Managing the Intervention Costs of Musculoskeletal Disorders in the Hospital Workplace

OCCUPATIONAL APPLICATIONSThis study demonstrates the applicability of multicriteria tools to solve occupational health and safety (OSH) problems related to cost management in the healthcare sector. To the best of our knowledge, this is the first work in which linear programming and established methods for risk assessment of work-related musculoskeletal disorders (i.e., the Key Item Method) have been combined with the knowledge and experience of the corresponding safety engineer (or OSH auditor or consultant). The ease of implementation of the whole process facilitates its future utilization in working practice without adding an undue burden on existing OSH practices.

Cost-Effectiveness Analysis of a Worksite Clinic: Is it Worth the Cost?

This study assessed the cost-effectiveness of a worksite clinic. In-house clinic operational costs were compared to off-site (i.e., community) health care costs during a 1-year time frame. Community cost norms were extracted from statewide databases and adjusted to local costs. Lost productivity costs were based on survey feedback from current clinic users, which included their estimated time away from work if they had to seek health care off-site, average hourly wages, and the number of actual treatments rendered by the on-site staff. Combined off-site costs of $224,461 (health care) and $113,883 (lost productivity) were nearly twice as high as actual on-site operational costs ($171,332). Overall, it appears the organization's worksite clinic provides employee health care services 2 to 3 times more cost-effectively than do off-site health care services.