西班牙裔建筑工人工伤的医疗费用及支付来源
Medical costs and sources of payment for work-related injuries among Hispanic construction workers.
作者信息
Dong Xiuwen, Ringen Knut, Men Yurong, Fujimoto Alissa
机构信息
CPWR - The Center for Construction Research and Training, Silver Spring, MD 20910, USA.
出版信息
J Occup Environ Med. 2007 Dec;49(12):1367-75. doi: 10.1097/JOM.0b013e31815796a8.
OBJECTIVE
To assess medical costs of occupational injuries and sources of payment among Hispanic and non-Hispanic construction workers.
METHODS
More than 7000 construction workers, including 1833 Hispanic workers were examined using the Medical Expenditure Panel Survey, 1996 to 2002. Univariate and multivariate analyses were conducted using SUDAAN.
RESULTS
Annually, work-related injuries in construction cost $1.36 billion (2002 dollars), with 46% paid by workers' compensation. Compared with non-Hispanic workers, Hispanic workers were 53% more likely to have medical conditions resulting from work-related injuries, but 48% less likely to receive payment for medical costs from workers' compensation (P < 0.05).
CONCLUSIONS
This study suggests an urgent need to reform the current workers' compensation system to reduce the burden shifted to injured workers and society. Such reforms should include easier access and more assistance for Hispanic and other immigrant workers.
目的
评估西班牙裔和非西班牙裔建筑工人职业伤害的医疗费用及支付来源。
方法
利用1996年至2002年医疗支出面板调查对7000多名建筑工人进行调查，其中包括1833名西班牙裔工人。使用SUDAAN进行单变量和多变量分析。
结果
每年，建筑行业与工作相关的伤害造成的损失达13.6亿美元（2002年美元价值），其中46%由工人赔偿支付。与非西班牙裔工人相比，西班牙裔工人因工作相关伤害导致医疗状况的可能性高53%，但从工人赔偿中获得医疗费用支付的可能性低48%（P < 0.05）。
结论
本研究表明迫切需要改革现行的工人赔偿制度，以减轻转移到受伤工人和社会身上的负担。此类改革应包括为西班牙裔和其他移民工人提供更便捷的途径和更多援助。
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