TY - JOUR
T1 - Psychosocial workplace factors and healthcare utilization
T2 - A study of two employers
AU - Williams, Jessica Allia
AU - Buxton, Orfeu
AU - Hinde, Jesse
AU - Bray, Jeremy
AU - Berkman, Lisa
N1 - Funding Information:
Funding for the WFHN research was provided by Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, MD, USA (grants # U01HD051217, U01HD051218, U01HD051256, U01HD051276); National Institute on Aging, Baltimore, MD, USA (grant # U01AG027669); Office of Behavioral and Social Sciences Research National Institute for Occupational Safety and Health, Bethesda, MD, USA (grants # U01OH008788, U01HD059773); Additional funding from National Heart, Lung, and Blood Institute, Bethesda, MD, USA (grant #R01HL107240); William T. Grant Foundation, New York City, NY, USA; Alfred P. Sloan Foundation, New York City, NY, USA; and the US Department of Health and Human Services Administration for Children and Families, Washington, DC, USA. JAW was supported by the Robert Wood Johnson Foundation, Princeton, NJ, USA Health & Society Scholars program. Some results were presented at the Robert Wood Johnson Health & Society Scholars 2014 meeting in Detroit, MI, USA.
Publisher Copyright:
© 2018 The Author(s).
PY - 2018/7
Y1 - 2018/7
N2 - 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.
AB - 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.
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U2 - 10.15171/ijhpm.2017.132
DO - 10.15171/ijhpm.2017.132
M3 - Article
C2 - 29996581
AN - SCOPUS:85048348647
SN - 2322-5939
VL - 7
SP - 614
EP - 622
JO - International Journal of Health Policy and Management
JF - International Journal of Health Policy and Management
IS - 7
ER -