0418 Violence in healthcare: how does it affect return-to-work after work injury?

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Abstract

Objectives

Research suggests an association between violence towards healthcare workers and poor return-to-work (RTW) outcomes. This association may be due to healthcare specific factors such as care setting and injury type. The aim of the study is to investigate RTW outcomes after injuries due to violence compared to other injuries in the British Columbia health and social services sector.

Methods

The study used data on 42 080 time-loss workers’ compensation claims from the health care and social services sector in British Columbia during 2009–2014. Cox regression and quantile regression were used for time-to-event analysis and final RTW status was assessed at one year.

Results

The final cohort had 3173 violence-related claims (14.8%). Residential Social Services had the highest proportion of violence-related claims (34.2%). The effect of violence on RTW was greatest for counsellors and social workers, where 15.1% of workers with violence-related claims did not RTW compared to 8.0% with non-violent claims. For nurses, the largest occupation, 8.7% of workers with violence-related claims and 8.2% with non-violent claims did not RTW. Among injury types, violence is the strongest predictor for non-RTW for those with a mental illness. Among workers with a mental illness claim, 24.6% of those associated with violence did not RTW, whereas for those not associated with violence 15.0% did not RTW.

Conclusion

Findings suggest that violence is associated with poorer RTW outcomes in certain care settings and injury types. Future work will use matched analysis and number of disability days paid to investigate this association in more detail.

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