The Relationship Between Work-Disability Duration and Claimant's Expected Time to Return to Work as Recorded by Workers' Compensation Claims Managers.
Amanda E Young, Elyssa Besen, Joanna Willetts
PMID 27460477WHAT IT FOUND
Claimants who expected a longer time to return to work had longer compensated disability.
Only 28% of estimates were within 7 days of when payments ended.
Key findings
01A greater expected time to return to work was associated with an increase in work-disability duration after adjustment.
02Adding expected time to return to work increased the explained variation in work-disability duration from 20.2% to 29.8%, an additional 9.5%.
03Most estimates were not precise: 28% were within 7 days and 41% were within 14 days of when payments ended.
STILL TO COME
How it was doneWhat they found
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What it does not show
The outcome was the end of temporary total disability payments, not confirmed actual return to work. The expected return-to-work date was recorded by claims managers, and the wording of the question was not standardised. The data came from one United States workers' compensation insurer, so the findings may not apply to other insurers or to non-work-related disability. Workplace factors such as relationships, accommodations, work demands and distress were not measured. The study is observational, so it shows an association, not that changing expectations improves return to work. Claimants with missing data were excluded; they had shorter disability duration and earlier expected return than the analysed sample.
The easy way to misread this
Do not read an expected return-to-work date as a precise individual forecast or proof that a treatment caused longer disability. The study found an association, and the outcome was the end of temporary total disability payments, not confirmed actual return to work.