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Multi-disciplinary Orthopaedics Rehabilitation Empowerment (MORE) program: A new standard of care for injured workers in Hong Kong.
- Source :
- Journal of Back & Musculoskeletal Rehabilitation; 2016, Vol. 29 Issue 3, p503-513, 11p
- Publication Year :
- 2016
-
Abstract
- BACKGROUND: The objective of this study is to evaluate the effects of the Multi-disciplinary Orthopaedics Rehabilitation Empowerment (MORE) Program on reducing chronic disability among injured workers and improving efficiency of work rehabilitation process. METHODS:A cohort of patients with workplace injuries in the lower back were recruited from orthopaedics clinics and assigned to either MORE group (n = 139) or control group (n = 106). Patients in MORE group received an early MRI screening and a coordinated multi-disciplinary management, while patients in the control group received conventional care. Outcome variables are time to return-to-work (RTW) from date of injury, waiting time for MRI screening and time to medical assessment board (MAB). RESULTS: Patients in the MORE Program had significantly shorter duration for RTW (MORE: 6.1 months, Control: 12.8 months, p < 0.01), and more RTW cases (n = 64, 46.0%) compared to Control group (n = 29, 27.4%). The MORE group also had much shorter waiting time for MRI scans (91.85 vs. 309.2 days, p <0.001) and MAB referral after MRI scans (97.2 vs. 178.9 days, p = 0.001) compared to Control group. CONCLUSIONS: The MORE Program which emphasizes early intervention and early MRI screening, is shown to be effective in shortening sick leave and improving RTW outcomes of injured workers. [ABSTRACT FROM AUTHOR]
- Subjects :
- MUSCULOSKELETAL system injuries
CHI-squared test
STATISTICAL correlation
EMPLOYMENT reentry
HOSPITALS
WORK-related injuries
INTERVIEWING
LONGITUDINAL method
RESEARCH methodology
MEDICAL needs assessment
OCCUPATIONAL therapy
PHYSICAL therapy
PROBABILITY theory
QUESTIONNAIRES
STATISTICAL hypothesis testing
T-test (Statistics)
WORKERS' compensation
TREATMENT effectiveness
CONTROL groups
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 10538127
- Volume :
- 29
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Journal of Back & Musculoskeletal Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 117529829
- Full Text :
- https://doi.org/10.3233/BMR-150650