补偿制度改革后受伤工人的结果:一个中断的时间序列研究研究
Tyler J Lane1, Michael F Di Donato2, Alex Collie2
1School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia tyler.lane@monash.edu.
Journal of epidemiology and community health
|June 13, 2023
概括
南澳大利亚2015年工人赔偿改革并没有改善返回工作率,因为残疾持续时间平稳. 增加的保险公司决策时间可能解释了这一结果,尽管雇主报告时间减少了.
科学领域:
- 职业健康 职业健康 职业健康
- 公共政策 公共政策
- 卫生经济学 卫生经济学
背景情况:
- 南澳大利亚在2015年改革了其工人赔偿制度,以提高返回工作率.
- 该研究调查了这项立法变革对该系统内的关键绩效指标的影响.
研究的目的:
- 评估2015年南澳大利亚工人赔偿改革的有效性.
- 通过分析残疾持续时间,索赔处理时间和索赔量来确定改革是否改善了返回工作率.
主要方法:
- 使用中断时间序列分析来评估结果的变化.
- 主要结果:补偿残疾持续时间的平均周.
- 二次结果:平均雇主报告和保险公司决策时间,以及每月分析的索赔量.
主要成果:
- 之前一直在下降的残疾时间和保险公司决策时间,在改革后逐渐趋于平稳.
- 索赔量呈现逐渐增加,而雇主报告时间减少.
- 伤害索赔是增加保险商决策时间的主要驱动因素.
结论:
- 2015年工人赔偿改革并没有导致残疾持续时间的减少.
- 由于保险商的决策时间延长,可能是由于系统大修或权利的变化,可能会否定潜在的利益.
- 进一步调查加长保险商决策时间背后的因果因素是有必要的.
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