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首页> 外文期刊>Journal of health economics >Long-term labour-market performance of whiplash claimants
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Long-term labour-market performance of whiplash claimants

机译：鞭打索赔人的长期劳动力市场表现

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A whiplash is a sudden acceleration-deceleration of the neck and head, typically associated with a rear-end car collision that may produce injuries in the soft tissue. Often there are no objective signs or symptoms of injury, and diagnosing lasting whiplash-associated disorders (WAD) is difficult, in particular for individuals with mild or moderate injuries. This leaves a scope for compensation-seeking behaviour. The medical literature disagrees on the importance of this explanation. In this paper we trace the long-term earnings of a group of Danish individuals with mild to moderate injuries claiming compensation for having permanently lost earnings capacity and investigate if they return to their full pre-whiplash earnings when the insurance claim has been assessed. We find that about half of the claimants, those not granted compensation, return to an earnings level comparable with their pre-whiplash earnings suggesting that these individuals do not have chronic WAD in the sense that their earnings capacity is reduced. The other half, those granted compensation, experience persistent reductions in earnings relative to the case where they had not been exposed to a whiplash, even when they have a strong financial incentive to not reduce earnings. This suggests that moderate injuries tend to be chronic, and that compensation-seeking behaviour is not the main explanation for this group. We find that claimants with chronic WADs used more health care in the year prior to the whiplash than claimants with non-chronic cases. This suggests that lower initial health capital increases the risk that a whiplash causes persistent WAD.
机译：鞭打是颈部和头部的突然加减速，通常与追尾汽车碰撞有关，后者可能在软组织中造成伤害。通常没有客观的损伤迹象或症状，诊断持久的鞭打相关疾病（WAD）非常困难，特别是对于轻度或中度损伤的患者。这为寻求补偿的行为留出了余地。医学文献不同意这种解释的重要性。在本文中，我们追踪了一组丹麦轻度至中度受伤的人的长期收入，这些人因永久丧失收入能力而要求赔偿，并调查了在评估保险索赔后他们是否恢复了鞭打前的全部收入。我们发现，大约一半的未获得赔偿的索赔人的收入水平恢复到鞭打前的收入水平，这表明这些人就其收入能力而言，没有慢性WAD。相对于没有遭受鞭打的情况，获得补偿的另一半则经历了收入的持续减少，即使他们有强烈的财务动机不减少收入。这表明中度伤害往往是慢性的，寻求补偿的行为并不是该组的主要解释。我们发现，患有慢性WAD的索赔人在鞭打之前的一年中比非慢性病例的索赔人使用了更多的医疗保健。这表明较低的初始健康资本会增加鞭打引起持续性WAD的风险。

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