Incidence and Cost of Depression After Occupational Injury
Incidence and Cost of Depression After Occupational Injury
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DOI：
10.1097/jom.0b013e3182636e29
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发表时间：
2012-09-01
影响因子：
3.2
通讯作者：
Souza, Kerry
中科院分区：
文献类型：
--
作者：
Asfaw, Abay;Souza, Kerry
目的：我们研究了受伤工人是否比非受伤工人更有可能在职业伤害后接受抑郁症治疗，并估计了团体医疗保险支付的费用。方法：从2005年汤森路透市场扫描数据中抽取近367,900名受伤和未受伤的工人。采用描述性、逻辑性和两部分模型回归分析。结果：受伤工人在研究期间接受抑郁治疗的几率比非受伤工人高45%(95%可信区间，1.17-1.78)。受伤工人的门诊抑郁症治疗的无条件平均费用比非受伤工人高出63%。结论：在研究期间，受伤工人比非受伤工人更容易患抑郁症。因此，治疗受伤工人抑郁症产生了额外的费用；这些费用不在工人补偿制度的覆盖范围内。
Objectives: We examined if injured workers were more likely than noninjured workers to be treated for depression after an occupational injury and estimated the cost paid by group medical insurance. Method: Nearly 367,900 injured and noninjured workers were drawn from the 2005 Thomson Reuters Market Scan data. Descriptive, logistic, and two-part model regression analyses were used. Results: The odds of injured workers being treated for depression within the study period were 45% higher than those of noninjured workers (95% confidence interval, 1.17-1.78). The unconditional average cost of outpatient depression treatment was 63% higher for injured workers than for noninjured workers. Conclusions: Injured workers were more likely than noninjured workers to suffer from depression during the study period. Consequently, additional costs are incurred for treating injured workers' depression; these costs were not covered by the workers' compensation system.