Sim Alison, McNeilage Amy G, Rebbeck Trudy, Ashton-James Claire E
Sydney Medical School, Kolling Institute, The University of Sydney, Sydney, Australia.
School of Health Sciences, The University of Sydney, Sydney, Australia.
Disabil Rehabil. 2025 Jun;47(13):3323-3333. doi: 10.1080/09638288.2024.2419448. Epub 2024 Oct 27.
Recovering from compensable injuries can be influenced by a variety of factors including the claimant's experience of distress during the claims process. In order to develop cross-scheme, nation-wide strategies to improve claimants' interactions with the compensation system, reduce claimant distress, and improve claimant outcomes, it is important to understand sources of claims-related distress from the perspective of both claimants and clinicians.
An exploratory qualitative design was undertaken using semi-structured interviews with 13 claimants and 26 clinicians from four injury compensation schemes in five Australian states. A collaborative and reflexive thematic analysis was undertaken with an inductive approach to coding, and themes were constructed for claimants and clinicians across compensation schemes.
Claimants and clinicians interviews revealed four main sources of distress, including (1) complexity and delays in administrative processes, (2) interruptions to recovery caused by treatment delays, (3) non-individualised approaches to care, and (4) a lack of support for navigating the claims process.
Sources of claims-related distress identified by claimants and clinicians in the present study point to the urgent need for nationwide systems level changes to reduce claimant distress in the pursuit of better claimant outcomes.
可赔偿伤害的康复会受到多种因素的影响，包括索赔人在索赔过程中的痛苦经历。为了制定跨方案、全国性的策略，以改善索赔人与赔偿系统的互动、减少索赔人的痛苦并改善索赔结果，从索赔人和临床医生的角度了解与索赔相关的痛苦来源非常重要。
采用探索性定性设计，对来自澳大利亚五个州四个伤害赔偿方案的13名索赔人和26名临床医生进行了半结构化访谈。采用协作性和反思性主题分析，采用归纳法进行编码，并为各赔偿方案的索赔人和临床医生构建了主题。
对索赔人和临床医生的访谈揭示了痛苦的四个主要来源，包括（1）行政程序的复杂性和延误，（2）治疗延误导致康复中断，（3）非个性化的护理方式，以及（4）在索赔过程中缺乏支持。
本研究中索赔人和临床医生确定的与索赔相关的痛苦来源表明，迫切需要在全国范围内进行系统层面的变革，以减少索赔人的痛苦，从而追求更好的索赔结果。
