A Cost-Effectiveness Analysis of an In-House Corporate Occupational Medical Department

Fitko, James; Kalina, Christine M.; Fisher, Ada M.; Mitchell, John H.

doi:10.1097/00043764-199402000-00011

Cited by 18 publications

(19 citation statements)

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“…Fitko et al examined the cost eVectiveness of the trend in the United States for corporations to switch from in house medical departments to outside contract organisations for OHSs. 95 They found the cost for the same services of an in house department at a large oil refinery to be 42% less than that of outside providers (other benefits not included) and therefore recommend corporations to perform similar analyses before a decision is made to switch from inside to outside OHSs, at least if a desire to reduce expenses is the objective. As well as this, Pachman et al assessed the hidden saving in costs of an on site medical centre in a large company; in particular absenteeism was found it to be substantial.…”

Section: Evaluation Of Outcome Of Ohss or Ohs Instrumentsmentioning

confidence: 99%

Evaluation research in occupational health services: general principles and a systematic review of empirical studies.

Hulshof¹,

Verbeek²,

Dijk³

et al. 1999

Occup Environ Med

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Objectives-To study the nature and extent of evaluation research in occupational health services (OHSs) Methods-Literature review of evaluation research in OHSs. On the basis of a conceptual model of OHS evaluation, empirical studies are categorised into aspects of input, process, output, outcome, and OHS core activities. Results-Many methods to evaluate OHSs or OHS activities exist, depending on the objective and object of evaluation. The amount of empirical studies on evaluation of OHSs or OHS activities that met the non-restrictive inclusion criteria, was remarkably limited. Most of the 52 studies were more descriptive than evaluative. The methodological quality of most studies was not high. A diVerentiated picture of the evidence of eVectiveness of OHSs arises. Occupational health consultations and occupational rehabilitation are hardly studied despite much time spent on the consultation by occupational physicians in most countries. The lack of eVectiveness and eYciency of the pre-employment examination should lead to its abandonment as a means of selection of personnel by OHSs. Periodic health monitoring or surveillance, and education on occupational health hazards can be carried out with reasonable process quality. Identification and evaluation of occupational health hazards by a workplace survey can be done with a high output quality, which, however, does not guarantee a favourable outcome. Conclusions-Although rigorous study designs are not always applicable or feasible in daily practice, much more eVort should be directed at the scientific evaluation of OHSs and OHS instruments. To develop evidence-based occupational health care the quality of evaluation studies should be improved. In particular, process and outcome of consultation and rehabilitation activities of occupational physicians need to be studied more. (Occup Environ Med 1999;56:361-377)

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Section: Evaluation Of Outcome Of Ohss or Ohs Instrumentsmentioning

confidence: 99%

Evaluation research in occupational health services: general principles and a systematic review of empirical studies.

Hulshof¹,

Verbeek²,

Dijk³

et al. 1999

Occup Environ Med

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“…41,42 Involving physical therapists as major stakeholders in strategies such as transitional work programs have shown positive cost benefits. 25, [42][43][44][45] Common physical therapy elements of care consistent with positive outcomes include maintaining physical activity, problem-solving for work, planning for future flare-ups, and strategies for individualized return-to-work plans or modifications. [25][26][27][46][47][48] Reviews of return-to-work programs where physical therapist involvement was common noted that successful rehabilitation programs included components of education, psychological conditioning, relaxation, and work simulation.…”

Section: The Role Of Physical Therapists In Occupational Healthmentioning

confidence: 99%

Moving forward in occupational health physical therapy: the journey toward specialization in the United States

Daley¹,

Miller²

2013

Physical Therapy Reviews

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“…The idea behind the SWOT is to identify opportunities and the strengths to pursue them, while eliminating weaknesses and threats by application of appropriate business strategy to address the same. 6‐10…”

Section: Swot Analysismentioning

confidence: 99%

“…19 The idea behind the SWOT is to identify opportunities and the strengths to pursue them, while eliminating weaknesses and threats by application of appropriate business strategy to address the same. [6][7][8][9][10] Several strengths such as the existing medical records system and the existence of local health service facilities with highly credentialed, experienced personnel at several major plants with large employee populations (500 or more employees) were identified. Employee assistance programs (EAPs) were in place to identify and provide counseling, referral, and aftercare for employees with psychiatric or substance abuse problems.…”

Section: Linking Corporate Business Strategy To Occupational Health Smentioning

confidence: 99%

Strategies in Disability Management: Corporate Disability Management Programs Implemented at the Work Site

Kalina¹

1999

Annals of the New York Academy of Sciences

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Managers are challenged to demonstrate all programs as economically essential to the business, generating an appreciable return on investment. Further challenge exists to blend and integrate clinical and business objectives in program development. Disability management programs must be viewed as economically essential to the financial success of the business to assure management support for clinical interventions and return-to-work strategies essential for a successful program. This paper discusses a disability management program integrating clinical and business goals and objectives in return-to-work strategies to effect positive clinical, social-cultural, and business results. Clinical, educational, social, and economic challenges in the development, implementation, and continued management of a disability program at a large corporation with multiple global work sites are defined. Continued discussion addresses the effective clinical interventions and educational strategies utilized successfully within the workplace environment in response to each defined challenge. A multiple disciplinary team approach, clinical and business outcome measures, and quality assurance indicators are discussed as major program components. This article discusses a successful program approach focusing on business process and methodology. These parameters are used to link resources to strategy, developing a product for implementing and managing a program demonstrating economic value added through effective clinical medical case management.

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A Cost-Effectiveness Analysis of an In-House Corporate Occupational Medical Department

Cited by 18 publications

References 0 publications

Evaluation research in occupational health services: general principles and a systematic review of empirical studies.

Evaluation research in occupational health services: general principles and a systematic review of empirical studies.

Moving forward in occupational health physical therapy: the journey toward specialization in the United States

Strategies in Disability Management: Corporate Disability Management Programs Implemented at the Work Site

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