The George Institute for Global Health, UNSW Sydney, Sydney, New South Wales, Australia.
Faculty of Medicine and Health, the University of Sydney, Sydney, New South Wales, Australia.
Australas J Ageing. 2021 Mar;40(1):e13-e21. doi: 10.1111/ajag.12830. Epub 2020 Oct 6.
To identify factors independently associated with late claim closure, a proxy for recovery, in older (65+ years) compared to younger (17-64 years) adults following road traffic crash injury (RTI).
Multivariable analysis of statewide compensation data from New South Wales (NSW), Australia, for NSW residents aged ≥17 years injured in a non-catastrophic RTI between July 2010 and June 2013 with finalised claims (n = 16 687).
Legal representation was the dominant factor independently associated with late claim closure in both age groups. However, the odds were doubly high for the younger group (younger: AOR 8.46, 95% CI 7.7-9.4; older: AOR 3.95, 95% CI 3.1-5.0). Median time to claim closure was shorter for older people.
Older (and younger) claimants with legal representation are at increased risk of late claim closure and can be readily identified within routinely collected compensation data, enabling delivery of targeted strategies or supports early in the claims process.
确定与老年（65 岁及以上）相比，年轻（17-64 岁）成年人在道路交通伤害（RTI）后康复的替代指标即晚期理赔结案的独立相关因素。
对澳大利亚新南威尔士州（NSW） 2010 年 7 月至 2013 年 6 月期间非灾难性 RTI 中受伤的 NSW 居民（年龄≥17 岁）的全州赔偿数据进行多变量分析，这些居民的理赔申请已结案（n=16687）。
在两个年龄组中，法律代理是与晚期理赔结案独立相关的主要因素。然而，年轻组的可能性要高出两倍（年轻组：OR8.46，95%CI7.7-9.4；老年组：OR3.95，95%CI3.1-5.0）。老年人的理赔结案中位数时间更短。
有法律代理的老年（和年轻）理赔申请人更有可能出现晚期理赔结案，并且可以从常规收集的赔偿数据中轻易识别出来，从而可以在理赔过程的早期实施有针对性的策略或支持。
