Determinant return to work program for work-injured employees in Indonesia

Dwi Aprianto, Dedi Budiman Hakim, Sahara Sahara

Abstract

Work accidents can determine the safety quality in the workplace, which contributes to national economic development. It is estimated that GDP losses from work injuries are 3.94% annually. It is important to reactivate work-injured persons to be productive. The Return To Work (RTW) program was formed to accommodate employees who become disabled after a fatal injury. This study aims to estimate the RTW rate and the factors that influence the probability of success of the RTW Program for work-injured persons. Data were obtained from Social Security Organization (BPJS Ketenagakerjaan) from 2020-2021, with 195 participants following this program due to fatal work injuries. This study is cross-sectional and uses a logistic regression model. The result is 75.90% of participants could work after following this program. The factor positively influences the success of the RTW program, such as lower and upper amputation (OR=2.474), working in the secondary sector (OR=2.409), following the RTW program in 2020 (OR=2.184), and paying a lower insurance premium rate (OR=3.260). The rate of the RTW in Indonesia is relatively high, with more than three-quarters of participants able to work. Risky groups need more attention by providing information about the work environment and road hazards. This finding can be a reference for developing the RTW program to increase the assistance to high-risk patients for not able to work after the RTW program.

JEL Classification E24; H55; J24


Keywords

disability management; logistic regression; social security; work accident

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Andersson, L. F., Eriksson, L., & Nystedt, P. (2022). Workplace accidents and workers’ solidarity: mutual health insurance in early twentieth-century Sweden†. Economic History Review, 75(1), 203–234. https://doi.org/10.1111/ehr.13088

Arsenault, C., Gage, A., Kim, M. K., Kapoor, N. R., Akweongo, P., Amponsah, F., Aryal, A., Asai, D., Awoonor-Williams, J. K., Ayele, W., Bedregal, P., Doubova, S. V., Dulal, M., Gadeka, D. D., Gordon-Strachan, G., Mariam, D. H., Hensman, D., Joseph, J. P., Kaewkamjornchai, P., … Kruk, M. E. (2022). COVID-19 and resilience of healthcare systems in ten countries. Nature Medicine, 28(6), 1314–1324. https://doi.org/10.1038/s41591-022-01750-1

Ashuro, Z., Zele, Y. T., Kabthymer, R. H., Diriba, K., Tesfaw, A., & Alamneh, A. A. (2021). Prevalence of work-related injury and its determinants among construction workers in Ethiopia: A systematic review and meta-analysis. Journal of Environmental and Public Health. https://doi.org/10.1155/2021/9954084

Awang, H., Shahabudin, S. M., & Mansor, N. (2016). Return-to-work program for injured workers: factors of successful return to employment. Asia-Pacific Journal of Public Health, 28(8), 694–702. https://doi.org/10.1177/1010539516640354

Bae, S. W., Won, J. U., & Park, W. M. (2023). Prediction model for job retention according to the type of return to work among industrially injured workers in Korea. Journal of Occupational and Environmental Medicine, 65(1), E16–E20. https://doi.org/10.1097/JOM.0000000000002737

BPJS Ketenagakerjaan. (2021). Laporan Tahunan. https://www.bpjsketenagakerjaan.go.id/laporan-tahunan.html

Cancelliere, C., Donovan, J., Stochkendahl, M. J., Biscardi, M., Ammendolia, C., Myburgh, C., & Cassidy, J. D. (2016). Factors affecting return to work after injury or illness: Best evidence synthesis of systematic reviews. Chiropractic and Manual Therapies, 24(1):32. https://doi.org/10.1186/s12998-016-0113-z

Central Agency on Statistics. (2020). Laju Pertumbuhan Produk Domestik Regional Bruto Per Kapita Atas Dasar Harga Konstan 2010. https://www.bps.go.id/indikator/indikator/view_data/0000/data/296/sdgs_8/4

Ceylan, H., Kaplan, A., & Bekar, M. (2022). High-risky sectors in terms of work accidents in Turkey. Uluslararası Muhendislik Arastirma ve Gelistirme Dergisi, 14(1), 45–57. https://doi.org/10.29137/umagd.937910

Dewi, I. I. (2019). Anti-discrimination in employment regulation for persons with disabilities in Indonesia. Yustisia. 8(1), 133-151. https://doi.org/10.20961/yustisia.v0ixx.28016

Driscoll, T., Marsh, S., McNoe, B., Langley, J., Stout, N., Feyer, A. M., & Williamson, A. (2005). Comparison of fatalities from work related motor vehicle traffic incidents in Australia, New Zealand, and the United States. Injury Prevention, 11(5), 294–299. https://doi.org/10.1136/ip.2004.008094

Geyman, J. (2021). COVID-19 has revealed america’s broken health care system: What can we learn? International Journal of Health Services, 51(2), 188–194. https://doi.org/10.1177/0020731420985640

Halimatussadiah, A., Nuryakin, C., Muchtar, P. A., Bella, A., & Rizal, H. (2017). Mapping persons with disabilities (PWDS) in Indonesia labor market. Economics and Finance in Indonesia, 63(2), 126–149. https://doi.org/10.7454/efi.v63i2.572

Hämäläinen, P., Takala, J., & Saarela, K. L. (2006). Global estimates of occupational accidents. Safety Science, 44(2), 137–156. https://doi.org/10.1016/j.ssci.2005.08.017

He, Y., Hu, J., Yu, I. T. S., Gu, W., & Liang, Y. (2010). Determinants of return to work after occupational injury. Journal of Occupational Rehabilitation, 20(3), 378–386. https://doi.org/10.1007/s10926-010-9232-x

ILO. (2007). Reduce Risk, Cut Cost! https://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/---safework/documents/publication/wcms_146414.pdf

ILO. (2020a). Safety and Health at Work. Https://www.Ilo.Org/Global/Topics/Safety-and-Health-at-Work/Lang--En/Index.Htm.

ILO. (2020b). Safety and health at work in Indonesia and Timor-Leste. https://www.ilo.org/jakarta/areasofwork/safety-and-health-at-work/lang--en/index.htm#banner

Irfani, T. H. (2015). The Prevalence of occupational injuries and illness in ASEAN: Comparison between Indonesia and Thailand. Public Health of Indonesia, 1(1), 19–29 https://doi.org/10.36685/phi.v1i1.1

Ivascu, L., & Cioca, L. I. (2019). Occupational accidents assessment by field of activity and investigation model for prevention and control. Safety, 5(1). https://doi.org/10.3390/safety5010012

Jansen, J., van Ooijen, R., Koning, P. W. C., Boot, C. R. L., & Brouwer, S. (2021). The role of the employer in supporting work participation of workers with disabilities: A systematic literature review using an interdisciplinary approach. Journal of Occupational Rehabilitation, 31(4), 916–949. https://doi.org/10.1007/s10926-021-09978-3

Juanda, B. (2009). Ekonometrika Permodelan dan Pendugaan. IPB Press.

Kang, D. (2022). Positive factors for return to work after accidents: health awareness, consultation with doctors, and personal characteristics of workers. Safety and Health at Work, 13(1), 32–39. https://doi.org/10.1016/j.shaw.2021.10.001

Kosny, A., Lifshen, M., Yanar, B., Tonima, S., Maceachen, E., Furlan, A., Koehoorn, M., Beaton, D., Cooper, J., & Neis, B. (2018). The role of healthcare providers in return to work. International Journal of Disability Management, 13(E3). https://doi.org/10.1017/idm.2018.4

Kusumastuti, P., Pradanasari, R., & Ratnawati, A. (2014). The problems of people with disability in indonesia and what is being learned from the World Report on Disability. American Journal of Physical Medicine and Rehabilitation, 93(1 Suppl.1). https://doi.org/10.1097/PHM.0000000000000025

Ministry of Manpower Republic Indonesia. (2021). Type of Work Accident. Https://Satudata.Kemnaker.Go.Id/.

Mohamed, I., Mutavi, T., & Gitau, C. (2022). Prevalence of anxiety, depression, and post-traumatic stress disorder among amputees attending jaipur foot trust articial limb centre in Kenya. East African Journal of Health and Science, 5(1), https://doi.org/10.37284/eajhs.5.1.572

Moynihan, R., Sanders, S., Michaleff, Z. A., Scott, A. M., Clark, J., To, E. J., Jones, M., Kitchener, E., Fox, M., Johansson, M., Lang, E., Duggan, A., Scott, I., & Albarqouni, L. (2021). Impact of COVID-19 pandemic on utilisation of healthcare services: A systematic review. BMJ Open, 11(3). https://doi.org/10.1136/bmjopen-2020-045343

Mucci, N., Traversini, V., Lulli, L. G., Baldassarre, A., Galea, R. P., & Arcangeli, G. (2020). Upper limb’s injuries in agriculture: A systematic review. International Journal of Environmental Research and Public Health 17(12), 1–18. MDPI AG. https://doi.org/10.3390/ijerph17124501

Ouattara, B. S., Beseler, C. L., & Rautiainen, R. H. (2022). Agricultural injuries: risk factors and severity by affected body part among US (Midwest) farmers. Journal of Agromedicine, 28(2): 214-223. https://doi.org/10.1080/1059924X.2022.2089421

Pélissier, C., Fort, E., Fontana, L., Charbotel, B., & Hours, M. (2017). Factors associated with non-return to work in the severely injured victims 3 years after a road accident: A prospective study. Accident Analysis and Prevention, 106, 411–419. https://doi.org/10.1016/j.aap.2017.06.020

Seland, K., Cherry, N., & Beach, J. (2006). A study of factors influencing return to work after wrist or ankle fracutres. American Journal of Industrial Medicine, 49(3), 197–203. https://doi.org/10.1002/ajim.20258

Shaw, W. S., Nelson, C. C., Woiszwillo, M. J., Gaines, B., & Peters, S. E. (2018). Early return to work has benefits for relief of back pain and functional recovery after controlling for multiple confounds. Journal of Occupational and Environmental Medicine, 60(10), 901–910. https://doi.org/10.1097/JOM.0000000000001380

Shewiyo, B. S., Mwanga, H. H., Mrema, E. J., & Mamuya, S. H. (2021). Work-related injuries reported to workers compensation fund in Tanzania from 2016 to 2019. International Journal of Environmental Research and Public Health, 18(17). https://doi.org/10.3390/ijerph18179152

Skivington, K., Lifshen, M., & Mustard, C. (2016). Implementing a collaborative return-to-work program: Lessons from a qualitative study in a large Canadian healthcare organization. Work, 55(3), 613–624. https://doi.org/10.3233/WOR-162437

Somavia, J. (2005). Fact on Safety at Work. www.ilo.org/safework

Suryahadi, A. (2022). Disability and labor market exclusion: Evidence from Indonesia. Sustainability Science and Resources, 2(1), 45–77. https://doi.org/10.55168/ssr2809-6029.2022.2004

Takala, J. (1999). Global Estimates of Fatal Occupational Accidents. Epidemiology, 10(5, Sep), 640-646. https://doi.org/10.1097/00001648-199909000-00034

Tuczyńska, M., Staszewski, R., Matthews-Kozanecka, M., Żok, A., & Baum, E. (2022). Quality of the healthcare services during COVID-19 pandemic in selected European countries. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.870314

van der Kemp, J., Kruithof, W. J., Nijboer, T. C. W., van Bennekom, C. A. M., van Heugten, C., & Visser-Meily, J. M. A. (2019). Return to work after mild-to-moderate stroke: work satisfaction and predictive factors. Neuropsychological Rehabilitation, 29(4), 638–653. https://doi.org/10.1080/09602011.2017.1313746

Vanovenberghe, C., Du Bois, M., Lauwerier, E., & Van den Broeck, A. (2021). Does motivation predict return to work? A longitudinal analysis. Journal of Occupational Health, 63(1). https://doi.org/10.1002/1348-9585.12284

Vles, W. J., Steyerberg, E. W., Essink-Bot, M. L., van Beeck, E. F., Meeuwis, J. D., & Leenen, L. P. H. (2005). Prevalence and determinants of disabilities and return to work after major trauma. Journal of Trauma - Injury, Infection and Critical Care, 58(1), 126–135. https://doi.org/10.1097/01.TA.0000112342.40296.1F

Yoshimoto, T., Oka, H., Fujii, T., Nagata, T., & Matsudaira, K. (2020). The economic burden of lost productivity due to presenteeism caused by health conditions among workers in Japan. Journal of Occupational and Environmental Medicine, 62(10), 883–888. https://doi.org/10.1097/JOM.0000000000002001

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