Psychosocial Workplace Factors and Healthcare Utilization: A Study of Two Employers

Details

• Personal Author:
  Berkman L ; Bray J ; Buxton O ; Hinde J ; Williams JA
• Description:
  Background: While a large literature links psychosocial workplace factors with health and health behaviors, there is very little work connecting psychosocial workplace factors to healthcare utilization. Methods: Survey data were collected from two different employers using computer-assisted telephone interviewing as a part of the Work-Family Health Network (2008-2013): one in the information technology (IT) service industry and one that is responsible for a network of long-term care (LTC) facilities. Participants were surveyed four times at six month intervals. Responses in each wave were used to predict utilization in the following wave. Four utilization measures were outcomes: having at least one emergency room (ER)/Urgent care, having at least one other healthcare visit, number of ER/urgent care visits, and number of other healthcare visits. Population-averaged models using all four waves controlled for health and other factors associated with utilization. Results: Having above median job demands was positively related to the odds of at least one healthcare visit, odds ratio [OR] 1.37 (P < .01), and the number of healthcare visits, incidence rate ratio (IRR) 1.36 (P < .05), in the LTC sample. Work-to-family conflict was positively associated with the odds of at least one ER/urgent care visit in the LTC sample, OR 1.15 (P < .05), at least one healthcare visit in the IT sample, OR 1.35 (P < .01), and with more visits in the IT sample, IRR 1.35 (P < .01). Greater schedule control was associated with reductions in the number of ER/urgent care visits, IRR 0.71 (P < .05), in the IT sample. Conclusion: Controlling for other factors, some psychosocial workplace factors were associated with future healthcare utilization. Additional research is needed. [Description provided by NIOSH]
• Subjects:
  Family Occupational Health Safety Stress, Psychological
• Keywords:
  Author Keywords: Healthcare Utilization ER Visits Families Health Care Job Stress Psychosocial Factors Psychosocial Workplace Factors Work-Family Conflict Work-life Balance Work Schedules
• ISSN:
  2322-5939
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Kansas ; Massachusetts ; North Carolina ; Oregon ; OSHA Region 1 ; OSHA Region 10 ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 7 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  7
• Issue:
  7
• NIOSHTIC Number:
  nn:20068894
• Citation:
  Int J Health Policy Manag 2018 Jul; 7(7):614-622
• Contact Point Address:
  Jessica Allia Williams, Harvard Center for Population & Development Studies, Cambridge, MA, USA
• Email:
  jwilliams13@kumc.edu
• Federal Fiscal Year:
  2018
• Performing Organization:
  Portland State University
• Peer Reviewed:
  True
• Start Date:
  20050901
• Source Full Name:
  International Journal of Health Policy and Management
• End Date:
  20081130
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7f61fa31474f5054600f502c768c5c8e495e135994354ad8215ad8c98a09481a8f28878d7778a418d037ad555d0f346b98ee7d1803d4d8730a2749372e804dd0
• Download URL:
  https://stacks.cdc.gov/view/cdc/207458/cdc_207458_DS1.pdf
• File Type:
  [PDF - 691.98 KB ]