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受伤工人家庭成员的肌肉骨骼疾病及相关医疗费用。

Musculoskeletal disorders and associated healthcare costs among family members of injured workers.

作者信息

Asfaw Abay, Pana-Cryan Regina, Bushnell Tim, Sauter Steven

机构信息

Centers for Disease Control and Prevention (CDC)-National Institute for Occupational Safety and Health (NIOSH), Economic Research and Support Office (ERSO), Washington, District of Columbia.

Centers for Disease Control and Prevention (CDC)-National Institute for Occupational Safety and Health (NIOSH), Economic Research and Support Office (ERSO), Cincinnati, Ohio.

出版信息

Am J Ind Med. 2015 Nov;58(11):1205-16. doi: 10.1002/ajim.22500. Epub 2015 Aug 31.

Abstract

BACKGROUND

Research has infrequently looked beyond the injured worker when gauging the burden of occupational injury.

OBJECTIVES

We explored the relationship between occupational injury and musculoskeletal disorders (MSDs) among family members of injured workers.

DATA AND METHODS

We used 2005 and 2006 Truven Health Analytics databases, which contain information on workers' compensation and family healthcare claims. We used descriptive analyses, and negative binomial and two-part models.

RESULTS

Family members of severely injured workers had a 15% increase in the total number of MSD outpatient claims and a 34% increase in the mean cost of MSD claims compared to family members of non-severely injured workers within 3 months after injury. Extrapolating cost results to the national level implies that severe occupational injury would be associated with between $29 and $33 million additional cost of family member outpatient MSD claims.

CONCLUSION

Occupational injury can impose a formerly unrecognized health burden on family members of injured workers.

摘要

背景

在衡量职业伤害负担时,研究很少关注受伤工人以外的人。

目的

我们探讨了受伤工人家庭成员中职业伤害与肌肉骨骼疾病(MSD)之间的关系。

数据与方法

我们使用了2005年和2006年Truven Health Analytics数据库,其中包含有关工伤赔偿和家庭医疗索赔的信息。我们使用了描述性分析、负二项式模型和两部分模型。

结果

与受伤后3个月内未受重伤工人的家庭成员相比,重伤工人的家庭成员MSD门诊索赔总数增加了15%,MSD索赔的平均费用增加了34%。将成本结果推算至全国水平意味着,严重职业伤害将导致家庭成员门诊MSD索赔额外增加2900万至3300万美元的成本。

结论

职业伤害会给受伤工人的家庭成员带来以前未被认识到的健康负担。

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