Morse Tim, Punnett Laura, Warren Nicholas, Dillon Charles, Warren Andrew
Ergonomic Technology Center, University of Connecticut Health Center, Farmington, Connecticut 06030-6210, USA.
Am J Ind Med. 2003 Jul;44(1):83-93. doi: 10.1002/ajim.10234.
Unionization has been found to be related to higher filing of workers' compensation (WC) claims, but the extent of the relationship and the relationships to other variables have not been previously reported.
Telephone interviews were conducted with both a population-based and WC-based samples of musculoskeletal disorder (MSD) cases.
Workers at unionized facilities were 5.7 times (95% CI 2.5-13.1) more likely to file a claim for WC, despite a comparable rate of MSD cases. Higher filing was also associated with several measures of MSD severity (1.8-14.1 odds ratios), economic sector (OR = 10.1 for manufacturing), hourly (vs. salary) wages (OR = 2.6), and for having a personal physician (OR = 2.5). Unions appeared to have a protective effect on social effects of work-related MSD.
Unions appear to improve filing of work-related MSD, particularly for less severe conditions. The higher filing does not appear to be a case of "moral hazard," but rather improved and earlier reporting, as is advocated by early intervention approaches to reducing MSD.
已发现工会化与更高的工伤赔偿(WC)索赔率相关,但此前尚未报告这种关系的程度以及与其他变量的关系。
对基于人群和基于工伤赔偿的肌肉骨骼疾病(MSD)病例样本进行了电话访谈。
尽管MSD病例发生率相当,但工会化设施中的工人提出WC索赔的可能性高出5.7倍(95%可信区间2.5 - 13.1)。更高的索赔率还与MSD严重程度的多项指标(优势比为1.8 - 14.1)、经济部门(制造业的优势比为10.1)、小时工资(与薪金相比)(优势比为2.6)以及有私人医生(优势比为2.5)有关。工会似乎对与工作相关的MSD的社会影响具有保护作用。
工会似乎能改善与工作相关的MSD的索赔情况,尤其是对于不太严重的情况。较高的索赔率似乎并非“道德风险”的情况,而是如减少MSD的早期干预方法所倡导的那样,是报告得到改善且更及时。