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Comparison of Disability Behavior After Different Sites and Types of Injury in a Workers' Compensation Population

 

作者: Michael Menard,  

 

期刊: Journal of Occupational and Environmental Medicine  (OVID Available online 1996)
卷期: Volume 38, issue 11  

页码: 1161-1170

 

ISSN:1076-2752

 

年代: 1996

 

出版商: OVID

 

数据来源: OVID

 

摘要:

In this study, an extensive data set from a regional workers' compensation system was analyzed to determine whether particular sites or types of injury were associated with prolonged disability. This data shows a similar pattern of vocational disability for almost all sites and types of injury. A workers' compensation carrier collects data for financial purposes related to insurance, and such data therefore has several serious potential deficiencies when used for clinical research. However, published data on disablement after nonoccupational trauma shows similar patterns of vocational and nonvocational disability, and also shows dependence on severity of injury. In both settings, head injury is associated with greater occupational disability. Because treatment, policy, and medicolegal decisions are based on the impression of "typical disability" for particular sites and types of injury, there is a need for better documentation of post-traumatic disablement in compensation settings and in noncompensation settings. This should include better classification of the cause, type, and severity of the injury, and of the functional outcome in terms of both the resumption of occupational and nonoccupational roles, and of persistence in these roles.

 



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