Stein G
Kaiser Permanente, San Jose, CA.
Manag Care Q. 1994 Spring;2(2):60-3.
Workers' compensation is not only the last frontier for managed care, but also it is the area where somatization is the most apparent to the trained clinician. Because with workers' compensation laws the presumption is always with the injured employee, the incentive can be to see disability as the solution to psychological, social, and economic problems. In many workers' compensation cases, behavioral health issues are more important than the physical injury.
工伤赔偿不仅是管理式医疗的最后一个领域,而且对于训练有素的临床医生来说,这也是躯体化表现最为明显的领域。因为根据工伤赔偿法,推定总是偏向受伤员工,这可能会促使人们将残疾视为解决心理、社会和经济问题的办法。在许多工伤赔偿案件中,行为健康问题比身体损伤更为重要。