Brown Judy A, Shannon Harry S, McDonough Peggy, Mustard Cameron A
University of Toronto, Toronto, ON.
Healthc Policy. 2007 Feb;2(3):e121-39.
To examine the overall healthcare and mental healthcare services use of families of injured workers before and after a workplace injury.
We use an administrative database that links individual publicly funded healthcare data and Workers' Compensation Board (WCB) data for the entire population of British Columbia (BC), Canada. The spouses and children of all injured workers who filed a WCB claim in 1994 and missed one or more days of work due to the injury (lost time) were included. We compare their change in use of healthcare services relative to a year before the injury to families of workers who did not require time off for their injuries (no lost time) and families of individuals who were not injured (non-injured comparisons).
Differences in healthcare services use among the three groups of spouses were marginal, and differences for increases in mental healthcare services use were non-significant. As well, all three groups of children decreased their use of physician and hospital services and increased their use of mental healthcare services, with very little difference among groups.
This was a descriptive study looking at a broad group of injured workers and their families. Even modest increases in healthcare use following a workplace injury have some basis for further study.
研究工伤工人家庭在工伤前后的整体医疗保健和心理保健服务使用情况。
我们使用一个行政数据库，该数据库将加拿大不列颠哥伦比亚省（BC）全体人口的个人公共资助医疗数据和工人赔偿委员会（WCB）数据相链接。纳入了1994年提出WCB索赔且因伤缺勤一天或多天（误工）的所有受伤工人的配偶和子女。我们将他们相对于受伤前一年的医疗服务使用变化与无需因伤请假的工人家庭（无误工）以及未受伤个人的家庭（未受伤对照组）进行比较。
三组配偶在医疗服务使用方面的差异很小，心理保健服务使用增加方面的差异不显著。此外，三组儿童均减少了对医生和医院服务的使用，增加了对心理保健服务的使用，组间差异很小。
这是一项针对广泛受伤工人及其家庭群体的描述性研究。即使工伤后医疗保健使用的适度增加也有进一步研究的基础。
