衰老、性别与医疗费用。
Aging, sex, and cost of medical treatment.
机构信息
Hofstra North Shore-LIJ School of Medicine, Great Neck, NY 11021, USA.
出版信息
J Occup Environ Med. 2013 May;55(5):572-8. doi: 10.1097/JOM.0b013e318289eeda.
OBJECTIVE
Association between medical cost from workplace injuries and aging and its effect modification by sex were examined.
METHODS
Medical costs reimbursed from workers' compensation between 2003 and 2009 were used. A multiple zero-truncated negative binomial regression predicted percent changes in medical cost. Cubic regression spline smoothers tested effect modification.
RESULTS
Reimbursed medical costs comprised 3452 claims. Medical costs increased with aging; however, the trends differ by sex. Medical cost increase after 10 years of age increase was 27% among men (95% CI = 17% to 38%) and was 15% among women (12% to 22%). Medical cost spent among the youngest women was higher than that for the oldest men. The ratio of cost between the oldest women and oldest men was double.
CONCLUSIONS
Prioritizing controls for injuries in hospitals should focus on women and aging workers.
目的
探讨工伤医疗费用与年龄的关系及其性别对其的影响。
方法
使用 2003 年至 2009 年工人补偿报销的医疗费用。采用多项零截断负二项回归预测医疗费用的百分比变化。三次样条平滑器测试了效应修饰。
结果
报销的医疗费用包括 3452 份索赔。医疗费用随年龄增长而增加；然而，这种趋势因性别而异。男性在 10 岁以后的医疗费用增加了 27%（95%CI=17%至 38%），女性增加了 15%（12%至 22%）。最年轻的女性花费的医疗费用高于最年长的男性。最年长的女性和最年长的男性之间的费用比率是两倍。
结论
医院应优先控制针对女性和老年工人的伤害。
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