Beals R K
West J Med. 1984 Feb;140(2):233-7.
Workers' compensation laws influence recovery from injury. They affect the "cause" of disease, access to care, diagnostic evaluation, treatment, response to treatment and residual disability. Paradoxically, financial compensation may discourage return to work, the appeal process may increase disability, an open claim may inhibit return to work and recovering patients may be unable to return to work. Physicians may help improve the prospects of returning patients to work by providing care that is medical, caring and independent. It is essential that the treatment of back pain be based on the known natural history and on the understanding that the management of acute pain differs from that of chronic pain. Increased awareness of the factors controlling return to work should motivate legislative bodies, labor and industry to alter those features of the compensation system that interfere with the return to work of injured workers.
工伤赔偿法会影响伤病恢复。它们会影响疾病的“成因”、医疗服务的可及性、诊断评估、治疗、对治疗的反应以及残留残疾情况。矛盾的是，经济赔偿可能会阻碍重返工作岗位，上诉程序可能会增加残疾程度，未决索赔可能会抑制重返工作岗位，而康复中的患者可能无法重返工作岗位。医生可以通过提供专业、关怀且独立的医疗服务，来帮助提高患者重返工作岗位的可能性。至关重要的是，背痛的治疗应基于已知的自然病程，并且要明白急性疼痛的管理与慢性疼痛的管理有所不同。提高对控制重返工作岗位因素的认识，应促使立法机构、劳工和企业改变赔偿制度中那些妨碍受伤工人重返工作岗位的特征。
