文章基本信息

标题：Psychosocial Workplace Factors and Healthcare Utilization: A Study of Two Employers
本地全文：下载
作者：Jessica Allia Williams ; Orfeu Buxton ; Jesse Hinde 等
期刊名称：International Journal of Health Policy and Management
电子版ISSN：2322-5939
出版年度：2018
卷号：7
期号：7
页码：614-622
DOI：10.15171/ijhpm.2017.132
语种：English
出版社：Kerman University of Medical Sciences
其他摘要：Background While a large literature links psychosocial workplace factors with health and health behaviors, there is very little work connecting psychosocial workplace factors to healthcare utilization. Methods Survey data were collected from two different employers using computer-assisted telephone interviewing as a part of the Work-Family Health Network (2008-2013): one in the information technology (IT) service industry and one that is responsible for a network of long-term care (LTC) facilities. Participants were surveyed four times at six month intervals. Responses in each wave were used to predict utilization in the following wave. Four utilization measures were outcomes: having at least one emergency room (ER)/Urgent care, having at least one other healthcare visit, number of ER/urgent care visits, and number of other healthcare visits. Population-averaged models using all four waves controlled for health and other factors associated with utilization. Results Having above median job demands was positively related to the odds of at least one healthcare visit, odds ratio [OR] 1.37 (P < .01), and the number of healthcare visits, incidence rate ratio (IRR) 1.36 (P < .05), in the LTC sample. Work-to-family conflict was positively associated with the odds of at least one ER/urgent care visit in the LTC sample, OR 1.15 (P < .05), at least one healthcare visit in the IT sample, OR 1.35 (P < .01), and with more visits in the IT sample, IRR 1.35 (P < .01). Greater schedule control was associated with reductions in the number of ER/urgent care visits, IRR 0.71 (P < .05), in the IT sample. Conclusion Controlling for other factors, some psychosocial workplace factors were associated with future healthcare utilization. Additional research is needed.
其他关键词：Healthcare Utilization ; Psychosocial Workplace Factors ; Work-Family Conflict ; ER Visits