Affiliations: Rehabilitation Services, BarnesCare Corporate Health Services, 5000 Manchester, St. Louis, MO 63110, USA | Ergonomics, BarnesCare Corporate Health Services, 5000 Manchester, St. Louis, MO 63110, USA | Section of Occupational and Environmental Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA
Abstract: With rising health care costs and a dynamic health care structure in the USA, many medical and rehabilitation professionals are seeking cost effective strategies to assist employers in preventing and managing musculoskeletal work injuries. An integrated approach based on the classic three component model of preventive medicine which includes primary, secondary and tertiary prevention is discussed. This approach includes ergonomics, medical injury treatment and rehabilitation services to provide a comprehensive occupational health program. The manner in which these services are packaged for purchase by industry is shifting from a fee-for-service system to a capitated program with the provider coordinating service delivery at risk. The incentives for successful outcomes are tremendous. Challenges in carrying out this program are presented as well as discussion of approaches to overcome these barriers.
Keywords: Ergonomics, Occupational health, Injury prevention, Musculoskeletal work injury, Return-to-work, Industrial rehabilitation, Model prevention program
