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Results for “work intensity”

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PubMed1994

Reengineering and improving the information-intensive work of patient tracking for inpatients and outpatients.

This article describes a CQI-driven effort to reengineer the tracking procedures for both inpatients and outpatients, refined to the extent that they have been identified as "best practices." The goal was to shift the work paradigm from a departmental focus to one that accepts work as a network of processes, but also to prepare for the new era of the electronic medical record, moving computer record keeping far closer to the point of care, requiring more precise recording of patient location.

Admitting Department, Hospital↗
PubMed2002

Development of a regional health care network and the effect of knowledge intensive work on personnel and organisation.

OBJECTIVES: a) To present a regional health care communication system developed in the North Karelia Hospital District with the help of two EU funded information technology projects namely the TERVE project (1) which was implemented at the national level financed by the regional subsidy 6 of the ERDF and the CHIN project (2) that was implemented at the European level. b) To present the questions and issues that arose when implementing new technologies in a regional health care environment. RESULTS: Transformations in information technology are usually parts of other organisational transformations in health care. As a result of these issues, implementation of great information technology transformations has failed because of too strong a technology emphasis, insufficient participative touch and underestimation of social factors. Another result is that there is a cultural shock for physicians working in organisations where there are networks rather than hierarchies and relationships are predominantly contractual rather than professional. CONCLUSIONS: The effectiveness, productivity and profitability of the hospitals will be decisively dependent on information technology as well as its regional applications. Transformations in information technology are parts of other organisational transformations in health care, and can induce cultural shocks for physicians since the networked environment has a different philosophy than the hierarchy-based environment which was the case until recently. Finally, in a taxation based system, one key requirement is to understand that the network contacts and the time spent on networks must bring additional value to health care.

Decision Support Systems, Clinical↗
PubMed2006

A study of the effects of isokinetic pre-employment physical capability screening in the reduction of musculoskeletal disorders in a labor intensive work environment.

OBJECTIVES: This study investigated the effects of pre-employment physical ability screening using isokinetic dynamometry in injury development, specific to musculoskeletal disorders (MSDs) of the knees, shoulders and back among workers in physically demanding jobs. METHODS: New hires (n=503) from a large US employer's 105 industrial yards were screened to match the physical demands of their prospective jobs and tracked for up to 33 months. Results were compared to a control group of 1423 workers. RESULTS: There were significant reductions in the frequency and severity of musculoskeletal disorder injuries in the screened employee population. Non-screened applicants were 2.38 times more likely to experience a MSD-related overexertion injury specific to the knees, shoulders and back than screened hires (OR=2.3759; p=0.0001), and incurred 4.33 times higher cost of claims (p=0.0003). Covariates of age, pay type, race and job classification were markedly different between screened and unscreened hires. Among the screened cohort, only the more physically demanding job classifications were significant with field material handlers 7.1 times more likely to experience a non-MSD than less physically demanding workers (OR=7.1036; p=0.0063). CONCLUSIONS: Objective isokinetic pre-employment screening may significantly reduce injuries in physically demanding jobs. Employees having been effectively matched to the physical demands of their jobs may be at significantly lesser risk of injury and disability from both musculoskeletal and non-musculoskeletal disorders.

Adult↗
PubMed1991

[Determination of costs of examinations and paraclinical health service procedures and public health on the basis of their work intensity].

Methodological approaches to the estimation of cost (prices, tariffs) of investigations and procedures of auxiliary curative and diagnostic service according to their technological and complex labour-consuming nature are provided. Using the unified norms of time and production for estimations would help define unified prices for medical services of analogical type and provide performance-related incentives for health workers.

Costs and Cost Analysis↗
PubMed2002

Adolescent part-time work and heavy drinking in Finland.

AIMS: To examine the relationship between part-time work and heavy drinking among Finnish adolescents. DESIGN, SETTING: The cross-sectional survey data (the School Health Promotion Survey, n = 47,568) were collected in classrooms in 2000. PARTICIPANTS: Finnish lower-level secondary school students from the 8th and 9th grades, aged 14-16 years. The response rate was 82%. MEASUREMENTS: Work intensity, work type and the frequency of heavy drinking obtained from self-administered questionnaires. The relationship between work and heavy drinking was studied using polychotomous logistic regression models. FINDINGS: Compared with non-workers, adolescents working more than 10 hours per week had an increased risk of heavy drinking, and also the frequency of heavy drinking was connected with this intensive working. When gender, grade level, parental education, the employment status of the parents, family structure, economic situation of the family, the degree of urbanisation, parental control, steady dating. GPA and disposable allowance were adjusted for, the odds of weekly drunkenness were almost three times the odds of not reporting drunkenness among intensive workers compared with non-workers. When adjusted for other factors, some typical children's jobs marginally decreased a likelihood of heavy drinking. CONCLUSIONS: Work does seem not protect adolescents from heavy drinking. Although many relevant factors were controlled for the effect may, however, be mediated through factors not covered in the survey. Therefore, further clarification of the causal chains linking adolescent working and drinking is needed.

Adolescent↗
PubMed1991

Differences in habitual physical activities within household and population in an area of fruit culture.

Using a simple self-administered questionnaire, habitual physical activity was assessed on a population composed of those engaging in fruit culture and those of salaried workers in a town of Yamanashi prefecture, Japan. Principal components analysis was applied to find meaningful dimensions of habitual physical activity using 5-point scale for responses to the 13 items of questions, and suggested 3 substantial dimensions: work intensity, work posture and leisure time scores. While aging is generally characterized by a progressive decline in both occupational and leisure time activity, this population was characterized by positive correlation between age and work intensity (only in male subjects). There were clear differences in habitual physical activities by gender- or age-related household membership. In all three indices, mean scores were significantly higher in a group of farm households than that of non-farm households. Low level of physical activity was associated with both occupational work and leisure time physical activity.

Adult↗