Integrated case management for work-related upper-extremity disorders: Impact of patient satisfaction on health and work status

Michael Feuerstein*, Grant D. Huang, Jose M. Ortiz, William S. Shaw, Virginia I. Miller, Patricia M. Wood

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

An integrated case management (ICM) approach (ergonomic and problem-solving intervention) to work-related upper-extremity disorders was examined in relation to patient satisfaction, future symptom severity, function, and return to work (RTW). Federal workers with work-related upper-extremity disorder workers' compensation claims (n = 205) were randomly assigned to usual care or ICM intervention. Patient satisfaction was assessed after the 4-month intervention period. Questionnaires on clinical outcomes and ergonomic exposure were administered at baseline and at 6- and 12-months postintervention. Time from intervention to RTW was obtained from an administrative database. ICM group assignment was significantly associated with greater patient satisfaction. Regression analyses found higher patient satisfaction levels predicted decreased symptom severity and functional limitations at 6 months and a shorter RTW. At 12 months, predictors of positive outcomes included male gender, lower distress, lower levels of reported ergonomic exposure, and receipt of ICM. Findings highlight the utility of targeting workplace ergonomic and problem solving skills.

Original languageEnglish
Pages (from-to)803-812
Number of pages10
JournalJournal of Occupational and Environmental Medicine
Volume45
Issue number8
DOIs
StatePublished - 1 Aug 2003
Externally publishedYes

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