Introduction
Occupational Care Versus Regular Healthcare
Methods
Subjects & Study Design
Contents of the Questionnaires
Data Analysis
Results
Study Population and Characteristics
Mean (SD) | Percentage (%) | |
---|---|---|
Age | 42.6 (9.3) | |
Sex (man) | 70.0 | |
Diagnostic group: | ||
–Low back pain | 51.2 | |
–Other MSD | 48.8 | |
Severity of complaints:
| ||
More than 3 symptoms | 38.3 | |
Perceived pain (0–10) | 6.4 (1.9) | |
Perceived functional limitations (0–24) | 12.3 (5.0) | |
Perceived general health (0–100) | 58.2 (19.0) | |
Good job control (y/n) | 52.0 | |
Perceived physical workload (0–10) | 6.9 (2.0) |
Sickness Absence Duration and Recurrent Sick Leave
Number of subjects (% total) | Sickness absence duration in days (mean (SD)) | Sickness absence duration in days (median) | |
---|---|---|---|
All subjects including right sensored | 252 (100%) | 131 (99) | 97 |
Subjects that returned to work fully | 232 (92%) | 111 (73) | 89 |
Health Status and Healthcare Utilization
Healthcare provider (number of subjects that answered the question) | Percentage of subjects that visited healthcare provider (%) |
---|---|
General practitioner (n = 202) | 90.6 |
Therapist (n = 196) | 82.7 |
–Physical therapist | 80.2#
|
Medical specialist (n = 170) | 42.2 |
Healthcare provider | Visited (y / n) | Pain intensity (0–10) | Functional limitations (0–24) | General health (0–100) |
---|---|---|---|---|
Mean (SD) | Mean (SD) | Mean (SD) | ||
General practitioner | Yes | 6.2 (2.0) | 12.4 (5.0) | 58.4 (18.4) |
No | 6.8 (1.3) | 10.5 (4.2) | 64.8 (16.1) | |
Therapist | Yes | 6.3 (1.9) | 12.3 (4.9) | 57.7 (18.2) |
No | 6.1 (2.2) | 11.5 (4.8) | 64.9 (18.1)#
| |
Medical specialist | Yes | 6.7 (1.9)#
| 13.2 (4.6)#
| 56.1 (18.8)#
|
No | 5.9 (2.1) | 11.1 (4.8) | 62.1 (17.2) |
Variables in the model | Model 1 | Model 2 | Model 3 |
---|---|---|---|
General practitioner | Therapist | Medical specialist | |
OR (95% CI) | OR (95% CI) | OR (95% CI) | |
Age | 0.96 (0.91–1.02) | 1.02 (0.97–1.07) | 1.05 (1.01–1.09)b
|
Sex (male) | 1.51 (0.52–4.37) | 0.48 (0.18–1.29) | 0.72 (0.34–1.54) |
Diagnostic group (LBP) | 3.05 (0.87–10.69)a
| 1.14 (0.47–2.74) | 1.83 (0.86–3.87) |
Severity of complaints | 0.98 (0.30–3.26) | 1.91 (0.76–4.81) | 2.01 (0.96–4.19)a
|
Pain intensity | 0.74 (0.53–1.04)a
| 0.99 (0.79–1.23) | 1.10 (0.91–1.32) |
Functional limitations | 1.10 (0.95–1.27) | 1.00 (0.91–1.10) | 1.09 (1.01–1.19)b
|
General health | 0.98 (0.95–1.01) | 0.98 (0.95–1.00)a
| 0.99 (0.97–1.01) |
Regular Healthcare and Duration of Sickness Absence
Variables in the model | Model 1 | Model 2 | Model 3 | Model 4 |
---|---|---|---|---|
HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | |
General practitioner | 1.35 (0.79–2.30) | – | – | |
Therapist: | ||||
Physical therapist | – | 1.28 (0.84–1.96) | – | 0.75 (0.49–1.12) |
Other | – | 2.17 (1.27–3.70)c
| – | – |
None | – | 1 | – | – |
Medical specialist | – | – | 2.10 (1.43–3.07)d
| 1.82 (1.02–3.27)b
|
Medical specialist or physical therapist | – | – | – | 1.73 (1.07–2.79)b
|
Age | 0.99 (0.97–1.01) | 0.99 (0.97–1.01) | 0.98 (0.97–1.00)a
| 0.98 (0.96–1.00)b
|
Sex (male) | 0.77 (0.55–1.09) | 0.76 (0.54–1.07) | 0.58 (0.40–0.85)b
| 0.67 (0.47–0.95)b
|
Diagnostic group (LBP) | 0.65 (0.45–0.92)c
| 0.69 (0.48–0.97)b
| 0.73 (0.50–1.06)a
| 0.67 (0.47–0.96)b
|
Severity of complaints | 1.48 (1.05–2.08)b
| 1.33 (0.94–1.89)a
| 1.31 (0.89–1.93) | 1.21 (0.85–1.72) |
Pain intensity | 1.04 (0.95–1.14) | 1.04 (0.95–1.14) | 1.03 (0.94–1.14) | 1.04 (0.95–1.14) |
Functional limitations | 1.01 (0.97–1.05) | 1.01 (0.97–1.04) | 1.01 (0.97–1.05) | 1.01 (0.96–1.04) |
General health | 1.00 (0.99–1.01) | 0.99 (0.99–1.00) | 0.99 (0.98–1.00) | 0.99 (0.98–1.00) |
Physical work load | 1.03 (0.95–1.11) | 1.01 (0.93–1.09) | 1.09 (1.01–1.18)b
| 1.06 (0.98–1.15) |
Job control | 0.97 (0.71–1.31) | 1.06 (0.77–1.46) | 0.96 (0.68–1.35) | 0.94 (0.67–1.31) |