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Injured Workers' Underreporting in the Health Care Industry: An Analysis Using Quantitative, Qualitative, and
Monica Galizzi1, Petra Miesmaa1, Laura Punnett1
1Department of Economics, University of Massachusetts Low-ell, FA 302 F, One University Avenue, Lowell, MA 01854; currently unaffiliated, formerly with Center for Health Promotion and Research, University of Massachusetts Lowell; Department of Work Environment, University of Massachusetts Lowell, FA 302 F, One University Avenue, Lowell, MA 01854; Department of Community Health and Sustainability, University of Massachusetts Lowell, FA 302 F, One University Avenue, Lowell, MA 01854.
Abstract:
Underreporting of occupational injuries was examined in four health care facilities using quantitative, qualitative, and observational data. Occupational Safety and Health Administration logs accounted for only one-third of the workers' compensation records; 45 percent of injured workers followed by survey had workers' compensation claims. Workers reported 63 percent of serious occupational injuries. Underreporting is explained by time pressure and workers' doubts about eligibility, reputation, income loss, and career prospects. Though aware of underreporting, managers subtly believe in workers' moral hazard behaviors.
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