Monash University, Melbourne, VIC.
Med J Aust. 2024 Jun 17;220(11):573-578. doi: 10.5694/mja2.52309. Epub 2024 May 19.
To determine the national burden of working time lost to occupational injury and disease in Australia compensable by workers' compensation schemes; to characterise the distribution of time lost by age, sex, and injury and disease type.
Retrospective population-based study; analysis of National Dataset for Compensation-based Statistics (NDS) data.
SETTING, PARTICIPANTS: Granted workers' compensation claims by people aged 15-100 years including payment of wage replacement benefits for time off work lodged in Australia, 1 July 2012 - 30 June 2017.
Working years lost (WYL) per annum (total number of years of wage replacement benefits paid to injured and ill workers), overall and by sex, age, and injury and disease type; WYL per 10 000 fulltime equivalent (FTE) years worked.
A total of 755 330 eligible claims with complete data for analysis variables by people aged 15-100 years were identified, for compensable injuries and disease that led to 41 194 (95% confidence interval [CI], 41 020-41 368) WYL/year. The annual WYL number and rate were each higher for men (25 367 [95% CI, 25 230-25 503] WYL/year; 42.6 [95% CI, 42.1-43.1] WYL/10 000 FTE years) than for women (15 827 [95% CI, 15 720-15 935] WYL/year; 38.8 [95% CI, 38.2-39.4] WYL/10 000 FTE years). Workers aged 45-100 years made 66 742 claims per year (44.1% of all claims) but incurred 21 763 WYL/year (52.8% of all WYL). Traumatic joint and muscle injuries led to 16 494 WYL/year (40.0% of all WYL), musculoskeletal disorders to 8547 WYL/year (20.7%), mental health conditions to 5361 WYL/year (13.0%), fractures to 4276 WYL/year (10.4%), and wounds and lacerations to 3449 WYL/year (8.4%).
Occupational injury and disease covered by workers' compensation result in lost working time in Australia equivalent to more than 41 000 fulltime jobs. Distribution of the burden reflects the greater labour force participation of men, slower recovery of older workers, and the impact of common occupational injuries and diseases. Population-based monitoring of lost working time could support effective occupational health surveillance and allocation of resources for protecting the health of Australian workers.
确定澳大利亚工人赔偿计划可赔偿的职业伤害和疾病导致的工作时间损失的全国负担；描述按年龄、性别和伤害及疾病类型分布的损失时间。
回顾性基于人群的研究；对国家赔偿数据统计数据集（NDS）数据的分析。
地点、参与者：2012 年 7 月 1 日至 2017 年 6 月 30 日期间，15 至 100 岁的人提出的经批准的工人赔偿要求，包括因工作受伤和患病而休假期间支付的工资替代福利，已在澳大利亚提出赔偿要求。
每年因工作而损失的工作年限（WYL）（支付给受伤和患病工人的工资替代福利的总年数），按性别、年龄和伤害及疾病类型划分；每 10 000 个全职等效（FTE）工作年的 WYL 数。
共确定了 755 330 份完整数据的合格索赔，涉及 15 至 100 岁人群的分析变量，这些索赔是因可赔偿的伤害和疾病而提出的，导致每年损失 41 194（95%置信区间[CI]，41 020-41 368）个工作年。男性的每年 WYL 数量和比率均高于女性（每年 25 367[95%CI，25 230-25 503]WYL；42.6[95%CI，42.1-43.1]WYL/10 000 FTE 年）（每年 15 827[95%CI，15 720-15 935]WYL；38.8[95%CI，38.2-39.4]WYL/10 000 FTE 年）。45 至 100 岁的工人每年提出 66 742 项索赔（占所有索赔的 44.1%），但每年损失 21 763 个工作年（占所有 WYL 的 52.8%）。创伤性关节和肌肉损伤导致每年损失 16 494 个工作年（占所有 WYL 的 40.0%），肌肉骨骼疾病导致每年损失 8547 个工作年（占 20.7%），心理健康状况导致每年损失 5361 个工作年（占 13.0%），骨折导致每年损失 4276 个工作年（占 10.4%），伤口和撕裂伤导致每年损失 3449 个工作年（占 8.4%）。
澳大利亚工人赔偿计划涵盖的职业伤害和疾病导致的工作时间损失相当于超过 41 000 个全职工作岗位。负担的分布反映了男性劳动力参与率较高，老年工人恢复较慢，以及常见职业伤害和疾病的影响。基于人群的工作时间损失监测可以为保护澳大利亚工人的健康提供有效的职业健康监测和资源分配支持。
