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澳大利亚维多利亚州与工作相关伤害监测数据集的比较。

Comparison of data sets for surveillance of work-related injury in Victoria, Australia.

作者信息

McInnes Judith A, Clapperton Angela J, Day Lesley M, MacFarlane Ewan M, Sim Malcolm R, Smith Peter

机构信息

Department of Epidemiology and Preventive Medicine, Monash Centre for Occupational and Environmental Health (MonCOEH), Monash University, Melbourne, Victoria Australia.

Victorian Injury Surveillance Unit, Monash Injury Research Institute, Monash University, Clayton, Victoria, Australia.

出版信息

Occup Environ Med. 2014 Nov;71(11):780-7. doi: 10.1136/oemed-2014-102243. Epub 2014 Aug 27.

Abstract

OBJECTIVE

To investigate differences and similarities between three sources of work-related injury information: workers compensation claims, emergency department (ED) presentation data and hospital admissions data.

METHODS

This population-based, retrospective descriptive analysis of non-fatal, work-related injuries of workforce participants in Victoria, Australia, has compared data from workers compensation claims and ED presentation and hospital admission data sets for the period 2004-2011. Work-related injury case frequency and rate were compared across study years according to gender, age, geographical location and injury type. Injury rates were expressed as cases per million hours worked.

RESULTS

Rates of hospital admissions for treatment of work-related injury increased over the study period, compared with decreasing rates of injury in compensation claims and ED data. The highest rate of injuries to younger workers was captured in ED data. There was greater capture of musculoskeletal injuries by workers' compensation data, and of open wound and burn injury by the ED data. Broad similarities were noted for temporal trends according to gender, for the distribution of cases across older age groups and for rates of fracture injuries.

CONCLUSIONS

These study findings inform use of workers' compensation, ED presentation and hospital admission data sets as sources of information for surveillance of work-related injuries in countries where these types of data are routinely collected. Choice of data source for investigation of work-related injury should take into consideration the population and injury types of interest.

摘要

目的

探讨工伤信息的三个来源之间的异同:工伤赔偿申请、急诊科就诊数据和医院入院数据。

方法

本研究基于澳大利亚维多利亚州劳动力参与者的非致命工伤进行了一项基于人群的回顾性描述性分析,比较了2004年至2011年期间工伤赔偿申请数据与急诊科就诊及医院入院数据集的数据。根据性别、年龄、地理位置和伤害类型,比较了各研究年份的工伤案例频率和发生率。伤害发生率以每百万工作小时的案例数表示。

结果

在研究期间,因工伤住院治疗的发生率有所上升,而赔偿申请和急诊科数据中的伤害发生率则呈下降趋势。急诊科数据显示年轻工人的伤害发生率最高。工伤赔偿数据对肌肉骨骼损伤的记录更多,而急诊科数据对开放性伤口和烧伤的记录更多。在按性别划分的时间趋势、各年龄组病例分布以及骨折伤害发生率方面,发现了广泛的相似之处。

结论

这些研究结果为在常规收集此类数据的国家中,将工伤赔偿、急诊科就诊和医院入院数据集用作工伤监测信息来源提供了参考。选择用于调查工伤的数据来源时,应考虑所关注的人群和伤害类型。

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