PSC as an organisational level determinant of working time lost and expenditure following workplace injuries and illnesses

Abstract

ObjectivesFinding an association between organisational factors and working time loss following workplace injury and illness (hereafter injury) could rightfully shift the focus in injury management strategies from the individual to the organisation. We investigate whether working time loss and expenditure following compensable injury can be predicted by knowing about organisational characteristics, particularly the Psychosocial Safety Climate (PSC) − the organisation’s climate for worker psychological health. MethodsOur prospective multisource study linked ‘objective’ reports of working conditions assessed in an independent Australian Workplace Barometer (AWB) sample (random population interviews of 1067 workers) to future workers compensation claims data held by a government safety regulator, by aggregating both data sets to the organisational (employer) level. We selected compensation data prior to big policy changes to a short tail scheme. We selected claims with working time loss due to injury or illness ≥1 day yielding 100 organisations and 12,624 claims. ResultsResults support organisational PSC as a leading indicator of future time loss and expenditure, and its effect was mediated through skill discretion, job satisfaction, and rewards. Decision authority, supervisory support, and bullying were also related to time loss but not as strongly as PSC. In very low PSC organisations, days lost were 160 % higher than for those in high PSC organisations (177 vs 68 days). Likewise, expenditure for the injury or illness (e.g., health expenses, wages) was 104 % higher in very low PSC vs high PSC organisations (AUD $67 260 vs $32 939). ConclusionPSC is a modifiable social determinant of injured workers working time loss and expenditure. Practically, it is essential to target PSC for safety improvement — beyond injury prevention PSC is important for return to work and to prevent the shift of the burden of organisational problems to the individual and public health.