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Full-Text Articles in Health Law and Policy

Schedule Control And Mental Health: The Relevance Of Coworkers’ Reports, David Hurtado, M. Glymour, Lisa Berkman, Dean Hashimoto, Silje Reme, Glorian Sorensen Oct 2015

Schedule Control And Mental Health: The Relevance Of Coworkers’ Reports, David Hurtado, M. Glymour, Lisa Berkman, Dean Hashimoto, Silje Reme, Glorian Sorensen

Dean M. Hashimoto

Although some studies suggest that schedule control might promote mental health, research has over-relied on self-reports, which might explain why the evidence is inconclusive and mixed. In this study, we introduce an analytical approach based on coworkers’ reports (in lieu of self-reports) in order to better characterize the organizational nature of schedule control, and to address biases of self-reports (e.g. reverse causation or confounding). Following job demand-control theoretical principles, in this cross-sectional study of 1229 nurses nested in 104 hospital units, we tested the hypothesis that psychological distress (a risk factor for mental illness) would be lower for nurses ...


The Role Of Medical Care In Workers' Compensation, Dean Hashimoto Sep 2015

The Role Of Medical Care In Workers' Compensation, Dean Hashimoto

Dean M. Hashimoto

Lecture about the important role of medical care in workers' compensation system.


Moderator And Panelist, The Affordable Care Act After King V. Burwell: What's Next?, Dean Hashimoto Aug 2015

Moderator And Panelist, The Affordable Care Act After King V. Burwell: What's Next?, Dean Hashimoto

Dean M. Hashimoto

Moderator and panelist in discussion about latest Supreme Court case regarding the Affordable Care Act.


Impact Of Obamacare: Potential Case-Shifting Between Workers' Compensation And Mainstream Health Care, Dean Hashimoto Jun 2015

Impact Of Obamacare: Potential Case-Shifting Between Workers' Compensation And Mainstream Health Care, Dean Hashimoto

Dean M. Hashimoto

Presented on the impact of the Affordable Care Act on workers' compensation.


Supervisors’ Support For Nurses’ Meal Breaks And Mental Health, David Hurtado, Candace Nelson, Dean Hashimoto, Glorian Sorensen Dec 2014

Supervisors’ Support For Nurses’ Meal Breaks And Mental Health, David Hurtado, Candace Nelson, Dean Hashimoto, Glorian Sorensen

Dean M. Hashimoto

Meal breaks promote occupational health and safety; however, less is known about supervisors’ support for nurses’ meal breaks. In this study, the researchers tested whether the frequency of meal breaks was positively related to supervisors’ support of nurses’ meal breaks, and whether more frequent meal breaks were associated with less psychological distress. This study is based on a cross-sectional survey of 1,595 hospital nurses working on 85 units supervised by nursing directors. Specific meal-break support was measured at the nursing director level; frequency of meal breaks and psychological distress were measured at the individual nurse level. Multilevel adjusted models ...


Implementing An Integrated Health Protection/Health Promotion Intervention In The Hospital Setting: Lessons Learned From The Be Well, Work Well Study, Dean Hashimoto, G Sorensen, Em Nagler, Jack Dennerlein, J Theron, Am Stoddard, Orfeu Buxton, L Wallace, Christopher Kenwood, Cc Nelson, Sl Tamers, Mp Grant, Gi Wagner Dec 2014

Implementing An Integrated Health Protection/Health Promotion Intervention In The Hospital Setting: Lessons Learned From The Be Well, Work Well Study, Dean Hashimoto, G Sorensen, Em Nagler, Jack Dennerlein, J Theron, Am Stoddard, Orfeu Buxton, L Wallace, Christopher Kenwood, Cc Nelson, Sl Tamers, Mp Grant, Gi Wagner

Dean M. Hashimoto

Article presenting the results of the Be Well Work Well Study.


The Impact Of Workplace Policies In The Safety, Health, And Well-Being Of Hospital Workers, Dean Hashimoto Dec 2014

The Impact Of Workplace Policies In The Safety, Health, And Well-Being Of Hospital Workers, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.


Understanding The Hospital Sharps Injury Reporting Pathway, Leslie Boden, Yolanta Petrofsky, Karen Hopcia, Gregory Wagner, Dean Hashimoto Sep 2014

Understanding The Hospital Sharps Injury Reporting Pathway, Leslie Boden, Yolanta Petrofsky, Karen Hopcia, Gregory Wagner, Dean Hashimoto

Dean M. Hashimoto

Background: Patient-care workers are frequently exposed to sharps injuries, which can involve the risk of serious illness. Underreporting of these injuries can compromise prevention efforts.

Methods: We linked survey responses of 1,572 non-physician patient-care workers with the Occupational Health Services (OHS) database at two academic hospitals. We determined whether survey respondents who said they had sharps injuries indicated that they had reported them and whether reported injuries were recorded in the OHS database.

Results: Respondents said that they reported 62 of 78 sharps injuries occurring over a 12-month period. Only 28 appeared in the OHS data. Safety practices were ...


The Affordable Care Act’S Projected Impact On Workers’ Compensation, Dean Hashimoto Aug 2014

The Affordable Care Act’S Projected Impact On Workers’ Compensation, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.


Reforming Workers’ Compensation In Light Of The Affordable Care Act, Dean Hashimoto Aug 2014

Reforming Workers’ Compensation In Light Of The Affordable Care Act, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.


Impact Of Organizational Policies And Practices On Workplace Injuries In A Hospital Setting, T. Tveito, G. Sembajwe, L. Bodden, J. Dennerlein, G. Wagner, C. Kenwood, A. Stoddard, S. Reme, K. Hopcia, Dean Hashimoto, W. Shaw, G. Sorensen Jul 2014

Impact Of Organizational Policies And Practices On Workplace Injuries In A Hospital Setting, T. Tveito, G. Sembajwe, L. Bodden, J. Dennerlein, G. Wagner, C. Kenwood, A. Stoddard, S. Reme, K. Hopcia, Dean Hashimoto, W. Shaw, G. Sorensen

Dean M. Hashimoto

Objective: This study aimed to assess relationships between perceptions of organizational practices and policies (OPP), social support, and injury rates among workers in hospital units. Methods: A total of 1230 hospital workers provided survey data on OPP, job flexibility, and social support. Demographic data and unit injury rates were collected from the hospitals' administrative databases. Results: Injury rates were lower in units where workers reported higher OPP scores and high social support. These relationships were mainly observed among registered nurses. Registered nurses perceived coworker support and OPP as less satisfactory than patient care associates (PCAs). Nevertheless, because of the low ...


The Affordable Care Act’S Impact On The Practice Of Occupational Medicine And The Implications For Public Health Surveillance, Dean Hashimoto May 2014

The Affordable Care Act’S Impact On The Practice Of Occupational Medicine And The Implications For Public Health Surveillance, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.


Physical Activity And Body Mass Index: The Contribution Of Age And Workplace Characteristics, Candace Nelson, Gregory Wagner, Alberto Caban-Martinez, Orfeu Buxton, Cristopher Kenwood, Erika Sabbath, Karen Hopcia, Dean Hashimoto, Jennifer Allen, Glorian Sorensen Feb 2014

Physical Activity And Body Mass Index: The Contribution Of Age And Workplace Characteristics, Candace Nelson, Gregory Wagner, Alberto Caban-Martinez, Orfeu Buxton, Cristopher Kenwood, Erika Sabbath, Karen Hopcia, Dean Hashimoto, Jennifer Allen, Glorian Sorensen

Dean M. Hashimoto

Background: The workplace is an important domain for adults, and many effective interventions targeting physical activity and weight reduction have been implemented in the workplace. However, the U.S. workforce is aging, and few studies have examined the relationship of BMI, physical activity, and age as they relate to workplace characteristics.

Purpose: This paper reports on the distribution of physical activity and BMI by age in a population of hospital-based healthcare workers and investigates the relationships among workplace characteristics, physical activity, and BMI.

Methods: Data from a survey of patient care workers in two large academic hospitals in the Boston ...


The Affordable Care Act, Dean Hashimoto Oct 2013

The Affordable Care Act, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.


The Potential Impact Of The Affordable Care Act On Workers' Compensation, Dean Hashimoto Sep 2013

The Potential Impact Of The Affordable Care Act On Workers' Compensation, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.


An Introduction To The Affordable Care Act, Dean Hashimoto Sep 2013

An Introduction To The Affordable Care Act, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.


The Impact Of The Affordable Care Act, Dean Hashimoto Aug 2013

The Impact Of The Affordable Care Act, Dean Hashimoto

Dean M. Hashimoto

The most significant healthcare legislation to become law in America in decades is the Affordable Care Act (ACA), now confirmed as Constitutional by the U.S. Supreme Court. Not intended to directly affect state workers’ compensation laws, there is no question that it will, especially since medical care is so important and a major component of any workers’ compensation system, regardless of jurisdiction. This knowledgeable panel will help WC adjudicators understand this complex new law and developing rules and regulations with a focus on their effect on workers’ compensation. Adjudicators must understand the effect of their decisions on the “new ...


The Affordable Care Act And Workers' Compensation, Dean Hashimoto Jul 2013

The Affordable Care Act And Workers' Compensation, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.


Association Between Work-Family Conflict And Musculoskeletal Pain Among Hospital Patient Care Workers, Seung-Sup Kim, Cassandra Okechukwu, Orfeu Buxton, Jack Dennerlein, Leslie Boden, Dean Hashimoto, Glorian Sorenson Apr 2013

Association Between Work-Family Conflict And Musculoskeletal Pain Among Hospital Patient Care Workers, Seung-Sup Kim, Cassandra Okechukwu, Orfeu Buxton, Jack Dennerlein, Leslie Boden, Dean Hashimoto, Glorian Sorenson

Dean M. Hashimoto

Background

A growing body of evidence suggests that work–family conflict is an important risk factor for workers' health and well-being. The goal of this study is to examine association between work–family conflict and musculoskeletal pain among hospital patient care workers.

Methods

We analyzed a cross-sectional survey of 1,119 hospital patient care workers in 105 units in two urban, academic hospitals. Work–family conflict was measured by 5-item Work–Family Conflict Scale questionnaire. Multilevel logistic regression was applied to examine associations between work–family conflict and self-reported musculoskeletal pain in the past 3 months, adjusting for covariates including ...


Pain Management: Dealing With The Opioid Epidemic, Dean Hashimoto Apr 2013

Pain Management: Dealing With The Opioid Epidemic, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.


Opioid Problem In Workers' Compensation, Dean Hashimoto Mar 2013

Opioid Problem In Workers' Compensation, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.


Overview On The Current Challenges Of The Massachusetts Workers' Compensation System, Dean Hashimoto Mar 2013

Overview On The Current Challenges Of The Massachusetts Workers' Compensation System, Dean Hashimoto

Dean M. Hashimoto

No abstract provided.


Barriers To Use Of Workers' Compensation For Patient Care At Massachusetts Community Health Centers, Lenore Azaroff, Letitia Davis, Robert Naparstek, Dean Hashimoto, James Laing, David Wegman Feb 2013

Barriers To Use Of Workers' Compensation For Patient Care At Massachusetts Community Health Centers, Lenore Azaroff, Letitia Davis, Robert Naparstek, Dean Hashimoto, James Laing, David Wegman

Dean M. Hashimoto

Objectives

To examine barriers community health centers (CHCs) face in using workers' compensation insurance (WC). Data Sources/Study Setting

Leadership of CHCs in Massachusetts. Study Design

We used purposeful snowball sampling of CHC leaders for in-depth exploration of reimbursement policies and practices, experiences with WC, and decisions about using WC. We quantified the prevalence of perceived barriers to using WC through a mail survey of all CHCs in Massachusetts. Data Collection/Extraction Methods

Emergent coding was used to elaborate themes and processes related to use of WC. Numbers and percentages of survey responses were calculated. Principal Findings

Few CHCs formally ...


Ergonomic Practices Within Patient Care Units Are Associated With Musculoskeletal Pain And Limitations, Jack Denerlein, Karen Hopcia, Christopher Kenwood, Anne Stoddard, T. Tveito, Dean Hashimoto, Glorian Sorenson Nov 2012

Ergonomic Practices Within Patient Care Units Are Associated With Musculoskeletal Pain And Limitations, Jack Denerlein, Karen Hopcia, Christopher Kenwood, Anne Stoddard, T. Tveito, Dean Hashimoto, Glorian Sorenson

Dean M. Hashimoto

Background

With the high prevalence of musculoskeletal disorders (MSDs) for patient care unit workers, prevention efforts through ergonomic practices within units may be related to symptoms associated with typical work-related MSDs.

Methods

We completed a cross-sectional survey of patient care workers (n = 1,572) in two large academic hospitals in order to evaluate relationships between self-reported musculoskeletal pain, work interference due to this pain, and limitations during activities of daily living (functional limitations) and with ergonomic practices and other organizational policy and practices metrics within the unit. Bivariate and multiple logistic regression analyses tested the significance of these associations.

Results ...


William B. Patterson Memorial Lecture: As Health Care Reform Evolves, What Is Our Role?, Dean Hashimoto Oct 2012

William B. Patterson Memorial Lecture: As Health Care Reform Evolves, What Is Our Role?, Dean Hashimoto

Dean M. Hashimoto

Honorary lecture awarded in recognition of national expertise in occupational health


Chronic Pain Treatment: Massachusetts As A Case Study, Dean Hashimoto Oct 2012

Chronic Pain Treatment: Massachusetts As A Case Study, Dean Hashimoto

Dean M. Hashimoto

A lecture given as part of a session entitled Dealing with Chronic Pain Under the New Guidelines.


Longer-Term Use Of Opioids, Dongchung Wang, Dean Hashimoto, Kathryn Mueller Sep 2012

Longer-Term Use Of Opioids, Dongchung Wang, Dean Hashimoto, Kathryn Mueller

Dean M. Hashimoto

With opioid misuse a top public health problem in the United States, this study examined longer-term use of narcotics in 21 states and how often recommended treatment guidelines for monitoring injured workers with longer-term use were followed by physicians. The information provided will help public officials identify means to strengthen the design or implementation of public policies related to narcotic use, and help payors target efforts to better manage the use of narcotics while providing appropriate care to injured workers and reducing unnecessary risks to patients and unnecessary costs to employers. The study is based on nearly 300,000 workers ...


Occupational Injuries For Consecutive And Cumulative Shifts Among Hospital Registered Nurses And Patient Care Asscoiates: A Case-Control Study, Karen Hopcia, Jack Dennerlein, Dean Hashimoto, Terry Orechia, Glorian Sorensen Sep 2012

Occupational Injuries For Consecutive And Cumulative Shifts Among Hospital Registered Nurses And Patient Care Asscoiates: A Case-Control Study, Karen Hopcia, Jack Dennerlein, Dean Hashimoto, Terry Orechia, Glorian Sorensen

Dean M. Hashimoto

Nontraditional work shifts for hospital registered nurses and patient care associates and associated injuries were examined through a case-control study. Inpatient care requires that many staff work nontraditional shifts, including nights and 12-hour shifts, but some characteristics remain unexplored, especially consecutive shifts. A total of 502 cases (injured workers) were matched to single controls based on their hospital, unit type, job type, gender, and age (± 5 years). Conditional logistic regression was used for the analysis, controlling for weekly hours scheduled. For both, consecutive shifts of 2 or more days and some various cumulative shifts over a week and month period ...


Putting Guidelines Into Practice: The Case Of Partners Healthcare, Dean Hashimoto Aug 2012

Putting Guidelines Into Practice: The Case Of Partners Healthcare, Dean Hashimoto

Dean M. Hashimoto

A lecture given at the Harvard School of Public Health on the role of health promotion and wellness programs in workplaces.


Massachusetts Chronic Pain Guideline, Dean Hashimoto Aug 2012

Massachusetts Chronic Pain Guideline, Dean Hashimoto

Dean M. Hashimoto

A presentation on the new clinical pain treatment guideline in workers' compensation.