An Employer-Sponsored Musculoskeletal Care Coordination Service Can Improve Clinical Outcomes and Self-Reported Productivity.

Madhusudhan, Divya K; Thokala, Sujith; Hagg, Heather K; Schoeneck, Allison R; Pizzarello, Daniel; Bravata, Dena M · J Occup Environ Med · 2020

prospective_cohort · Level II

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Abstract

To evaluate the effects of participation with a novel musculoskeletal care coordination service on clinical outcomes, self-reported productivity, and satisfaction. Prospective analysis of participants using the service from January 1, 2019 to December 31, 2019. One hundred eighty nine participants were enrolled; 54 participants completed their recommended clinical pathway. Low back pain was the most common musculoskeletal issue (N = 86, 46%). 88 participants (47%) were triaged to home exercise and 59 (31%) to physical therapy. Behavioral health issues were common: 47 participants (25%) were referred to their EAP. Only 30 participants (16%) required a medical referral. Engagement was associated with improvements in pain, physical function, mood, and self-reported productivity (P < 0.01). The net promotor score for this service was 95. Employers with populations for whom musculoskeletal complaints are common might benefit from integrating a musculoskeletal care coordination service in their benefits offering.

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