Summary report of action research on occupational rehabilitation and community re-integration of migrant workers with work injuries in Mainland China

This article is a summary of an action research exploring the strategies to initiate the occupational rehabilitation and community re-integration of migrant workers with work injuries in Guangdong Province, China. Using two cases of rehabilitation intervention for workers with work injury, a case management model of occupational rehabilitation and community re-integration was illustrated, in the different phases of rehabilitation. Finally, some key elements in supporting occupational rehabilitation and community re-integration for migrant workers with work injury in China were highlighted.     

Work injury rehabilitation and the tendency to return to work of workers with injuries in Mainland China

This paper aims to describe the current situation of the work injury rehabilitation system in China with its drawbacks, especially relating to the employment services for workers with injuries and bringing up the topic of the need for more work to attempt to construct a modern work injury occupational rehabilitation system: perfecting the administration mechanism of policy, establishing an occupational rehabilitation pattern with Chinese characteristics, establishing the socialization service network as the core of occupational rehabilitation and establishing a practical professional team and academic communication platform. These creative thoughts may shed light on the development of the work injury rehabilitation system as well as the return to work for workers with injuries in China.     

Pilot project in developing community rehabilitation service for migrant workers suffering from pneumoconiosis in Mainland China

Pneumoconiosis is one of the major occupational health problems in China and increasing numbers of migrant workers suffered from this occupational disease after working in a dusty environment for few years. These migrant workers panicked after being diagnosed as suffering from pneumoconiosis and facing physiological disturbances including progressive dyspnea, respiratory failure or complications like silico-tuberculosis after their return to their rural village. This article reviews the preliminary results of a community rehabilitation pilot project conducted in a rural village in Guizhou, one of the provinces in southwest China. It shares the joint effort of professionals from Guangdong Province and Hong Kong SAR on supporting the migrant workers to manage and cope with this occupational disease. Finally, strategies including early intervention were suggested to help migrant workers to manage the disease. Most importantly, occupational health promotion and prevention were urged as the measures of utmost importance in reducing the risk for migrant workers suffering from pneumoconiosis.     

Effectiveness of problem solving skills in case management on return to work for workers with injuries

The present study aims to explore the case management model by using problem solving skills in assisting workers with injuries in returning to work. A total of five workers with injuries were enrolled and there were four stages during the whole case management process including a medical rehabilitation stage (stage I), a compensation stage (stage II), a return to work stage (stage III) and a follow-up stage (stage IV) respectively. Case managers provided services by using problem solving skills to tackle the problems which workers with injuries may encounter during all four stages. Outcome measurement showed one case return to the same company same job, two returns to different companies and different jobs, the others have self employed work. This study suggested that case management using the problem solving skills of occupational rehabilitation was beneficial to workers with injuries on return to work.     

A return to work program for injured workers: a reassignment model

The current workers' compensation system does not encourage permanently restricted workers who are disabled due to work related injuries to return to work. Workers are often labeled permanently disabled and are released from their positions with their employers. However, according to the Americans with Disabilities Act of 1990, these individuals may be qualified to return to productive employment. This paper will describe a Reassignment Model for occupational therapy supported by the rehabilitation frame of reference. This Model presents reassignment to a vacant position as a reasonable accommodation to return injured workers to productive employment. A case study will illustrate the successful implementation of the model. The potential benefits of using this Model will be described for clients, society, employers, and the occupational therapy profession.     

Proprietary rehabilitation: Challenges and opportunities in the new millennium

Proprietary rehabilitation has developed into a distinct professional sector with procedures, practices, and philosophy that differ from those in the public rehabilitation program. As the new millennium commences, proprietary rehabilitation will face a variety of challenges and opportunities that could affect the future of this sector of the rehabilitation profession. Among these issues are changes in occupational information upon which many proprietary rehabilitation practices are based; increased opportunities for early intervention and establishment of disability management programs within industry; adjustment to the movement to a managed health care system; and the necessity to demonstrate fiscal efficacy of rehabilitation services to workers with compensable injuries. This article discusses these issues and suggests some ways in which those involved in proprietary rehabilitation can properly position themselves to address and benefit from these challenges and opportunities.     

Case report: a work simulation program for a manual worker with a fracture injury

Work rehabilitation programs targeting different client groups are available in nearly all major hospital occupational therapy departments in Hong Kong. Clients receiving work rehabilitation are referred from various out-patient clinics and other occupational therapists. Those clients experience limitation in work after their injuries or diseases and plan to return to work after rehabilitation. Program objectives are 1) to assist clients to reach maximum work capacity as rapidly as possible 2) to ensure clients return to work safely 3) to improve clients' work readiness. This case report describes an individualized work simulation program at a general hospital in Hong Kong provided for a typical client who is preparing to return to his worker role. Specific job analysis, goals and program rationale for the client are discussed.     

Work injury rehabilitation in Guangzhou: 380 case cohort study

Work injury rehabilitation is a new concept in Mainland China. In 2001, the first work injury rehabilitation centre was established in Guangzhou under the management of the Guanghzhou Bureau of Labour and Security. This paper reviews the profile of a cohort of workers with injuries who received rehabilitation services at this centre. The changes in the physical capacity, daily function, and quality of life of the workers with injuries before and after the treatment services were also reviewed. A total of 380 were extracted from the database which occupied 79% of the total patient population admitted to the centre between 2003 to 2004. The assessment results suggested that workers with injuries showed increases in physical capacity in terms of the range of motion, muscle strength and walking tolerance. The daily functioning by using Barthel Index was also improved. Quality of life assessed with the WHOQOL also demonstrated an increase in the physical and psychological domains. Work injury rehabilitation in Guangzhou is at its infancy stage. The cooperation between the rehabilitation centre, employers and workers is of the utmost importance for a successful return to work outcome. The workers' compensation and rehabilitation policy also dictates the future of success of the rehabilitation services.     

Sociodemographic Determinants of Occupational Risks of Exposure to COVID‐19 in Canada

The activities performed by Canadian workers in some occupations may increase the risk of exposure to infectious diseases such as COVID‐19. This research note explores how occupational exposure risks vary by labor force characteristics using publicly available Canadian data in combination with a data set providing information on the level of physical proximity and frequency of exposure to infections or diseases faced by workers in different occupations. The results show important sociodemographic differences. First, women work in occupations associated with significantly higher average risks of exposure to COVID‐19 than men. This is driven by their overrepresentation in high‐risk broad occupational categories such as health occupations. Second, older workers (65 years or more), a group vulnerable to COVID‐19, appear to work in occupations requiring performing activities characterized by a lower level of physical proximity than their younger colleagues, with minimal differences in the frequency of exposure to diseases or infections. Finally, workers in low‐income occupations are employed in occupations that put them at greater risk of exposure to COVID‐19 than other workers. This is especially the case for women, immigrants, and members of visible minority groups in low‐income occupations. More broadly, this research note provides insights into the health‐related dimension of the literature on occupational tasks and labor market stratification.     

Trauma symptomatology: implications for return to work

Research has suggested that individuals who experience work related injuries may be at an increased risk for developing trauma symptoms or Posttraumatic Stress Disorder (PTSD). The purpose of this article is to provide a brief overview of PTSD from both a categorical and dimensional perspective and discuss implications for rehabilitation planning with workers with industrial injuries. The negative impact of trauma symptoms and PTSD is profiled according the following four areas that are important for effective career and vocational behavior: (a) making occupational adjustments, (b) adjusting performance to meet specific work demands, (c) utilizing appropriate social and interpersonal skills in the work setting, and (d) meeting the production and time requirements associated with the specific job. Recommendations are then offered to increase the effectiveness of rehabilitation professionals working with industrial injured workers who may be experiencing trauma symptoms or PTSD.     

Occupational Technologists as an Occupational Community: Ethnographic Evidence

This paper uses qualitative research data, obtained from ethnographic fieldwork at a US software development firm, to demonstrate that a group of skilled workers in the Internet economy constitute an 'occupational community'. A conceptual framework for identifying occupational communities is described, along with relevant findings from previous ethnographic research on skilled workers in computer-related occupations. The Internet technologists at the company share collaborative work practices, identify closely with one another, adopt a distinctive use of language, and possess other characteristics indicating their participation in an occupational community. These findings are part of a longitudinal research study of the firm's organizational culture.     

Ergonomics analysis of the activity of boning shoulder in a pig slaughter-house in the city of Ipiranga-SC

The incidence of workers suffering from occupational injuries has alerted health professionals and entrepreneurs. Enterprises are looking for improvements in production systems by investments in quality, technological innovations and in human resources that are capable and committed to the objectives and targets of the enterprise. This research was developed in a pig slaughter-house in the city of Ipiranga-SC, in the labor of boning shoulder of the pig, because this is the activity that presents more registers of complaints of pain and also probability of development of occupational diseases with cause in the enterprise.Tools of Ergonomics Analysis of Work were used, from interviews with workers to the application of LEST method in the activity analyzed. The necessity of immediate intervention in the work station was shown in the results, because of the high risk of prejudice to the health of the workers. Improvement actions must be done to satisfy the ergonomics requirements of NR 17 standard, attending the enterprise interests in the occupational diseases prevention.     

Policy and practice of occupational rehabilitation in Hong Kong and Guangzhou--a comparative study

The objective of this paper is to compare social policy on occupational rehabilitation services in two mega industrial cities in southern China: Hong Kong and Guangzhou. Comparative policy study was employed as the research and analytical method in this paper. Aim, finance, target, coverage, organization and administration, service delivery and provision of the occupational rehabilitation policy and its linkages with industrial injury compensation system and re-employment policy in the two cities were critically reviewed and compared. The results of the study reflect that the Guangzhou policy is more aggressive and more tailor-made to the specific needs of occupational rehabilitation compared to the Hong Kong policy, whereas occupational rehabilitation in Hong Kong has long been developed and knowledge and skills in the occupational rehabilitation service are more mature and fruitful. Based on the research findings, it is concluded that through experience sharing and exchange, there will be more mutual understanding regarding the system, practice, success, faults and limitations in the two cities, as well as awareness of alternative courses of action. These will help in the better development of occupational rehabilitation services with the aims to safeguard the rights and wellbeing of workers in both cities.     

Occupational health and safety issues affecting young workers: a literature review

Many overview articles, reports, book chapters and literature reviews have examined the health and safety of young workers. These sources discuss the relationships between the work conditions of young workers and the various indicators of accidents and occupational diseases. Breslin et al. [12,13] conducted two literature reviews of quantitative studies to determine which factors best predicted work accidents and occupational disorders in young people. The present article proposes a review of young people's occupational health and safety (OHS) factors (e.g., demographic, individual, professional, organizational, temporal and operational factors) in both qualitative and quantitative studies. Five types of problems were analyzed in greater depth, namely MSD symptoms, respiratory, allergy and toxicological problems, mental health and well-being, alcohol and drug consumption, and fatigue. This review likewise examines related dimensions that allow us to adopt a more global perspective on this subject by considering such elements as young people's values, their knowledge and attitudes, safety practices in companies, the safe integration of young people, and rehabilitation. A total of 189 scientific articles were selected on the basis of certain criteria. These articles came from refereed OHS journals published between 1994 and 2005.     

TRANSIENCE AND THE POSTMODERN SELF

The occupational community of resort workers offers a glimpse into the global postmodern workforce: individuals who relocate around the world, impelled by their career aspirations or their search for the intense experience of the beauty, exotic nature, and extreme recreation in various international destinations. These people have abandoned the conventional lifestyle anchored in security, continuity, and tradition and embarked upon a lifestyle of transience. Drawing on four years of participant observation and depth interviews in a luxury Hawaiian resort as well as supplemental interviews with resort workers around the United States, we articulate the four dimensions of these workers' lives that primarily engage their transience: work, ideology, family, and friendships. From these patterns we draw conclusions about the nature of the global postmodern workforce and community, and about the social psychological nature of the postmodern self.     

Job matching and return to work: Occupational rehabilitation as the link

Return to work after injury or illness is important for the worker and the employer. Medical providers manage and treat the worker with the illness or injury. Except in cases of focused specialists, the medical professional's role is to take care of a patient, rather than empower a worker. As much as there is promotion of the workers compensation health care system to be similar to sports medicine, there are significant dissimilarities. One major barrier is that the medical caregivers do not know the demands of jobs as they would know the details of sports. Thus, there is a gap in returning a worker to function as the medical professional cannot accurately match the worker to specific jobs. A new model of job function matching, based on research and skills of occupational rehabilitation professionals, is proposed to bridge the gap between the medical community, the employers and the workers.     

OCCUPATIONAL GROWTH AND THE EXPANSION OF EDUCATIONALLY-RELATED EARNING GAPS

I develop an argument that facilitates understanding of how occupational growth impinges on the relationship between education and earnings. Much of the literature focuses on workers employed at the ends of the occupational hierarchy, whereas my contribution applies to workers positioned all along the occupational hierarchy. I argue that an undersupply of affordable, suitable labor in expanding occupations encourages a division of labor among workers who vary in educational attainment. This division of labor, in turn, leads to greater educationally-related earnings inequality—even among workers who hold similar positions in the occupational hierarchy. Such a development can become pervasive because expanding occupations exist throughout the occupational hierarchy and because educational attainment among workers varies within most occupations. In declining occupations, a different set of conditions pervades, and these conditions facilitate employers' efforts to control their wage-bill by compressing educationally-related earning gaps. A hypothesis is derived from these arguments and tested on a nationally representative sample. The findings are consistent with the hypothesis, suggesting the arguments considered here help explain how the relationship between education and earnings is influenced by whether workers are employed in expanding or in declining occupations. Consequently, this research improves our understanding of how earnings inequality among individuals is linked to structural transformations in the economy.     

Issues in Career Decision Making for Workers With Developmental Disabilities

Persons with developmental disabilities are not usually given the opportunity to make meaningful choices concerning career options. There are, however, five types of partial involvement in career decision making they may experience. Counselors have considered client expressions of occupational preferences prior to deciding on appropriate vocational goals, have merely asked workers to sign a prepared rehabilitation plan, or—at the highest level of client participation—have involved workers and their families in team planning meetings. Several recommendations for both systemic and personal interventions to facilitate career decision-making by workers with developmental disabilities are discussed.     

Migrant and seasonal farmworkers in the United States: a review of health hazards,status, and policy

Although the occupation and associated living conditions of migrant and seasonal agricultural workers in the US pose exceptional health hazards to the workers and their dependents, relatively few occupational health professionals have been involved with this group. This articles examines the basis for this neglect and proposes a definition of the population that should be considered in farmworker health policy. It then reviews existing evidence regarding hazards of 4 major occupational exposures--pesticides, the sun, injuries, and poor field sanitation--and policies that have been developed to address these hazards. The extremely negative health consequences of farmworker living conditions, which are indirect occupational hazards, are also summarized. Numerous policy, planning, and research recommendations are made. Adequate solutions for this impoverished and powerless group, however, will require significant sociopolitical advances, such as are developing with unionization and other forms of political organization.     

Communication of Ergonomics in building and construction

For the coming years SWEA is planning for communication and information actions. One of the sectors concerned is the building and construction industry. Focus of the information is to avoid accidents and injuries, and how companies by themselves can prevent risks. The objective of the information is to increase awareness among all stakeholders in order to secure that they are willing and able to reduce risks for workers. At the conference two brochures will be presented. They are designed to provide information and knowledge about specific risks of occupational accidents and occupational diseases which occur frequently during construction work and how they can be prevented. They are directed to all those who are involved in the construction process at different stages and who are subject to SWEAs rules and regulations. New identified risk groups are e.g. students, apprentices, self-employed, and foreign workers temporarily working in Sweden. We also see that work is still being carried out in narrow installation spaces during erection stage of buildings because the people responsible for the drawings do not take notice of the need for sufficient space to do the work. SWEA experienced that it is difficult to reach all the groups concerned with the message about how to avoid injuries and unnecessary musculoskeletal disorders.