Patterns of health and health service use in construction.
Dement-JM; Lipscomb-HJ; Pollack-ES; Chowdhury-R
NIOSH 1999 Dec; :1-459
In the United States, the cost of health care delivery for individuals working in the construction trades in theoretically covered by two different insurance systems-private insurance through an employer or union and workers' compensation. Although in theory these two systems are separate, and in combination they should provide comprehensive coverage, there are potential gaps and overlaps between them. Chronic diseases and ailments that arise gradually from exposures in the workplace are much less likely to be recognized through workers' compensation than events which are the result of acute injury. Little is known about the delivery of health services to construction workers. Union construction worker, who receive their health insurance coverage through jointly trusteed health and welfare trusts, may have lapses of coverage during periods of unemployment-which is not uncommon in the construction trades due to the very nature of the work. The purposes of this work included the study of overall rates and patterns of health care utilization among construction carpenters and laborers including health conditions of possible occupational origin; the magnitude of costs associated with their care; and the identification of sequellae of serious occupational illness or injury on health care coverage, utilization, occupational status and personal and family status. The goal was to compare patterns of care within subgroups of each of the cohorts and to compare care received under workers' compensation and private health insurance.
Construction-workers; Occupational-health-services; Health-care-personnel; Workers; Medical-services
Duke University Medical Center, Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Box 3834, Durham, NC 27710
Final Grant Report
NTIS Accession No.
Research Tools and Approaches: Health Services Research
National Institute for Occupational Safety and Health
Duke University Medical Center, Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Durham, North Carolina