Predictors of Sustained Return to Work After Work-Related Injury or Disease: Insights from Workers’ Compensation Claims Records

2011 ◽  
Vol 22 (3) ◽  
pp. 283-291 ◽  
Author(s):  
Janneke Berecki-Gisolf ◽  
Fiona J. Clay ◽  
Alex Collie ◽  
Roderick J. McClure
Keyword(s):  
Return To Work ◽  
Workers Compensation ◽  
Work Related ◽  
Work Related Injury ◽  
Compensation Claims

scholarly journals Reciprocal associations between depression, anxiety and work-related injury

2019 ◽  
Vol 26 (6) ◽  
pp. 529-535
Author(s):  
Vaiva Gerasimaviciute ◽  
Ute Bültmann ◽  
Pamela M Diamond ◽  
Jessica M Tullar ◽  
George L Delclos ◽  
...  
Keyword(s):  
Workers Compensation ◽  
Depression And Anxiety ◽  
Work Related ◽  
Medical Visits ◽  
Work Related Injury ◽  
Large Employer ◽  
Compensation Claims ◽  
The Relationship ◽  
Reciprocal Associations ◽  
Administrative Datasets

ObjectiveTo examine the reciprocal longitudinal associations between depression or anxiety with work-related injury (WRI) at a large employer in the southwestern United States.MethodThree administrative datasets (2011–2013) were merged: employee eligibility, medical and prescription claims, and workers’ compensation claims. The sample contained 69 066 active employees. Depression and anxiety were defined as episodes of medical visits care (ie, claims) with corresponding ICD-9-CM codes. For an individual’s consecutive claims, a new case of depression or anxiety was defined if more than 8 weeks have passed since the prior episode. The presence of a workers’ compensation injury claim was used to identify WRI. Three-wave (health plan years 2011 or T1, 2012 or T2, and 2013 or T3) autoregressive cross-lagged models were used to estimate whether depression or anxiety predicted WRI, also if WRI predicted depression or anxiety in the following year(s).ResultsDepression predicted injury from T1 to T2 (β=0.127, p<0.001) and from T2 to T3 (β=0.092, p=0.001). Injury predicted depression from T1 to T3 (β=0.418, p<0.001). Effects of anxiety on WRI were small and inconsistent, from T1 to T2 (β=0.013, p=0.622) and from T2 to T3 (β=−0.043, p=0.031). T1 injury had a protective effect on T3 anxiety (β=−0.273, p<0.001).ConclusionsWe found evidence of reciprocal effects for depression with WRI after adjustment for prior injuries and depression. The evidence for the relationship between anxiety and WRI is less clear. WRI prevention and management programmes should incorporate depression prevention and management.

scholarly journals O2C.2 Does region of residence matter for return-to-work after work-related injury? A comparative analysis of six canadian workers’ compensation jurisdictions

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A16.1-A16
Author(s):  
Robert Macpherson ◽  
Hui Shen ◽  
Mieke Koehoorn ◽  
Benjamin Amick ◽  
Alex Collie ◽  
...  
Keyword(s):  
Return To Work ◽  
Rural Areas ◽  
Urban Areas ◽  
Work Disability ◽  
Injured Workers ◽  
Workers Compensation ◽  
Disability Benefits ◽  
Work Related ◽  
Work Related Injury ◽  
Urban Rural

ObjectivesTo investigate regional differences in return-to-work following work-related injury and whether these differences persist after adjusting for individual characteristics.MethodsWorkers’ compensation claims from six Canadian provinces were used to create comparable cohorts of workers aged 15–80 with a work-related injury resulting in at least one disability day from 2011 to 2015. Workers’ residential postal codes were mapped to Census standard geographic units to categorize workers into six regions representing decreasing urban density and metropolitan influence (ranging from large urban areas of 100,000+people to rural areas of <10 000 people with no metropolitan influence). Cox regression models were used to estimate the effect of urban-rural residence on the likelihood of injured workers transitioning off work disability benefits within one-year post-injury, adjusting for confounders, including provincial compensation jurisdiction. Models were stratified by industry sectors.ResultsThe cohort included 7 46 029 work disability claims, of which the majority resided in large urban areas (69%). Unadjusted models showed that workers residing in smaller urban and rural areas had a lower likelihood of transitioning off work disability benefits compared to those in large urban areas. Urban-rural differences persisted in adjusted models (e.g. HR=0.91 95% CI 0.89, 0.94 for workers in rural areas with no metropolitan influence). Industry-stratified models showed that greater differences existed between urban and rural places of residence for workers in the transportation and construction sectors, and smaller differences for workers in the health care and manufacturing sectors.ConclusionsThe main finding suggests that injured workers in more rural areas face barriers in returning to work and that workers’ compensation resources may need to be allocated to address these regional disparities. Future research will incorporate both individual and regional-level variables in a multilevel model framework to identify the characteristics that are the most important in explaining variability in work disability duration.

Impairment Tutorial: Rating Facial Disfigurement After an Injury

1998 ◽  
Vol 3 (4) ◽  
pp. 6-6
Author(s):  
Marc T. Taylor
Keyword(s):  
Current Work ◽  
Workers Compensation ◽  
Loss Of Function ◽  
Facial Disfigurement ◽  
Work Related ◽  
Work Related Injury ◽  
Compensation Claim ◽  
Impairment Ratings

Abstract This article discusses two important cases that involve the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). First, in Vargas v Industrial Com’n of Arizona, a claimant had a pre-existing non–work-related injury to his right knee as well as a work-related injury, and the issue was apportionment of the pre-existing injury. The court held that, under Arizona's statute, the impairment from the pre-existing injury should be subtracted from the current work-related impairment. In the second case, Colorado courts addressed the issue of apportionment in a workers’ compensation claim in which the pre-existing injury was asymptomatic at the time of the work-related injury (Askey v Industrial Claim Appeals Office). In this case, the court held that the worker's benefits should not be reduced to account for an asymptomatic pre-existing condition that could not be rated accurately using the AMA Guides. The AMA Guides bases impairment ratings on anatomic or physiologic loss of function, and if an examinee presents with two or more sequential injuries and calculable impairments, the AMA Guides can be used to apportion between pre-existing and subsequent impairments. Courts often use the AMA Guides to decide statutorily determined benefits and are subject to interpretation by courts and administrative bodies whose interpretations may vary from state to state.

scholarly journals The experiences of workers who do not successfully return to work following a work-related injury

Work ◽  
2019 ◽  
Vol 61 (4) ◽  
pp. 537-549 ◽  
Author(s):  
Rebecca E. Gewurtz ◽  
Stephanie Premji ◽  
D. Linn Holness
Keyword(s):  
Return To Work ◽  
Work Related ◽  
Work Related Injury

Study on Factors Affecting Return-to-Work in the Elderly after Work-Related Injury

2021 ◽  
Vol 29 (2) ◽  
pp. 91-104
Author(s):  
Eun-Ju Jo ◽  
◽  
Dong-Hee Noh ◽  
Seung-Hyup Han ◽  
Kyung-Yoon Kam
Keyword(s):  
Return To Work ◽  
The Elderly ◽  
Factors Affecting ◽  
Work Related ◽  
Work Related Injury

scholarly journals O2C.5 Increasing costs of occupational injuries in association with high ambient temperatures in adelaide, south australia, 2000–2014

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A17.2-A17
Author(s):  
Jianjun Xiang ◽  
Alana Hansen ◽  
Dino Pisaniello ◽  
Peng Bi
Keyword(s):  
Older Workers ◽  
South Australia ◽  
Economic Benefits ◽  
Retail Trade ◽  
Maximum Temperature ◽  
Workers Compensation ◽  
Work Related ◽  
Compensation Claims ◽  
The Impact ◽  
Compensation Costs

ObjectiveTo investigate the impact of ambient temperature on compensation costs due to work-related injuries, and to provide an evidence base about the economic benefits of developing workplace heat prevention strategies in a warming climate.MethodsWorkers’ compensation claims obtained from SafeWork South Australia for 2000–2014 were transformed into daily time series format and merged with meteorological data. The relationship between temperature and compensation costs were estimated using a generalized linear model after controlling for long-term trends, seasonality, and day of week. A piecewise linear spline function was used to account for non-linearity.ResultsA total of 4 64 139 workers’ compensation claims were reported during the 15 year period in South Australia, resulting in AU$14.9 billion dollars compensation payment. Overall, it is a reversed V-shaped temperature-cost association. A 1°C increase in maximum temperature was associated with a 1.1% (95% CI, 0.2%–2.0%) increase in daily injury compensation expenditure below 35.2°C. Specifically, significant increases of injury costs were observed in males (1.4%, 95% CI 0.3%–2.5%), young workers (3.0%, 95% CI 1.2%–4.9%), older workers≥65 years (2.4%, 95% CI 0.5%–4.4%), labourers (2.7%, 95% CI 0.5%–4.8%), machinery operators and drivers (3.5%, 95% CI 1.6%–5.3%) and the following industries: agriculture, forestry, fishing and hunting (12.3%, 95% CI 2.2%–23.3%); construction (7.8%, 95% CI 0.02%–16.3%); and wholesale and retail trade (2.4%, 95% CI 0.5%–4.4%). Costs for compensating occupational burns and ‘skin and subcutaneous tissue diseases’ increased by 3.1% (95% CI 1.2%–5.1%) and 2.7% (95% CI 0.1%–5.4%) respectively, with a 1°C increase in maximum temperature.ConclusionThere is a significant association between temperature and work-related injury compensation costs in Adelaide, South Australia for certain subgroups. Heat attributable workers’ compensation costs may increase with the predicted rising temperature.

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