在加利福尼亚州死亡证明上确定工伤情况。
Determining injury at work on the California death certificate.
作者信息
Peek-Asa C, McArthur D L, Kraus J F
机构信息
Southern California Injury Prevention Research Center, Department of Epidemiology, University of California, Los Angeles 90095-1772, USA.
出版信息
Am J Public Health. 1997 Jun;87(6):998-1002. doi: 10.2105/ajph.87.6.998.
OBJECTIVES
This study examined decisions of California Country Coroner's offices in determining injury at work and identified factors influencing this decision.
METHODS
Surveys were sent to California County Coroner's offices (response rate = 93%). The survey included 23 vignettes that required the respondent to determine whether the fatality involved an injury at work. The Rasch method was used to determine internal consistency in endorsing vignettes and to determine overall endorsability of vignettes based on underlying factors.
RESULTS
Respondents showed internal consistency but much disagreement in their endorsement of vignettes. Decedents who were performing paid work or were on their work site during working hours were almost unanimously endorsed as having incurred an injury at work. Non-payment, travel/transportation, suicide, and nontraditional work sites and work hours led to disagreement and uncertainty among respondents.
CONCLUSIONS
Coroners have different methods of determining injury at work on the death certificate, and available guidelines do not define many of the ambiguous situations encountered by coroners.
目的
本研究调查了加利福尼亚州各县验尸官办公室在判定工作场所受伤情况时所做的决定，并确定了影响该决定的因素。
方法
向加利福尼亚州各县验尸官办公室发送了调查问卷（回复率 = 93%）。该调查包含23个小案例，要求受访者判定死亡是否涉及工作场所受伤。采用拉施方法来确定认可各小案例的内部一致性，并根据潜在因素确定各小案例的总体认可度。
结果
受访者在认可各小案例方面表现出内部一致性，但存在很大分歧。从事有偿工作或在工作时间身处工作场所的死者几乎被一致认可为在工作中受伤。无偿工作、出行/交通、自杀以及非传统的工作场所和工作时间导致受访者之间存在分歧和不确定性。
结论
验尸官在确定死亡证明上的工作场所受伤情况时有不同的方法，现有的指导方针并未对验尸官遇到的许多模糊情况做出界定。
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