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Impact of Occupational Injuries on Nonworkers' Compensation Medical Costs of Patient-Care Workers.

ABSTRACT: OBJECTIVE:The aim of this study was to estimate the extent to which work-related injuries contribute to medical expenditures paid for by group health insurance. METHODS:Administrative data on OSHA recordable injuries spanning 2010 to 2013 were obtained for female patient care workers (n?=?2495). Expenditures were aggregated group health insurance claims for 3 and 6-month periods before/after injury. Group health insurance plan type, age group, and job category were control variables. RESULTS:Being injured is associated with the odds of having expenditures at both 3 months, odds ratio (OR) 2.17 [95% confidence interval (95% CI) 1.61 to 2.92], and 6 months, 2.95 (95% CI 1.96 to 4.45). Injury was associated with $275 of additional expenditures (95% CI $38 to $549) over 3 months and $587 of additional expenditures (95% CI $167 to $1140) over 6 months. CONCLUSIONS:Injury was associated with increased odds of positive expenditures and increased expenditures paid for by group health insurance.

SUBMITTER: Williams JAR

PROVIDER: S-EPMC5488856 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature

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Impact of Occupational Injuries on Nonworkers' Compensation Medical Costs of Patient-Care Workers.

Williams Jessica A R JAR Sorensen Glorian G Hashimoto Dean D Hopcia Karen K Wagner Gregory R GR Boden Leslie I LI

Journal of occupational and environmental medicine 20170601 6

<h4>Objective</h4>The aim of this study was to estimate the extent to which work-related injuries contribute to medical expenditures paid for by group health insurance.<h4>Methods</h4>Administrative data on OSHA recordable injuries spanning 2010 to 2013 were obtained for female patient care workers (n = 2495). Expenditures were aggregated group health insurance claims for 3 and 6-month periods before/after injury. Group health insurance plan type, age group, and job category were control variabl ...[more]

PMID: 28598939

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Project description:BackgroundPhysicians have dual responsibilities to make medical decisions that serve their patients' best interests but also utilize health care resources wisely. Their ability to practice cost-consciously is particularly challenged when faced with patient expectations or requests for medical services that may be unnecessary.ObjectiveTo understand how physicians consider health care resources and the strategies they use to exercise cost-consciousness in response to patient expectations and requests for medical care.DesignExploratory, qualitative focus groups of practicing physicians were conducted. Participants were encouraged to discuss their perceptions of resource constraints, and experiences with redundant, unnecessary and marginally beneficial services, and were asked about patient requests or expectations for particular services.ParticipantsSixty-two physicians representing a variety of specialties and practice types participated in nine focus groups in Michigan, Ohio, and Minnesota in 2012 MEASUREMENTS: Iterative thematic content analysis of focus group transcriptsPrincipal findingsPhysicians reported making trade-offs between a variety of financial and nonfinancial resources, considering not only the relative cost of medical decisions and alternative services, but the time and convenience of patients, their own time constraints, as well as the logistics of maintaining a successful practice. They described strategies and techniques to educate patients, build trust, or substitute less costly alternatives when appropriate, often adapting their management to the individual patient and clinical environment.ConclusionsPhysicians often make nuanced trade-offs in clinical practice aimed at efficient resource use within a complex flow of clinical work and patient expectations. Understanding the challenges faced by physicians and the strategies they use to exercise cost-consciousness provides insight into policy measures that will address physician's roles in health care resource use.

Dataset Information

Impact of Occupational Injuries on Nonworkers' Compensation Medical Costs of Patient-Care Workers.

Publications

Impact of Occupational Injuries on Nonworkers' Compensation Medical Costs of Patient-Care Workers.

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