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Costs of occupational injury and illness within the health services sector.

Authors
Waehrer-G; Leigh-JP; Miller-TR
Source
Int J Health Serv 2005 Apr; 35(2):343-359
NIOSHTIC No.
20029019
Abstract
Knowledge of costs is essential to allocate medical resources efficiently. The authors' goal was to estimate and compare costs across occupations, industries, gender, race, and types of nonfatal injuries and illnesses. This is an incidence study of nationwide data, 1993. Nonfatal incidence data were drawn from the Bureau of Labor Statistics Annual Survey. Medical costs were from the Detailed Claims Information data set. Productivity (wage) costs were calculated using the Current Population Survey. Pain and suffering costs were estimated from data on jury verdicts. Injuries and illnesses to nursing aides and orderlies cost 2,200 million dollars; costs were 900 million dollars for registered nurses and 40 million dollars for licensed practical nurses. The ranking of health services industries in terms of costs was: hospitals (52 percent of all costs), nursing care facilities (38 percent), home care services (6 percent), physicians' offices (4 percent), and laboratories (<1 percent). Types of injuries (sprains, strains, fractures) were similar across occupations and industries, but types of illness (carpal tunnel syndrome, respiratory diseases) varied. The most costly injured body parts were: back, shoulder, knee, wrist, and neck. Injuries and illnesses comprised roughly 90 percent and 10 percent, respectively, of total costs. The hospital industry was the third most expensive of 313 U.S. industries. Costs of occupational injury and illness in the health services industry were high and varied across occupation, industry, disease, race, and gender.
Keywords
Injuries; Occupational-health; Occupational-hazards; Health-services; Medical-care; Nurses; Nursing; Medical-personnel; Health-care-personnel; Health-care-facilities; Back-injuries; Neck-injuries; Knee-injuries; Occupational-diseases; Diseases; Demographic-characteristics; Racial-factors; Sex-factors
CODEN
IJUSC3
Publication Date
20050401
Document Type
Journal Article
Funding Amount
635778
Funding Type
Grant
Fiscal Year
2005
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-003750; Grant-Number-R01-OH-004006
Issue of Publication
2
ISSN
0020-7314
Source Name
International Journal of Health Services
State
CA; MD
Performing Organization
Pacific Institute for Research and Evaluation, Calverton, Maryland
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