpose: This study evaluates the performance of the Early Intervention Physiotherapist Framework (EIPF) for injured workers. This study provides a proper follow-up period (3 years) to examine the impacts of the EIPF program on injury outcomes such as return to work (RTW) and time to RTW. This study also identifies the factors influencing the outcomes. Methods: The study was conducted on data collected from compensation claims of people who were injured at work in Victoria, Australia. Injured workers who commenced their compensation claims after the first of January 2010 and had their initial physiotherapy consultation after the first of August 2014 are included. To conduct the comparison, we divided the injured workers into two groups: physiotherapy services provided by EIPF-trained physiotherapists (EP) and regular physiotherapists (RP) over the three-year intervention period. We used three different statistical analysis methods to evaluate the performance of the EIPF program. We used descriptive statistics to compare two groups based on physiotherapy services and injury outcomes. We also completed survival analysis using Kaplan–Meier curves in terms of time to RTW. We developed univariate and multivariate regression models to investigate whether the difference in outcomes was achieved after adjusting for significantly associated variables. Results: The results showed that physiotherapists in the EP group, on average, dealt with more claims (over twice as many) than those in the RP group. Time to RTW for the injured workers treated by the EP group was significantly lower than for those who were treated by the RP group, indicated by descriptive, survival, and regression analyses. Earlier intervention by physiotherapists led to earlier RTW. Conclusion: This evaluation showed that the EIPF program achieved successful injury outcomes three years after implementation. Motivating physiotherapists to intervene earlier in the recovery process of injured workers through initial consultation helps to improve injury outcomes. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Healthcare (2227-9032) is the property of MDPI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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