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The Association Between Time Taken to Report, Lodge, and Start Wage Replacement and Return-to-Work Outcomes
Fiona Cocker1, Malcolm R Sim, Helen Kelsall
1School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia (Drs Cocker, Sim, Kelsall, and Smith); Institute for Work and Health, Toronto, Canada (Dr Smith); Dalla Lana School of Public Health, University of Toronto, Toronto, Canada (Dr Smith).
Objective:
The aim of the study was to determine if prolonged times taken to notify, file, adjudicate, and start wage replacement for workers' compensation claims are associated with poorer return-to-work (RTW) outcomes.
Methods:
Using 71,607 claims lodged 2007 to 2012, logistic regression determined associations between time to claim filing, adjudication, and payment and (1) socio-demographic/economic, occupational, and injury-related factors; and (2) 52 weeks of wage replacement (WR).
Results:
Prolonged times for all processing steps were associated with increased odds of reaching 52 weeks of WR. Prolonged times in more than one step increased the odds of a long-term claim. Being female was the only variable consistently associated with each prolonged processing time.
Conclusions:
The predictive ability of prolonged times in claim lodgement and processing and compensation payments demonstrate that shorter claims management and adjudication times could improve RTW outcomes.
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