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本文引用的文献

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Claims-shifting: The problem of parallel reimbursement regimes.
J Health Econ. 2017 Jan;51:13-25. doi: 10.1016/j.jhealeco.2016.12.002. Epub 2016 Dec 9.
2
Medical expenditures associated with nonfatal occupational injuries among U.S. workers reporting persistent disabilities.美国报告患有持续性残疾的工人中与非致命职业伤害相关的医疗支出。
Disabil Health J. 2015 Jul;8(3):397-406. doi: 10.1016/j.dhjo.2014.10.004. Epub 2014 Dec 2.
3
Using linked federal and state data to study the adequacy of workers' compensation benefits.利用联邦和州的关联数据研究工人赔偿福利的充足性。
Am J Ind Med. 2014 Oct;57(10):1165-73. doi: 10.1002/ajim.22362.
4
Impact of differential injury reporting on the estimation of the total number of work-related amputations.不同损伤报告对估算与工作相关的总截肢数量的影响。
Am J Ind Med. 2014 Oct;57(10):1144-8. doi: 10.1002/ajim.22378.
5
Use of multiple data sources for surveillance of work-related amputations in Massachusetts, comparison with official estimates and implications for national surveillance.利用多数据源监测马萨诸塞州与工作相关的截肢事件，与官方估计进行比较，并对全国监测产生影响。
Am J Ind Med. 2014 Oct;57(10):1120-32. doi: 10.1002/ajim.22327. Epub 2014 Apr 29.
6
Do zero-cost workers' compensation medical claims really have zero costs? The impact of workplace injury on group health insurance utilization and costs.零成本工人赔偿医疗索赔真的没有成本吗？工作场所伤害对团体健康保险利用和成本的影响。
J Occup Environ Med. 2013 Dec;55(12):1394-400. doi: 10.1097/JOM.0000000000000030.
7
Depression as a psychosocial consequence of occupational injury in the US working population: findings from the medical expenditure panel survey.工作人群中因职业伤害导致的精神社会后果：美国医疗支出面板调查研究结果。
BMC Public Health. 2013 Apr 5;13:303. doi: 10.1186/1471-2458-13-303.
8
Excess healthcare costs associated with prior workers' compensation activity.与先前工人赔偿活动相关的过度医疗保健费用。
Am J Ind Med. 2012 Nov;55(11):1018-27. doi: 10.1002/ajim.22112. Epub 2012 Sep 11.
9
Incidence and cost of depression after occupational injury.职业伤害后抑郁的发生率和成本。
J Occup Environ Med. 2012 Sep;54(9):1086-91. doi: 10.1097/JOM.0b013e3182636e29.
10
Medical expenditures associated with nonfatal occupational injuries among immigrant and U.S.-born workers.移民和美国出生工人的非致命性职业伤害相关的医疗支出。
BMC Public Health. 2012 Aug 20;12:678. doi: 10.1186/1471-2458-12-678.

职业伤害对患者护理人员非工伤赔偿医疗费用的影响。

Impact of Occupational Injuries on Nonworkers' Compensation Medical Costs of Patient-Care Workers.

作者信息

Williams Jessica A R, Sorensen Glorian, Hashimoto Dean, Hopcia Karen, Wagner Gregory R, Boden Leslie I

机构信息

University of Kansas School of Medicine, Kansas City, Kansas (Dr Williams); Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, Massachusetts (Dr Sorensen); Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts (Dr Sorensen); Partners HealthCare, Boston, Massachusetts (Drs Hashimoto, Hopcia); Boston College Law School, Newton, Massachusetts (Dr Hashimoto); Harvard Medical School, Boston, Massachusetts (Dr Hashimoto); Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts (Dr Wagner); and Boston University School of Public Health, Boston, Massachusetts (Dr Boden).

出版信息

J Occup Environ Med. 2017 Jun;59(6):e119-e124. doi: 10.1097/JOM.0000000000001047.

DOI:10.1097/JOM.0000000000001047
PMID:28598939
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5488856/
Abstract

OBJECTIVE

The aim of this study was to estimate the extent to which work-related injuries contribute to medical expenditures paid for by group health insurance.

METHODS

Administrative data on OSHA recordable injuries spanning 2010 to 2013 were obtained for female patient care workers (n = 2495). Expenditures were aggregated group health insurance claims for 3 and 6-month periods before/after injury. Group health insurance plan type, age group, and job category were control variables.

RESULTS

Being injured is associated with the odds of having expenditures at both 3 months, odds ratio (OR) 2.17 [95% confidence interval (95% CI) 1.61 to 2.92], and 6 months, 2.95 (95% CI 1.96 to 4.45). Injury was associated with $275 of additional expenditures (95% CI $38 to $549) over 3 months and $587 of additional expenditures (95% CI $167 to $1140) over 6 months.

CONCLUSIONS

Injury was associated with increased odds of positive expenditures and increased expenditures paid for by group health insurance.

摘要

目的

本研究旨在评估与工作相关的伤害对团体健康保险支付的医疗费用的影响程度。

方法

获取了2010年至2013年期间女性患者护理工作者（n = 2495）的职业安全与健康管理局（OSHA）可记录伤害的行政数据。费用汇总了受伤前后3个月和6个月期间的团体健康保险索赔。团体健康保险计划类型、年龄组和工作类别为控制变量。

结果

受伤与3个月时产生费用的几率相关，优势比（OR）为2.17 [95%置信区间（95%CI）为1.61至2.92]，与6个月时产生费用的几率也相关，优势比为2.95（95%CI为1.96至4.45）。受伤与3个月内额外产生275美元费用（95%CI为38美元至549美元）以及6个月内额外产生587美元费用（95%CI为167美元至1140美元）相关。

结论

受伤与产生正向费用的几率增加以及团体健康保险支付的费用增加相关。