Working Health Services Scotland

a 4-year evaluation

E. Demou, M. Hanson, Andisheh Bakhshi, M. Kennedy, E.B. MacDonald

Research output: Contribution to journalArticle

Abstract

Background
Working Health Service Scotland (WHSS) supports the self-employed and employees of small and medium-sized enterprises (SMEs) in Scotland with a health condition affecting their ability to work, who are either absent or at risk of becoming absent due to it.

Aims
To evaluate the impact on health and work outcomes of WHSS clients over a 4-year period.

Methods
Data were collected at enrolment, entry, discharge and follow-up at 3 and 6 months after discharge. Clients completed up to three validated health questionnaires at entry and discharge—EuroQol five dimensions (EQ-5D) and visual analogue scale (VAS); Hospital Anxiety and Depression Scale (HADS); and Canadian Occupational Performance Measure (COPM).

Results
A total of 13463 referrals occurred in the 4-year period; 11748 (87%) were eligible and completed entry assessment and 60% of the latter completed discharge paperwork. The majority of referrals were due to musculoskeletal conditions (84%) while 12% were referred with mental health conditions. Almost a fifth (18%) of cases were absent at entry and back at work at discharge. Work days lost while in WHSS was associated with age, length of absence prior to entering WHSS, primary health condition and time in programme. All health measures showed significant improvements from entry to discharge. Improvement in general health was sustained at 3- and 6-month follow-up.

Conclusions
The WHSS evaluation findings indicate that participation was associated with positive changes to health and return-to-work. The extent of the positive change in health measures and work ability can be highly important economically for employees and employers.
Original languageEnglish
Pages (from-to)38-45
JournalOCCUPATIONAL MEDICINE
Volume68
Issue number1
Early online date30 Jan 2018
DOIs
Publication statusPublished - 16 Feb 2018
Externally publishedYes

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Scotland
Health Services
Health
Aptitude
Referral and Consultation
Return to Work
Visual Analog Scale
Mental Health
Anxiety
Depression

Cite this

Demou, E. ; Hanson, M. ; Bakhshi, Andisheh ; Kennedy, M. ; MacDonald, E.B. / Working Health Services Scotland : a 4-year evaluation. In: OCCUPATIONAL MEDICINE. 2018 ; Vol. 68, No. 1. pp. 38-45.
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abstract = "BackgroundWorking Health Service Scotland (WHSS) supports the self-employed and employees of small and medium-sized enterprises (SMEs) in Scotland with a health condition affecting their ability to work, who are either absent or at risk of becoming absent due to it.AimsTo evaluate the impact on health and work outcomes of WHSS clients over a 4-year period.MethodsData were collected at enrolment, entry, discharge and follow-up at 3 and 6 months after discharge. Clients completed up to three validated health questionnaires at entry and discharge—EuroQol five dimensions (EQ-5D) and visual analogue scale (VAS); Hospital Anxiety and Depression Scale (HADS); and Canadian Occupational Performance Measure (COPM).ResultsA total of 13463 referrals occurred in the 4-year period; 11748 (87{\%}) were eligible and completed entry assessment and 60{\%} of the latter completed discharge paperwork. The majority of referrals were due to musculoskeletal conditions (84{\%}) while 12{\%} were referred with mental health conditions. Almost a fifth (18{\%}) of cases were absent at entry and back at work at discharge. Work days lost while in WHSS was associated with age, length of absence prior to entering WHSS, primary health condition and time in programme. All health measures showed significant improvements from entry to discharge. Improvement in general health was sustained at 3- and 6-month follow-up.ConclusionsThe WHSS evaluation findings indicate that participation was associated with positive changes to health and return-to-work. The extent of the positive change in health measures and work ability can be highly important economically for employees and employers.",
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Demou, E, Hanson, M, Bakhshi, A, Kennedy, M & MacDonald, EB 2018, 'Working Health Services Scotland: a 4-year evaluation', OCCUPATIONAL MEDICINE, vol. 68, no. 1, pp. 38-45. https://doi.org/10.1093/occmed/kqx186

Working Health Services Scotland : a 4-year evaluation. / Demou, E.; Hanson, M. ; Bakhshi, Andisheh; Kennedy, M. ; MacDonald, E.B.

In: OCCUPATIONAL MEDICINE, Vol. 68, No. 1, 16.02.2018, p. 38-45.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Working Health Services Scotland

T2 - a 4-year evaluation

AU - Demou, E.

AU - Hanson, M.

AU - Bakhshi, Andisheh

AU - Kennedy, M.

AU - MacDonald, E.B.

PY - 2018/2/16

Y1 - 2018/2/16

N2 - BackgroundWorking Health Service Scotland (WHSS) supports the self-employed and employees of small and medium-sized enterprises (SMEs) in Scotland with a health condition affecting their ability to work, who are either absent or at risk of becoming absent due to it.AimsTo evaluate the impact on health and work outcomes of WHSS clients over a 4-year period.MethodsData were collected at enrolment, entry, discharge and follow-up at 3 and 6 months after discharge. Clients completed up to three validated health questionnaires at entry and discharge—EuroQol five dimensions (EQ-5D) and visual analogue scale (VAS); Hospital Anxiety and Depression Scale (HADS); and Canadian Occupational Performance Measure (COPM).ResultsA total of 13463 referrals occurred in the 4-year period; 11748 (87%) were eligible and completed entry assessment and 60% of the latter completed discharge paperwork. The majority of referrals were due to musculoskeletal conditions (84%) while 12% were referred with mental health conditions. Almost a fifth (18%) of cases were absent at entry and back at work at discharge. Work days lost while in WHSS was associated with age, length of absence prior to entering WHSS, primary health condition and time in programme. All health measures showed significant improvements from entry to discharge. Improvement in general health was sustained at 3- and 6-month follow-up.ConclusionsThe WHSS evaluation findings indicate that participation was associated with positive changes to health and return-to-work. The extent of the positive change in health measures and work ability can be highly important economically for employees and employers.

AB - BackgroundWorking Health Service Scotland (WHSS) supports the self-employed and employees of small and medium-sized enterprises (SMEs) in Scotland with a health condition affecting their ability to work, who are either absent or at risk of becoming absent due to it.AimsTo evaluate the impact on health and work outcomes of WHSS clients over a 4-year period.MethodsData were collected at enrolment, entry, discharge and follow-up at 3 and 6 months after discharge. Clients completed up to three validated health questionnaires at entry and discharge—EuroQol five dimensions (EQ-5D) and visual analogue scale (VAS); Hospital Anxiety and Depression Scale (HADS); and Canadian Occupational Performance Measure (COPM).ResultsA total of 13463 referrals occurred in the 4-year period; 11748 (87%) were eligible and completed entry assessment and 60% of the latter completed discharge paperwork. The majority of referrals were due to musculoskeletal conditions (84%) while 12% were referred with mental health conditions. Almost a fifth (18%) of cases were absent at entry and back at work at discharge. Work days lost while in WHSS was associated with age, length of absence prior to entering WHSS, primary health condition and time in programme. All health measures showed significant improvements from entry to discharge. Improvement in general health was sustained at 3- and 6-month follow-up.ConclusionsThe WHSS evaluation findings indicate that participation was associated with positive changes to health and return-to-work. The extent of the positive change in health measures and work ability can be highly important economically for employees and employers.

U2 - 10.1093/occmed/kqx186

DO - 10.1093/occmed/kqx186

M3 - Article

VL - 68

SP - 38

EP - 45

JO - OCCUPATIONAL MEDICINE

JF - OCCUPATIONAL MEDICINE

SN - 0962-7480

IS - 1

ER -