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Article type: Research Article
Authors: Anderson, Olwena; b; * | McLennan, Vanettea; b | Randall, Christinea; b
Affiliations: [a] School of Health Sciences and Social Work, Griffith University, Gold Coast Campus, Southport, QLD, Australia | [b] The Hopkins Centre, Menzies Health Institute Queensland, Southport, QLD, Australia
Correspondence: [*] Address for correspondence: Olwen Anderson, School of Health Sciences and Social Work, Gold Coast Campus, Griffith University, Southport, QLD 4215, Australia. E-mail: o.anderson@griffith.edu.au.
Abstract: BACKGROUND:Although workplace injury rehabilitation is a significant economic and social burden for injured workers and the community, it remains inconclusive whether the worker’s choice of provider and treatment type influences these costs or the outcome of rehabilitation. OBJECTIVE:This study explored what choices injured workers could access during rehabilitation in terms of their provider and treatment, what hindered or helped their choice, and whether workers perceived that choice influenced the outcome of their rehabilitation. METHODS:A mixed methods study was employed, utilising an online survey and semi-structured telephone interviews. RESULTS:Injured workers reported that being able to choose their provider and treatment was not straightforward. Obstacles included systemic rigidity, poor relationships between stakeholders, and unfamiliarity with the system. Most survey respondents perceived that the degree of choice they had in their treatment influenced the outcome of their rehabilitation and sometimes also their occupational bond, career, and finances. CONCLUSION:The study found that choice of provider and treatment type does matter for workers undergoing rehabilitation, impacting on outcomes including occupational bond, income, and disputes. In balancing the need for cost containment with social responsibility, both financial and psychosocial outcomes are relevant for those engaged in rehabilitation of injured workers.
Keywords: Vocational rehabilitation, choice, outcomes, workplace injury, costs, return to work, occupational rehabilitation
DOI: 10.3233/JVR-230048
Journal: Journal of Vocational Rehabilitation, vol. 59, no. 3, pp. 311-320, 2023
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