职业伤害后工作残疾的城乡差异：它们与医疗保健利用的差异有关吗？
Urban-rural differences in work disability following occupational injury: are they related to differences in healthcare utilization?
作者信息
Young Amanda E, Cifuentes Manuel, Wasiak Radoslaw, Webster Barbara S
机构信息
Center for Disability Research, Liberty Mutual Research Institute for Safety, Hopkinton, MA 07148, USA.
出版信息
J Occup Environ Med. 2009 Feb;51(2):204-12. doi: 10.1097/JOM.0b013e3181917d8e.
OBJECTIVE
To investigate urban-rural differences in health care utilization following compensable work-related injury and determine whether differences relate to work disability.
METHODS
Analysis of worker's compensation data relating to 4889 people with a bone fracture. Regression analyses were used to test the associations between rurality, work disability, and health care utilization.
RESULTS
Place of residence was found to relate to health care utilization and work-disability duration; however, the direction of this relationship depended on the amount of health care used. At lower levels of utilization, more rural residents had less time off; however, as health care usage increased this trend reversed.
CONCLUSIONS
The observed interaction between health care utilization, work-disability, and rurality raises important questions regarding causality and implies that people in both urban and rural areas have the potential to benefit from further investigation into health care practices and associated outcomes.
目的
调查因工伤获得赔偿后城乡医疗保健利用情况的差异，并确定这些差异是否与工作残疾有关。
方法
对4889名骨折患者的工伤赔偿数据进行分析。采用回归分析来检验农村地区、工作残疾和医疗保健利用之间的关联。
结果
发现居住地点与医疗保健利用和工作残疾持续时间有关；然而，这种关系的方向取决于所使用的医疗保健量。在较低的利用水平下，更多农村居民休假时间较短；然而，随着医疗保健使用量的增加，这种趋势发生了逆转。
结论
观察到的医疗保健利用、工作残疾和农村地区之间的相互作用引发了关于因果关系的重要问题，并意味着城乡地区的人们都有可能从对医疗保健实践及相关结果的进一步调查中受益。
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