Occupational differences in workers' compensation indemnity claims among direct care workers in Minnesota nursing homes, 2005-2016.
Occupational differences in workers' compensation indemnity claims among direct care workers in Minnesota nursing homes, 2005-2016.
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2005-2016 年明尼苏达州疗养院直接护理人员工人赔偿索赔的职业差异。
DOI：
10.1002/ajim.23102
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发表时间：
2020
影响因子：
3.5
通讯作者：
McGovern,PatriciaM
中科院分区：
文献类型：
--
作者：
Rosebush,ChristinaE;Zaidman,Brian;Schofield,KatherineE;Erickson,DarinJ;Ramirez,Marizen;Tschida,Breca;McGovern,PatriciaM
护理助理是美国受伤率最高的职业之一，但很少有基于人群的研究评估疗养院中不同职业的伤害风险。这项全州范围的研究评估了肌肉骨骼疾病（MSDs）和明尼苏达州养老院直接护理工作者处理伤害的差异。方法将明尼苏达州工人赔偿数据库中的索赔要求与明尼苏达州养老院报告卡中的风险时间相匹配，估计2005年至2016年注册护理助理（CNAs）、执业护士（lpn）和注册护士（RNs）的伤害和疾病索赔率。使用多变量回归模型评估职业和索赔特征之间的关联。结果CNAs、lpn和RNs的索赔率分别为3.68、1.38和0.69 / 100全职等效工人。病人处理伤害占索赔的62%。与注册护士相比，注册护士因MSD（比值比[OR] = 1.67； 95%可信区间[CI]， 1.31‐2.14）或患者处理损伤（OR = 1.89; 95% CI, 1.47‐2.45）而导致赔偿索赔的几率高于其他类型的损伤或疾病。CNAs获得临时和永久部分残疾福利的几率较低，获得规定解决方案的几率较高。结论：明尼苏达州养老院的scna发生MSDs损失时间和患者处理伤害的风险较高。CNAs提出的索赔更频繁地在正常的工人赔偿福利结构之外得到解决，这表明工人赔偿制度没有为这些工人提供足够和及时的福利。
BackgroundNursing assistants have one of the highest injury rates in the U.S., but few population‐based studies assess differential injury risk by occupation in nursing homes. This statewide study assessed differences in musculoskeletal disorders (MSDs) and patient handling injuries among direct care workers in Minnesota nursing homes.MethodsIndemnity claims from the Minnesota workers' compensation database were matched to time at risk from the Minnesota Nursing Home Report Card to estimate 2005 to 2016 injury and illness claim rates for certified nursing assistants (CNAs), licensed practical nurses (LPNs), and registered nurses (RNs). Associations between occupation and claim characteristics were assessed using multivariable regression modeling.ResultsIndemnity claim rates were 3.68, 1.38, and 0.69 per 100 full‐time equivalent workers for CNAs, LPNs, and RNs, respectively. Patient handling injuries comprised 62% of claims. Compared to RNs, CNAs had higher odds of an indemnity claim resulting from an MSD (odds ratio [OR] = 1.67; 95% confidence interval [CI], 1.31‐2.14) or patient handling injury (OR = 1.89; 95% CI, 1.47‐2.45) as opposed to another type of injury or illness. CNAs had lower odds of receiving temporary and permanent partial disability benefits and higher odds of receiving a stipulation settlement.ConclusionsCNAs in Minnesota nursing homes are at heightened risk for lost time MSDs and patient handling injuries. Claims filed by CNAs are more frequently settled outside the regular workers' compensation benefit structure, an indication that the workers' compensation system is not providing adequate and timely benefits to these workers.