Application of the Analytic Hierarchy Process for the Selection of Beneficiaries and Providers of Occupational Rehabilitation Service

Abstract

Application of the Analytic Hierarchy Process for the Selection of Beneficiaries and Providers of Occupational Rehabilitation Service

Abstract

Purpose: The aim of this study is to select the beneficiaries and providers of Occupational Rehabilitation Service for Turkey. Material and Methods: This research conducted to select the beneficiaries and providers for occupational rehabilitation used the Analytical Hierarchy Process (AHP), which is a multi-criteria decision making technique. In the research conducted based on expert opinion, the results of 4 components were evaluated according to criteria of relevance, human orientation and cost. In the data analysis, Microsoft Excel programme was used for the calculations. The data evaluated by accepting the consistency index level of CR<0,10. Results: It was determined that the highest weight was “Workers who have had a occupational disease” with 0.444 and the lowest weight is “Workers who have had a accidents/disease for non-work reasons” with 0,232. “Ministry of Health” is selected as the highest weighted alternatives with 1.21. ‘With the commission decision that can give fitness of the work’ is also the highest weighted alternatives with 0.51. ‘Case Manager’ is the alternative with the highest level of importance with 0,29. Conclusion: Our results showed that occupational rehabilitation is applicable within the current health system for Turkey. Occupational rehabilitation isn’t a service defined and implemented by SUT or any other legislation. Occupational rehabilitation service can be implemented with in the existing health system in Turkey. This servise may help to reduce lost of work and economic and social cost caused by occupational accident and disease.

Keywords

• Occupational rehabilitation
• return to work
• occupational health
• occupational safety
• AHP

References

1. ILO. A call for safer and healthier working environments. 2023 [Internet]. Available from: https://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/---safework/documents/publication/wcms_903140.pdf
2. Elsler D, Takala J, Remes J [Internet]. An international comparison of the cost of work-related accidents and illnesses. European Agency Safety and Health at Work. [Accessed Date: 27.05.2025]. Available from: https://osha.europa.eu/sites/default/files/international_comparison-of_costs_work_related_accidents.pdf
3. Park J, Gross DP, Rayani, F, et al. Model of Human Occupation as a framework for implementation of Motivational Interviewing in occupational rehabilitation. Work 2019;62(4):629-641.
4. Pasanen J, Luoma A. How can social insurers promote return to work in occupational rehabilitation? A quantitative, cross-sectional study. BMC Public Health 2021;21(1):1687.
5. Nilsen DA, Nissen O, Nordfjærn T,et al. Who Returns to work? Exploring the Role of Interpersonal Problems in Occupational Rehabilitation. J Occup Rehabil 2023;33(3):528-537.
6. Aragaki D, Saby A, Zappaterra M, Escorpizo R. Occupational Medicine and Vocational Rehabilitation. In: Braddom’s Phys Med Rehabil. 2021.p.89-99.e2.
7. Eftedal M, Kvaal AM, Ree E, Øyeflaten I, Maeland S. How do occupational rehabilitation clinicians approach participants on long-term sick leave in order to facilitate return to work? A focus group study. BMC Health Serv Res 2017;17(1):744-13.
8. Khan A, Chatterjee S, Weng Y. UHI drivers and mapping the urban thermal environment. In: Urban Heat Island Modeling for Tropical Climates 2021. p.69-115.

9. Vaidya OS, Kumar S. Analytic hierarchy process: An overview of applications. Eur J Oper Res 2006;169(1): 1-29.
10. Pant S, Kumar A, Ram M, Klochkov Y, Sharma HK. Consistency Indices in Analytic Hierarchy Process: A Review. Mathematics 2022;10(8):1206-1221.
11. Rajput V, Kumar D, Sharma A, Singh S. A Literature Review on AHP (Analytic Hierarchy Process). J Adv Res Appl Sci. 2018;5(1).
12. Chan W. Correction to: Analyzing ipsative data in psychological research. Behaviormetrika 2021;48(1):201.
13. Siekelova A, Podhorska I, Imppola JJ. Analytic Hierarchy Process in Multiple–Criteria Decision–Making: A Model Example. In: Stabilization and Development of SMEs in Rural Areas; SHS Web Conf. 2021;90.
14. Leal JE. AHP-express: A simplified version of the analytical hierarchy process method. MethodsX. 2020;7:1-11.
15. Taherdoost H. Decision Making Using the Analytic Hierarchy Process (AHP); A Step by Step Approach. J Econ Manag Syst. 2017;2:244-246.
16. Saaty TL. Axiomatic Foundation of the Analytic Hierarchy Process. Manage Sci. 1986;32(7).
17. Saaty TL. The analytic hierarchy process: planning. Prior Setting. Resour Alloc. MacGraw-Hill, New York Int B Co;1980.
18. Cullen KL, Irvin E, Collie A, et al. Effectiveness of Workplace Interventions in Return-to-Work for Musculoskeletal, Pain-Related and Mental Health Conditions: An Update of the Evidence and Messages for Practitioners. J Occup Rehabil. 2018;28;1-15.
19. Vogel N, Schandelmaier S, Zumbrunn T, et al. Return-to-work coordination programmes for improving return to work in workers on sick leave. Cochrane Database Syst Rev. 2017;3(3):CD011618.
20. OECD. Sickness, disability and work: Breaking the barriers: Canada: Opportunities for collaboration. OECD Publishing, 2010. https://doi.org/10.1787/9789264090422-en.
21. Jeong I, Park JB, Kim HR, Yoon JH, Won JU, Roh J. Impacts of return-to-work type and period on job retention in workers with occupational injuries and diseases. J Korean Med Sci 2018;33(1):e2.
22. Eravci DB. Occupational Rehabilitation as a Social Policy Tool in Occupational Health and Safety: Review of Good Practices by Countries. Hak İş Uluslararası Emek ve Toplum Derg 2021;10(26):30-45.
23. Rumrill P, Sheppard-Jones K, Collett JW, McCurry S. RETAIN Kentucky: A return-to-work and stay-at-work program for people with disabilities grounded in the conservation of resources theory. Work 2022;72(1):3-8.
24. Belin A, Dupont C, Oulès L, Kuipers Y, Fries-Tersch E. Rehabilitation and return to work: analysis report on EU policies, strategies and programmes. EU-OSHA-European Agency for Safety and Health at Work. Eur Agency Saf Heal Work. 2016. ISBN: 978-92-9240-925-8.
25. Cacioppo M, et al. Emerging health challenges for children with physical disabilities and their parents during the COVID-19 pandemic: The ECHO French survey. Ann Phys Rehabil Med 2021;64(3):1-8.
26. Lecours A, Coutu MF, Durand MJ. Fostering Stay at Work After a Period of Disability: A Scoping Review of Occupational Rehabilitation Strategies to Support Workers in the Adoption of Preventive Behaviours. J Occup Rehabil 2024;34(1):1-15.
27. Bhattacharjya S, Curtis S, Kueakomoldei S, et al. Developing a Global Strategy for strengthening the occupational therapy workforce: a two-phased mixed-methods consultation of country representatives shows the need for clarifying task-sharing strategies. Hum Resour Health 2024;22(1):62-72.