Who pays for work-related traumatic injuries? Payer distribution in washington state by ethnicity, injury severity, and year (1998-2008).
Who pays for work-related traumatic injuries? Payer distribution in washington state by ethnicity, injury severity, and year (1998-2008).
复制标题
因工造成的外伤由谁支付？
DOI：
10.1002/ajim.22179
复制
发表时间：
2013
影响因子：
3.5
通讯作者：
Silverstein,BarbaraA
中科院分区：
文献类型：
--
作者：
Sears,JeanneM;Bowman,StephenM;Adams,Darrin;Silverstein,BarbaraA
背景急性工作相关创伤是美国工人死亡和残疾的主要原因，但很难获得有关不在工人赔偿（WC）范围内的受伤工人的信息。本研究旨在：(1) 描述预期付款人的趋势以及与 WC 索赔的联系，(2) 比较有和没有相关 WC 索赔的受伤工人的特征，以及 (3) 按种族和受伤严重程度描述预期付款人的变化以及与 WC 索赔的联系。方法从华盛顿州创伤登记处获得 1998 年至 2008 年发生的伤害数据，并与 WC 索赔相关联。结果我们发现 27% 的工伤外伤没有WC 被列为付款人，而 37% 的受访者没有链接到 WC 索赔。在那些将 WC 列为付款人的人中，与未投保的工人相比，拥有其他非 WC 保险的工人获得关联 WC 索赔的几率要低 57%。与非拉丁裔相比，拉丁裔更有可能获得相关的 WC 索赔，但在部分控制 WC 涵盖的就业和其他保险后，没有显着差异。 结论 这项研究证明了在评估工伤发生率和报告趋势时，考虑其他保险覆盖范围的差异以及医疗保健机构对财务压力的适应的重要性，特别是在使用 WC 作为工作相关性的代理时。将职业、行业和工作状态添加到创伤登记和出院数据库中将改善监测、研究、政策和预防工作。是。 J.工业医学。 56:742–754, 2013。© 2013 Wiley periodicals, Inc.
BackgroundAcute work‐related trauma is a leading cause of death and disability for U.S. workers but it is difficult to obtain information about injured workers not covered by workers' compensation (WC). This study aimed to: (1) describe trends in expected payer and linkage to WC claims, (2) compare characteristics of injured workers who did and did not have a linked WC claim, and (3) describe variation in expected payer and linkage to WC claims by ethnicity and injury severity.MethodsData for injuries occurring from 1998 through 2008 were obtained from the Washington State Trauma Registry and linked to WC claims.ResultsWe found that 27% of work‐related traumatic injuries did not have WC listed as a payer, while 37% did not link to a WC claim. Among those with WC listed as a payer, the odds of having a linked WC claim were 57% lower for workers with other non‐WC insurance compared with the otherwise uninsured. Latinos were more likely to have a linked WC claim compared with non‐Latinos, but there was no significant difference after partially controlling for WC‐covered employment and other insurance.ConclusionsThis study demonstrated the importance of considering differential access to other insurance coverage and adaptation by health care settings to financial pressures when assessing trends in occupational injury incidence and reporting, especially when using WC as a proxy for work‐relatedness. The addition of occupation, industry, and work status to trauma registries and hospital discharge databases would improve surveillance, research, policy and prevention efforts. Am. J. Ind. Med. 56:742–754, 2013. © 2013 Wiley Periodicals, Inc.