Effects of a participatory organisational, core work task focused workplace intervention on employees' primary healthcare consultations: secondary analysis of a cluster RCT.

Autor:	Framke E; National Research Centre for the Working Environment, Copenhagen, Denmark elf@nfa.dk., Sørensen OH; National Research Centre for the Working Environment, Copenhagen, Denmark., Pedersen LRM; National Research Centre for the Working Environment, Copenhagen, Denmark., Pedersen J; National Research Centre for the Working Environment, Copenhagen, Denmark., Madsen IEH; National Research Centre for the Working Environment, Copenhagen, Denmark., Bjorner JB; National Research Centre for the Working Environment, Copenhagen, Denmark.; Department of Public Health, University of Copenhagen, Copenhagen, Denmark.; QualityMetric, Johnston, Ri USA., Rugulies R; National Research Centre for the Working Environment, Copenhagen, Denmark.; Department of Public Health, University of Copenhagen, Copenhagen, Denmark.; Department of Psychology, University of Copenhagen, Copenhagen, Denmark.
Jazyk:	angličtina
Zdroj:	Occupational and environmental medicine [Occup Environ Med] 2020 Nov 03. Date of Electronic Publication: 2020 Nov 03.
DOI:	10.1136/oemed-2020-106558
Abstrakt:	Objectives: We aimed to examine whether a participatory organisational workplace intervention focusing on core tasks at work resulted in lower primary healthcare utilisation of employees. Methods: The cluster randomised controlled trial included 78 preschools, 44 allocated to the intervention group (1745 employees) and 34 allocated to the control group (1267 employees). The intervention aimed to involve employees in improving the psychosocial work environment while focusing on core tasks at work. Using Poisson regression, we tested the rate ratios (RRs) of consultations in the intervention compared with the control group in terms of all consultations in primary healthcare and general practitioner (GP) consultations, respectively, per person-year during 31 months of follow-up. The fully adjusted model included adjustment for sex, age, job group, workplace type and size, and previous primary healthcare utilisation. Results: During the follow-up, intervention group employees had 11.0 consultations/person-year, while control group employees had 11.6 consultations/person-year (RR 0.97, 95% CI 0.92 to 1.01). Employees in the intervention group had 7.5 GP consultations/person-year, while control group employees had 8.2 GP consultations/person-year (RR 0.95, 95% CI 0.90 to 0.99). Post hoc analyses indicated that the effect of the intervention was particularly strong in employees in preschools with a moderate or high level of implementation. Conclusions: The participatory organisational workplace intervention focusing on core tasks at work among preschool employees had a small, statistically non-significant effect on overall primary healthcare utilisation and a small, statistically significant effect on GP consultations. These results suggest a beneficial effect of the participatory organisational intervention on employees' health. Trial Registration Number: ISRCTN16271504. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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