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Published on: March 7, 2018
A Systems Evaluation of Occupational Injuries and Illness in the US Army
Sheryl A Bedno1, Linda Forst, Timothy Mallon
1Department of Public Health, Womack Army Medical Center, Fort Bragg, North Carolina (Dr Bedno); Division of Environmental and Occupational Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, Illinois (Dr Forst); Department of Preventive Medicine and Biostatistics, Uniformed Services University, Bethesda, Maryland (Dr Mallon).
Objective:
Workers' compensation (WC) processes do not lead to maximal return-to-work or cost savings. The aim of this study is to assess barriers and facilitators to reporting and managing injuries and illnesses among civilian employees in the US Army.
Methods:
We triangulated a review of policy and practice documents, stakeholder interviews, a descriptive analysis of WC data, and a literature review to inform recommendations of best practices for improving return-to-work and lowering WC costs.
Results:
Federal WC costs are trending downward for civilian employees in the US Army; however, the approaches are not uniform or optimized, especially at the installation level.
Conclusions:
This mixed methods evaluation of the Department of Defense WC elucidates areas for improvement and potential best practices within the Federal WC system.
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