Employment rate, work absence and productivity loss in primary care consulters for musculoskeletal conditions
PHE ePoster Library. Wilkie R. Apr 10, 2019; 257477; 15314
Dr. Ross Wilkie
Dr. Ross Wilkie
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Abstract
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Abstract The new PRELIM initiative links primary care electronic health records and patient-reported data for musculoskeletal health intelligence in defined populations. In this analysis we provide estimates of key employment outcomes in adults consulting primary care for common musculoskeletal conditions and in the general population.
Methods:
: Cross-sectional survey of all adults aged 35-64 years, who had consulted one of 11 general practices in North Staffordshire and Stoke-on-Trent Clinical Commissioning Groups (CCGs) in the previous 12 months for back, neck, hip, hand, knee or shoulder pain or osteoarthritis ('MSK consulters', n=2002)), and a random sample of the registered population aged 35-64 years from the same practices ('general population', n=2156). In those currently employed, work absence and productivity were measured using the Work Productivity and Activity Impairment Questionnaire. Age-gender weighted analysis derived representative estimates for the CCG populations (n=274,063)..
Results:
: 77.2% of MSK consulters were in paid employment, slightly lower than in the general population overall (82.5%) and in age-sex stratum. Of MSK consulters in paid employment, 11.5% (95%CI 9.2, 13.8) reported work absence in the last week and 59.1% (55.8, 62.5) reported some productivity loss due to health, with a mean productivity loss of 20.2%. Work absence and productivity loss were greater in women than men. Across all age-sex strata, work absence was 1.93 (1.43, 1.59) and work productivity loss 1.55 (1.38, 1.75) times greater in MSK consulters than in the general population. Conclusion: The study presents a process for information-gathering and analysis of musculoskeletal health in UK populations. The results highlight increased work disability in musculoskeletal consulters and suggest that effectively preventing work disability in those with musculoskeletal conditions will require interventions to decrease pain and maintain function, as well as generic interventions. The next part of the study will estimate impact on work and inequalities at a national level. Funding The PRELIM initiative is funded by an Arthritis Research UK Heath Services Research grant (Ref no:21403). CJ is part funded by NIHR Collaborations for Leadership in Applied Health Research and Care (CLAHRC WM).
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