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dc.contributor.authorGray, Shannon E
dc.contributor.authorHassani-Mahmooei, Behrooz
dc.contributor.authorKendall, Elizabeth
dc.contributor.authorCameron, Ian D
dc.contributor.authorKenardy, Justin
dc.contributor.authorCollie, Alex
dc.date.accessioned2019-07-04T12:41:51Z
dc.date.available2019-07-04T12:41:51Z
dc.date.issued2018
dc.identifier.issn2214-1405
dc.identifier.doi10.1016/j.jth.2018.07.006
dc.identifier.urihttp://hdl.handle.net/10072/381974
dc.description.abstractReturn-to-work (RTW) after road traffic crash is an important rehabilitation and recovery step. A possible RTW pathway is to gradually return-to-work (GRTW), or return in a partial capacity before reaching full RTW goals. This study sought to identify those likely to follow a GRTW pathway, and identify factors associated with successful GRTW. Administrative claims data from a state-based compulsory third party transport injury insurer were used. Individuals whose crash occurred from 2003–2012 were included if aged 15–70 years at time of crash, sustained a non-catastrophic injury, had complete data for all variables and attempted a RTW in the three years follow-up. A matrix was created using income payments data, which were used as a proxy for RTW, to map their RTW pattern for up to three years post-crash. Individuals were flagged as attempting GRTW if patterns were detected for receiving full income payments, followed by partial payments, then none. Individuals who resumed full payments after a period of partial payments or resumed any payments after a period of no payments were flagged as having relapsed. In the three years follow-up, 9.6% of individuals followed a GRTW pathway. Of those that attempted GRTW for their first full-time RTW, 55.1% relapsed. Least likely to attempt GRTW were males, individuals with contusions, abrasions, sprains, strains, non-limb fractures and those from the most advantaged socioeconomic group. Conversely, those admitted to hospital were 88% more likely to relapse. Of those that followed a GRTW pathway, those aged 15–24 years were most likely to succeed. Those with whiplash, internal injuries and those admitted to hospital were least likely to succeed. This study may assist regulators, insurers, employers and healthcare professionals to identify opportunities for GRTW (such as using RTW as a recovery tool), and identifies groups that may require additional support to achieve successful employment outcomes.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeNetherlands
dc.relation.ispartofpagefrom167
dc.relation.ispartofpageto177
dc.relation.ispartofjournalJournal of Transport & Health
dc.relation.ispartofvolume10
dc.subject.fieldofresearchPublic Health and Health Services not elsewhere classified
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchUrban and Regional Planning
dc.subject.fieldofresearchTransportation and Freight Services
dc.subject.fieldofresearchcode111799
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1205
dc.subject.fieldofresearchcode1507
dc.titleFactors associated with graduated return to work following injury in a road traffic crash
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorKendall, Elizabeth


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