Determining injury at work on the California death certificate
Determining injury at work on the California death certificate
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DOI：
10.2105/ajph.87.6.998
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发表时间：
1997-06-01
影响因子：
12.7
通讯作者：
Kraus, JF
中科院分区：
文献类型：
--
作者：
PeekAsa, C;McArthur, DL;Kraus, JF
目标.本研究探讨了加州县验尸官办公室在确定工伤的决定，并确定了影响这一决定的因素。调查被发送到加州县验尸官办公室（回复率= 93%）。调查包括23个小插曲，要求受访者确定死亡是否涉及工伤。Rasch方法被用来确定内部一致性背书小插曲，并确定基于潜在因素的小插曲的整体可背书性。受访者表现出内部的一致性，但在他们的支持小插曲分歧很大。从事有偿工作或在工作时间在工作场所的死者几乎一致被认定为工伤。不支付，旅行/交通，自杀，和非传统的工作地点和工作时间，导致受访者之间的分歧和不确定性。验尸官有不同的方法来确定死亡证明上的工伤，现有的指南没有定义验尸官遇到的许多模糊的情况。(Am J公共卫生。1997;87：998-1002）。
Objectives. This study examined decisions of California County Coroner's offices in determining injury at work and identified factors influencing this decision.Methods. Surveys were sent to California County Coroner's offices (response rate = 93%). The survey included 23 vignettes that required the respondent to determine whether the fatality involved an injury at work. The Rasch method was used to determine internal consistency in endorsing vignettes and to determine overall endorsability of vignettes based on underlying factors.Results. Respondents showed internal consistency but much disagreement in their endorsement of vignettes. Decedents who were performing paid work or were on their work site during working hours were almost unanimously endorsed as having incurred an injury at work. Nonpayment, travel/transportation, suicide, and nontraditional work sites and work hours led to disagreement and uncertainty among respondents.Conclusions. Coroners have different methods of determining injury at work on the death certificate, and available guidelines do not define many of the ambiguous situations encountered by coroners. (Am J Public Health. 1997;87:998-1002).