Washington University School of Medicine Program in Occupational Therapy, St. Louis, Missouri.
J Occup Rehabil. 1995 Mar;5(1):27-36. doi: 10.1007/BF02117818.
The cost of providing care that is effective to return injured workers to the workplace has risen in recent years in a manner that appears to be out of control in the workers' compensation system. In turn, medical care costs are an important component of the rapidly increasing costs of workers' compensation insurance. A model of health care delivery that emphasizes early intervention and return to work is presented. This model focuses on providing aggressive treatment of injuries that historically have been reported to be extraordinarily expensive. This paper is a case study of a managed care treatment model and presents costs of treatment in the first year of utilization. Medical care costs of 295 cases are compared with state and national figures and are found to be substantially better, especially with regard to soft tissue injuries and injuries that involve days lost from work.
近年来，为使受伤工人重返工作岗位而提供有效的治疗的成本呈上升趋势，在工人赔偿制度中，这种上升趋势似乎已失去控制。反过来，医疗费用是工人赔偿保险费用迅速增加的一个重要组成部分。本文提出了一种强调早期干预和重返工作岗位的医疗服务模式。该模式侧重于对以往报告费用极高的受伤情况进行积极治疗。本文是对管理式医疗治疗模式的案例研究，并介绍了使用第一年的治疗费用。将 295 例病例的医疗费用与州和国家数据进行比较，结果发现费用明显降低，尤其是在软组织损伤和导致工作日损失的损伤方面。
