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Compensation benefits in a population-based cohort of men and women on long-term disability after musculoskeletal injuries: Costs, course, predictors

机译:男女骨骼肌损伤后长期残障人群的补偿利益:成本,病程,预测因素

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Objectives: The aim of this study is to assess costs, duration and predictors of prolonged compensation benefits by gender in a population characterised by long-term compensation bene fits for traumatic or non-traumatic musculoskeletal injuries (MSIs). Methods: This study examined 3 years of data from a register-based provincial cohort including all new allowed long-term claims (≥3 months of wage replacement benefits) related to neck/shoulder/back/trunk/upper-limb MSIs in Quebec, Canada, from 2001 to 2003 (13 073 men and 9032 women). Main outcomes were compensation duration and costs. Analyses were carried out separately for men and women to investigate gender differences. An extended Cox model with Heaviside functions of time was used to account for covariates with time-varying effects. Results: Male workers experienced a longer compensation benefit duration and higher median costs. At the end of follow-up, 3 years postinjury, 12.3% of men and 7.3% of women were still receiving compensation benefits. Effects of certain predictors (e.g., income, injury site or industry) differed markedly between men and women. Age and claim history had time-varying effects in the men's and women's models, respectively. Conclusions: Knowing costs, duration and predictors of long-term compensation claims by gender can help employers, decision makers and rehabilitation specialists to identify at-risk workers and industries to engage them in early intervention and prevention programmes. Tailoring parts of long-term disability prevention and management efforts to men's and women's specific needs, barriers and vulnerable subgroups, could reduce time on benefits among both male and female long-term claimants.
机译:目的:本研究的目的是评估以长期补偿受益者为特征的,适合创伤或非创伤性肌肉骨骼损伤(MSI)的人群的性别补偿费用,持续时间和预测指标。方法:本研究调查了来自登记册的省级队列的3年数据,包括魁北克省脖子/肩膀/后背/躯干/上肢MSI相关的所有新允许的长期索赔(≥3个月的工资替代福利),加拿大,从2001年到2003年(男性13 073名,女性9032名)。主要成果是补偿期限和费用。男女分别进行了分析以调查性别差异。具有Heaviside时间函数的扩展Cox模型用于说明具有时变效应的协变量。结果:男性工人的补偿福利期更长,中位数成本更高。在随访结束时,受伤3年后,仍然有12.3%的男性和7.3%的女性领取补偿金。某些预测因素(例如,收入,工伤地点或行业)的影响在男女之间明显不同。年龄和索偿历史分别对男性和女性模型具有随时间变化的影响。结论:了解按性别分列的长期赔偿要求的费用,期限和预测因素,可以帮助雇主,决策者和康复专家确定有风险的工人和行业,使他们参与早期干预和预防计划。根据男女的特殊需要,障碍和弱势群体调整长期残疾预防和管理工作的一部分,可以减少长期求偿者在男女之间的时间。

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