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An Emerging Occupational Rehabilitation System in The People’s Republic of China

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Abstract

Introduction China has become a major economic influence in Asia and globally. The country is in the position to further develop its workers’ insurance and compensation system. This paper aims to introduce the existing workers’ compensation policies, explain how these policies guide the operation of the occupational rehabilitation system for injured workers, and suggest ways to further develop an effective and sustainable system for the country. Methods Major government policies and initiative documents and existing literature on occupational rehabilitation were critically reviewed. Shortfalls in our current system were identified and potential further development regimes were propose. Results Since 2004, China has implemented its national policy on providing timely and comprehensive rehabilitation and return-to-work interventions for workers who are injured at work. The three-tier medical and occupational rehabilitation system appears effective for enabling injured workers to access these services. Such a system is regarded as the most optimal for the country in spearheading the development of quality occupational rehabilitation services, and at the same time incorporating the existing expertise in acute medical care and rehabilitation within the public medical and health system. Problems encountered in the system can be classified under the culture, system and competence building aspects. Conclusion The future workers’ insurance and compensation system can probably put more emphasis on using bio-psychosocial and work disability prevention models in guiding its service development and delivery. Efforts need to be placed on building the competence of professionals in the system who provide services for injured workers. The empowerment of important stakeholders in the workers’ insurance and compensation system and their inclusion in the planning of service delivery are crucial for developing a sustainable and effective system for China.

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References

  1. Vanderbilt University and Medical Center. Staff work-related accident and injury reporting. 1998. Available from: http://hr.vanderbilt.edu/policies/HR-011.php.

  2. McGovern P, Kochevar L, Lohman W, Zaidman B, Gerberich SG, Nyman J, Findorff DM. The cost of work-related physical assaults in Minnesota. Health Serv Res. 2000;35:663–86.

    PubMed  CAS  Google Scholar 

  3. Ryden LA, Molgaard CA, Bobbitt SL. Benefits of a back care and light duty health promotion program in a hospital setting. J Commun Health. 1988;13:222–30.

    Article  CAS  Google Scholar 

  4. Tate DG. Workers’ disability and return to work. Am J Phys Med Rehabil. 1992;71:92–6.

    Article  PubMed  CAS  Google Scholar 

  5. Weed RO, Field TF. Rehabilitation Consultant’s Handbook (Rev. ed.). Athens, GA: Elliott & Fitzpatrick. 2001.

  6. Carmona L, Faucett J, Blanc PD, Yelin E. Predictors of rate of return to work after surgery for carpal tunnel syndrome. Arthritis Care Resour. 1998;11:298–305.

    Article  CAS  Google Scholar 

  7. Burnham RS, Warren SA, Saboe LA, Davis LA, Russell GG, Reid DC. Factors predicting employment 1 year after traumatic spine fracture. Spine. 1996;21:1066–71.

    Article  PubMed  CAS  Google Scholar 

  8. Ash P, Goldstein SI. Predictors of returning to work. Bull Am Acad Psychiatr Law. 1995;23:205–10.

    CAS  Google Scholar 

  9. Kleeber JM. From strict liability to workers’ compensation: the Prussian railroad law, the German liability act, and the introduction of Bismarck’s accident’s insurance in Germany, 1838-1884. 2003. Available from : http://www.law.nyu.edu/ecm_dlv4/…law…/ecm_pro_059586.pdf.

  10. Perrin, Thorau & Associates Ltd. Comparative Review of Workers’ Compensation Systems in Select Jurisdictions. 1999. Available from: http://www.qp.gov.bc.ca/rcwc/research/perrin-thorau-germany.pdf.

  11. Lee P. Strategies to return injured workers to sustain able earnings. 2003. Available from: http://www.dol.govt.nz/%5CPDFs%5CReturnToSustainableEarnings.pdf.

  12. Guangzhou Municipal Labor & Social Security Bureau. Tentative Procedures on Management of Work Injury Rehabilitation. 2002. Available from : http://www.gzlss.gov.cn/gzlss_portal/show_article_byid_frontside.do?article_id=2266.

  13. Guangdong Provincial Labor and Social Security Department. Tentative Procedures on Management of Work Injury Rehabilitation. 2006. Available from: http://www.gd.lss.gov.cn/zcfg/showcontent.asp?id=1363.

  14. The Central People’ Government of the People’ Republic of China. Work Injury Insurance. Available from: http://www.gov.cn/zwgk/2005-05/20/content_144.htm.

  15. Ministry of Human Resources and Social Security of the People’ Republic of China. Notice of the list of service agreement hospital or rehabilitation center. 2010. Available from: http://www.mohrss.gov.cn/Desktop.aspx?path=mohrss/mohrss/InfoView&gid=aa7fd522-b97d-4f5b-8b64-0940999fe7ce&tid=Cms_Info.

  16. Guangdong Provincial Labor and Social Security Department. Entrance Standards for Service Agreement Work Injury Rehabilitation Hospital or Rehabilitation Center. 2006. Available from: http://www.gd.lss.gov.cn/zcfg/showcontent.asp?id=1377.

  17. Guangdong Provincial Work Injury Rehabilitation Center. About Hospital. Available from: http://www.gzrehab.com.cn/profile/about.asp.

  18. Lo-Hui KYL, Luo XY, Lu XW, Mai GZ. Summary Report of action research on occupational rehabilitation and community re-integration of migrant workers with work injuries in Mainland China. Work. 2008;30:39–45.

    Google Scholar 

  19. Lu XW, Xu YW. Effectiveness of problem solving skills in case management on return to work for workers with injuries. Work. 2008;30:47–53.

    PubMed  Google Scholar 

  20. Guangdong Provincial Labor and Social Security Department. Work Injury Rehabilitation Service Item and Service Payment Standards. 2008. Available from: http://www.gd.lss.gov.cn/zcfg/showcontent.asp?id=251.

  21. Xu YW, Ouyang YT, Luo XY, Lu XW, Yang XS. The effect of demographic and social factors on return to work of injury workers with musculoskeletal disorders. Work. 2008;30:91–5.

    PubMed  Google Scholar 

  22. Xu YW, Lam CS, Tang D. Contributors of return to work for a cohort of Spinal Cord injured workers. China J Rehabil Theor Pract. 2010;16:678–82.

    Google Scholar 

  23. International Social Security Association Research Programme. Who returns to work and why? A six-country study on work incapacity and reintegration—A Summary. 2001. Available from: http://www.issa.int/Resursy/ISSA-Publications/Who-returns-to-work-and-why.

  24. Schultz IZ, Stowell AW, Feuerstein M, Gatchel R. Models of return to work for Musculoskeletal disorders. J Occup Rehabil. 2007;17:327–52.

    Article  PubMed  Google Scholar 

  25. Loisel P, Buchbinder R, Hazard R, Keller R, Scheel I, van Tulder M, Webster B. Prevention of work disability due to Musculoskeletal disorders: the challenge of implementing evidence. J Occup Rehabil. 2005;15:507–24.

    Article  PubMed  Google Scholar 

  26. Chen L. Work injury: rehabilitation first, compensation second. J Chin Social Secur. 2008;7:22–3.

    Google Scholar 

  27. Xu YW, Chan CC, Lam CS, Li-Tsang CW, Lo-Hui KY, Gatchel RJ. Rehabilitation of injured workers with chronic pain: a stage of change phenomenon. J Occup Rehabil. 2007;17(4):727–42.

    Article  PubMed  Google Scholar 

  28. Li-Tsang CW, Chan HH, Lam CS, Lo-Hui KY, Chan CC. Psychosocial aspects of injured workers’ returning to work (RTW) in Hong Kong. J Occup Rehabil. 2007;17:279–88.

    Article  PubMed  Google Scholar 

  29. Li EJ, Li-Tsang CW, Lam CS, Hui KY, Chan CC. The effect of a “training on work readiness” program for workers with musculoskeletal injuries: a randomized control trial (RCT) study. J Occup Rehabil. 2006;16:529–41.

    Article  PubMed  Google Scholar 

  30. Sullivan MJ, Feuerstein M, Gatchel R, Linton SJ, Pransky G. Integrating psychosocial and behavioral interventions to achieve optimal rehabilitation outcomes. J Occup Rehabil. 2005;15:475–89.

    Article  PubMed  Google Scholar 

  31. Young AE. Return-to-work experiences: prior to receiving vocational services. Disabil Rehabil. 2009;31:2013–22.

    Article  PubMed  Google Scholar 

  32. Yu SX. Explore the suitable medical model of stroke unit in general hospital. Proceeding of Symposium of 2003 National Congress and 20th Anniversary of the Chinese Association of Rehabilitation Medicine. Beijing, 2003.

  33. Li-Tsang CWP, Li EJQ, Lam CS, Hui KYL, Chan CCH. The effect of a job placement and support program for workers with musculoskeletal injuries: a randomized control trial (RCT) study. J Occup Rehabil. 2008;18:299–306.

    Article  PubMed  CAS  Google Scholar 

  34. Steenstra IA, Anema JR, van Tulder MW, Bongers PM, de Vet HCW, van Mechelen W. Economic evaluation of multi-stage return to work program for workers on sick-leave due to low back pain. J Occup Rehabil. 2006;16:557–78.

    Article  PubMed  Google Scholar 

  35. Zhuo DH. The development trend of modern rehabilitation medicine in China. Chin J Rehabil Med. 2011;26:1–3.

    Google Scholar 

  36. Zhuo DH. Current trend of rehabilitation medicine in China. In: Proceeding of international symposium on work injury prevention and rehabilitation, pp 56–58, 2010.

  37. Zhang XQ. Speed up the transformation from labor-intensive manufacturing industries to high technology. Science and Technology Daily 16th May 2005.

  38. Borchini R, Ferrario MM. Heart disease and work: from rehabilitation to return to work. Med Lav. 2010;101(Suppl 2):50–6.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Guangdong Provincial Work Injury Rehabilitation Centre, Guangzhou, The People’s Republic of China

    Dan Tang, Yan-Wen Xu & Xiao-Yuan Luo

  2. Division of Work Injury Insurance, Ministry of Human Resources and Social Security, Beijing, The People’s Republic of China

    Gang Chen

  3. Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong

    Yan-Wen Xu & Chetwyn C. H. Chan

  4. Hong Kong Workers’ Health Centre, Kowloon, Hong Kong

    Karen Y. L. Hui-Lo

Authors
  1. Dan Tang
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  2. Gang Chen
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  3. Yan-Wen Xu
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  4. Karen Y. L. Hui-Lo
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  5. Xiao-Yuan Luo
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  6. Chetwyn C. H. Chan
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Correspondence to Yan-Wen Xu.

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Tang, D., Chen, G., Xu, YW. et al. An Emerging Occupational Rehabilitation System in The People’s Republic of China. J Occup Rehabil 21 (Suppl 1), 35–43 (2011). https://doi.org/10.1007/s10926-011-9299-z

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  • DOI: https://doi.org/10.1007/s10926-011-9299-z

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