How much work-related injury and illness is missed by the current national surveillance system?
How much work-related injury and illness is missed by the current national surveillance system?
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DOI：
10.1097/01.jom.0000205864.81970.63
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发表时间：
2006-04-01
影响因子：
3.2
通讯作者：
Luo, ZW
中科院分区：
文献类型：
--
作者：
Rosenman, KD;Kalush, A;Luo, ZW
目的：我们试图估计现有的国家职业伤害和疾病监测中的漏报。研究方法：坚持严格保密，美国劳工统计局的规则，我们将1999年，2000年和2001年在密歇根州向该局报告与工作有关的伤害和疾病的公司和个人与其他四个密歇根州数据库中报告的公司和个人进行了匹配，工人的赔偿，OSHA年度调查OSHA综合管理信息系统，职业病报告。我们进行了捕获-再捕获分析，以估计联合系统遗漏的病例数。结果如下：我们计算出，目前的国家监测系统不包括61%，并与捕获-再捕获分析高达68%的工伤和疾病，每年发生在密歇根州。这是真正的伤害，60%和67%，和疾病单独的66%和69%，分别结论：目前的国家制度与工作有关的伤害和疾病明显低估了这些条件的严重性。需要一个更全面的系统，如为创伤性工作场所死亡开发的系统，而不仅仅依赖于基于雇主的数据源，以更好地指导公共卫生计划的决策和评估，以减少与工作有关的条件。
Objective: We sought to estimate the undercount in the existing national surveillance of occupational injuries and illnesses. Methods: Adhering to the strict confidentiality, rules of the U.S. Bureau of Labor Statistics, we matched the companies and individuals who reported work-related injuries and illnesses to the Bureau in 1999, 2000, and 2001 in Michigan with companies and individuals reported in four other Michigan data bases, workers' compensation, OSHA Annual Survey OSHA Integrated Management Information System, and the Occupational Disease Report. We performed capture-recapture analysis to estimate the number of cases missed by the combined systems. Results: We calculated that the current national surveillance system did not include 61% and with capture-recapture analysis up to 68% of the work-related injuries and illnesses that occurred annually in Michigan. This was true for injuries alone, 60% and 67%, and illnesses alone 66% and 69%, respectively Conclusions: The current national system for work-relate(I injuries and illnesses markedly underestimates the magnitude of these conditions. A more comprehensive system, such as the one developed for traumatic workplace fatalities, that is not solely dependent on employer based data sources is needed to better guide decision-making and evaluation of public health programs to reduce work-related conditions.