Risk of hospitalization for specific non-work-related conditions among laborers and their families.
Am J Ind Med 1993 Mar; 23(3):417-425
Data from 1989 medical claims provided by two health insurance plans provided through local unions of the Laborer's International Union of North America were reviewed to demonstrate the use of medical care claims data as a way to survey health trends within the insured population. Hospital admissions were found to be ten times higher than expected for alcohol and drug dependence. Other categories that were higher than expected included umbilical cord complications, general symptoms, symptoms involving the respiratory system, and pelvic and abdominal symptoms. Sources of bias affecting the analysis of medical claims data included: inconsistent diagnostic coding practices between hospitals, International Classification of Diseases codes were not checked against hospital records for accuracy, and differences in benefit structure between the two health plans studied. Despite the crudeness of the information gathered, the authors conclude that this method can identify areas that may warrant investigation into current treatment practices, whether intervention may reduce prevalence, and less costly alternatives to hospitalization.
NIOSH-Publication; NIOSH-Cooperative-Agreement; Health-surveys; Alcoholism; Medical-surveys; Construction-workers; Worker-health; Epidemiology; Substance-abuse; Medical-treatment;
Cooperative Agreement; Construction
American Journal of Industrial Medicine
Center to Protect Workers' Rights, Washington, DC