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澳大利亚专职医疗人员的工作场所受伤情况。

Workplace injuries in the Australian allied health workforce.

作者信息

Anderson Sarah, Stuckey Rwth, Fortington Lauren V, Oakman Jodi

机构信息

Centre for Ergonomics and Human Factors, School of Psychology and Public Health, La Trobe University, Bundoora Vic. 3086, Australia. Email:.

Australian Centre for Research into Injury in Sport and its Prevention, Federation University Australia, SMB Campus Ballarat, Vic. 3350, Australia. Email.

出版信息

Aust Health Rev. 2019 Feb;43(1):49-54. doi: 10.1071/AH16173.

Abstract

Objective This study aims to identify the number, costs and reported injury mechanisms of serious injury claims for allied health professionals. Methods Using Australian Workers' Compensation injury data, the number, mechanism, and costs of injury claims were calculated for eight groups of allied health professions (chiropractors and osteopaths, speech pathologists and audiologists, occupational therapists, physiotherapists, psychologists, podiatrists, social workers and prosthetists/orthotists) between the 2000-01 and 2013-14 financial years. Workforce injury rates were calculated using the 2011 Australian Census Workforce data (denominator) and 2011 Workers' Compensation Statistics claims data (numerator). Results Across the allied health professions, 7023 serious injuries (minimum 5 days absence from work) were recorded with an associated total compensation cost of A$201970000. Fewer than 1.5% of each allied health professional group had an injury claim, with the exception of prosthetists/orthotists who had a rate of 25.9% serious injury claims (95% confidence interval 21.9-30.4). The average cost per claim varied across the allied health professions, from the lowest cost of A$19091 per injury for occupational therapists to the highest of A$48466 per claim in chiropractic and osteopathy. Body stressing followed by mental stress were the most common mechanisms of injury. Conclusions Mechanism of injury, both physical and psychosocial, were identified. Prosthetists/orthotists are at the highest risk of workplace injury of all allied health professions. This suggests the need for further investigation and development of appropriately targeted injury prevention programs for each allied health profession. What is known about this topic? Retention of allied health professionals is a significant issue, with workplace injuries identified as one contributing factor to this problem. Healthcare workers are potentially at high risk of injury as they are exposed to a range of physical and psychosocial hazards in their workplace. What does this paper add? This paper is the first to report on serious injuries, minimum 5 days absence from work, from Australian Workers' Compensation data, across a range of allied health professions. Various allied health professions were examined to identify the number, mechanism and cost of serious workplace injuries finding there is an average of 500 serious claims per year at a cost of A$14million. Prosthetists/orthotists were identified as having the highest proportion of claims per workforce population. What are the implications for practitioners? These results suggest highly varied injury rates across allied health professions. Compensation data does not enable accurate identification of causal factors. Further work is required to identify relevant causal factors so that targeted risk reduction strategies can be developed to reduce workforce injuries.

摘要

目的 本研究旨在确定专职医疗人员严重工伤索赔的数量、成本及所报告的受伤机制。方法 利用澳大利亚工人赔偿伤害数据,计算了2000 - 01财年至2013 - 14财年八类专职医疗行业(脊椎治疗师和整骨疗法师、言语病理学家和听力学家、职业治疗师、物理治疗师、心理学家、足病医生、社会工作者以及假肢矫形师)的伤害索赔数量、机制和成本。使用2011年澳大利亚人口普查劳动力数据(分母)和2011年工人赔偿统计索赔数据(分子)计算劳动力伤害率。结果 在所有专职医疗行业中,共记录了7023起严重伤害(至少缺勤5天),相关总赔偿成本为2.0197亿澳元。除假肢矫形师的严重伤害索赔率为25.9%(95%置信区间21.9 - 30.4)外,每个专职医疗人员群体的伤害索赔率均低于1.5%。各专职医疗行业的平均每项索赔成本有所不同,从职业治疗师的每项伤害最低成本19091澳元到脊椎治疗和整骨疗法的每项索赔最高成本48466澳元。身体应激随后是精神应激是最常见的受伤机制。结论 确定了身体和心理社会方面的受伤机制。在所有专职医疗行业中,假肢矫形师面临的工作场所受伤风险最高。这表明需要针对每个专职医疗行业进一步调查并制定有针对性的伤害预防计划。关于该主题已知的情况是什么?专职医疗人员的留用是一个重要问题,工作场所受伤被认为是导致该问题的一个因素。医护人员在工作场所可能面临较高的受伤风险,因为他们会接触到一系列身体和心理社会危害。本文补充了什么?本文首次根据澳大利亚工人赔偿数据报告了一系列专职医疗行业中至少缺勤5天的严重伤害情况。对不同的专职医疗行业进行了调查,以确定严重工作场所伤害的数量、机制和成本,发现每年平均有500起严重索赔,成本为1400万澳元。假肢矫形师被确定为每劳动力人口中索赔比例最高的群体。对从业者有何影响?这些结果表明各专职医疗行业的伤害率差异很大。赔偿数据无法准确识别因果因素。需要进一步开展工作以确定相关因果因素,从而制定有针对性的风险降低策略来减少劳动力受伤情况。

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