Reducing the costs of work-related musculoskeletal disorders: targeting strategies to chronic disability cases
Reducing the costs of work-related musculoskeletal disorders: targeting strategies to chronic disability cases
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DOI：
10.1016/j.jelekin.2003.09.013
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发表时间：
2004-02-01
影响因子：
2.5
通讯作者：
Baldwin, ML
中科院分区：
文献类型：
--
作者：
Baldwin, ML
肌肉骨骼疾病给美国和加拿大的医疗保健系统带来了巨大的直接成本负担，并造成了更大的生产力间接损失。肌肉骨骼疾病的总体患病率很高，但不成比例的费用份额与少数慢性疼痛病例有关。对于职业性背痛的情况尤其如此，这是工作场所最常见和最昂贵的肌肉骨骼疾病。许多研究确定了与工作相关的背痛病例中与长期残疾相关的工作场所特征。这些特征包括：未能获得工作便利、领取残疾福利金以及在高风险行业或需要搬运重物的工作中就业。然而，由于缺乏高质量的数据和需要采取多学科方法，对高费用病例的预测因素的研究有限。一项新的研究，亚利桑那州立大学健康背部研究，解决了其中的一些问题，并承诺新的见解，有效的战略，以减少高成本索赔的比例。(C)2003爱思唯尔有限公司。保留所有权利。
Musculoskeletal disorders impose a significant direct cost burden on health care systems in the US and Canada and account for even greater indirect losses of productivity. The overall prevalence of musculoskeletal disorders is high, but a disproportionate share of costs is associated with a small number of cases with chronic pain. This is especially true for cases of occupational back pain, the single most common and costly musculoskeletal disorder in the workplace. A number of studies identify workplace characteristics associated with prolonged disability among cases of work-related back pain. These characteristics include: failure to receive job accommodations, receipt of disability benefit payments, and employment in high-risk industries or jobs that require heavy lifting. Research on the predictors of high-cost cases is limited, however, because of the lack of high-quality data and the need for a multidisciplinary approach. A new study, the Arizona State University Healthy Back Study, addresses some of these issues and promises new insights into effective strategies to reduce the proportion of high-cost claims. (C) 2003 Elsevier Ltd. All rights reserved.