2000-2009 年机动车事故后颈部挥鞭伤所致卫生服务利用减少：来自特定人群的结果。

Reduction in health service use for whiplash injury after motor vehicle accidents in 2000-2009: results from a defined population.

机构信息

Monash Injury Research Institute, Monash University, 3800 Melbourne, Australia.

出版信息

J Rehabil Med. 2013 Nov;45(10):1034-41. doi: 10.2340/16501977-1206.

DOI:10.2340/16501977-1206

PMID:23974853

Abstract

OBJECTIVE

To establish trends in whiplash-related health service use and cost in Victoria, Australia.

DESIGN

Administrative data analysis.

SUBJECTS

Whiplash patients claiming Transport Accident Commission (TAC) compensation for accidents dating between 1 January 2000 and 31 December 2009 (n = 51,263).

METHODS

Injury-related health service use during one year following the accident was determined from claim payment records. The incidence of whiplash claims in Victoria was calculated, as were inflation-adjusted health care costs.

RESULTS

In 2000-2009, the incidence of compensable whiplash decreased from 1.56 to 1.14 per 1,000 person-years. Physiotherapy, pharmaceuticals, general practitioner, chiropractic, radiology and osteopathy sessions were the most commonly claimed services. General practitioner, allied health and radiology services decreased, but analgesic use increased. Per person-years in the population, whiplash-related medical expenses were 71% greater for women than men. Overall, population burden decreased by 38%; the decline was most pronounced in persons aged 18-24 (54% decrease) and least pronounced in those aged ≥ 55 (23% decrease).

CONCLUSION

The population-based health service cost of whiplash decreased between 2000 and 2009. The overall reduction was related to a decrease in incidence and a reduction in service use per whiplash claim.

摘要

目的

在澳大利亚维多利亚州建立与挥鞭样损伤相关的卫生服务使用和成本趋势。

设计

行政数据分析。

研究对象

2000 年 1 月 1 日至 2009 年 12 月 31 日期间因事故向运输事故委员会（TAC）提出赔偿申请的挥鞭样损伤患者（n=51263）。

方法

根据理赔支付记录确定事故发生后一年内与损伤相关的卫生服务使用情况。计算维多利亚州挥鞭样损伤索赔的发生率以及经通胀调整后的医疗费用。

结果

2000-2009 年，应赔挥鞭样损伤的发生率从 1.56 降至 1.14/1000人年。最常索赔的服务为物理治疗、药品、全科医生、脊医、放射科和整骨疗法。全科医生、联合健康和放射科服务减少，但镇痛药的使用增加。按人口计算，女性与挥鞭样损伤相关的医疗费用比男性高 71%。总体而言，人口负担减少了 38%；18-24 岁人群降幅最大（54%），≥55 岁人群降幅最小（23%）。