Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa.
Department of Occupational and Environmental Health, College of Public Health, University of Iowa, Iowa City, Iowa.
Am J Ind Med. 2019 Nov;62(11):969-977. doi: 10.1002/ajim.23040. Epub 2019 Aug 22.
Workers' compensation claims data are routinely used to identify and describe work-related injury for public health surveillance and research, yet the proportion of work-related injuries covered by workers' compensation, especially in the agricultural industry, is unknown.
Using data from the Iowa Trauma Registry, we determined the sensitivity and specificity of the use of workers' compensation as a payer source to ascertain work-related injuries requiring acute care comparing agriculture with other rural industries.
The sensitivity of workers' compensation as a payer source to identify work-related agricultural injuries was 18.5%, suggesting that the large majority of occupational agricultural injuries would not be accurately identified through workers' compensation records. For rural nonagricultural, rural occupational injuries, the sensitivity was higher (64.2%). Work-related agricultural injuries were most frequently covered by private insurance (39.6%) and public insurance (21.4%), while rural nonagricultural injuries were most frequently covered by workers' compensation (65.2%).
Workers' compensation claims data will not include the majority of work-related agricultural injuries.
工人赔偿索赔数据通常用于识别和描述工作相关伤害，以进行公共卫生监测和研究，但工人赔偿涵盖的工作相关伤害的比例，特别是在农业行业，尚不清楚。
我们使用来自爱荷华创伤登记处的数据，确定了使用工人赔偿作为支付来源来确定需要急性护理的工作相关伤害的敏感性和特异性，将农业与其他农村行业进行比较。
工人赔偿作为支付来源来识别农业工作相关伤害的敏感性为 18.5%，这表明大多数职业性农业伤害不会通过工人赔偿记录准确识别。对于农村非农业、农村职业伤害，敏感性更高（64.2%）。农业工作相关伤害最常由私人保险（39.6%）和公共保险（21.4%）覆盖，而农村非农业伤害最常由工人赔偿（65.2%）覆盖。
工人赔偿索赔数据将不包括大多数农业工作相关伤害。
