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工人赔偿系统中的关节扭伤:高费索赔的趋势,成本和预测因素:9年分析
Xuguang Grant Tao1, Nicholas F Tsourmas1,2, Marcos Iglesias1,3
1Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland. (Dr Tao, Dr Bernacki, Dr Tsourmas, Dr Kalia, Dr Leung,).
Journal of occupational and environmental medicine
|March 3, 2026
概括
脚扭伤是工人赔偿 (WC) 的重要负担,诉讼和并发症预测高成本. 了解这些因素对于有效管理索赔至关重要.
科学领域:
- 职业健康 职业健康 职业健康
- 整形外科伤害分析分析
- 劳工赔偿研究 劳工赔偿研究
背景情况:
- 在工人赔偿制度中,脚扭伤占所有脚伤害的很大一部分.
- 需要了解经济影响和导致高成本脚扭伤索赔的因素.
研究的目的:
- 评估高成本脚扭伤索赔的趋势,成本和预测因素.
- 分析工人赔偿环境中脚扭伤所造成的财务负担.
主要方法:
- 分析了2016-2024年26773起关节受伤索赔情况.
- 使用描述性和多变量方法识别和统计分析了18,991例脚扭伤病例.
主要成果:
- 脚扭伤约占所有脚伤害的70%,仅医疗 (MO) 索赔的上升趋势.
- 诉讼,并发症 (如糖尿病,甲状腺疾病) 和同时存在的伤害与高成本索赔 (≥50,000美元) 有着显著的联系.
- 与没有相关伤害的索赔相比,索赔的平均成本较高 (MO为2,451美元,Lost-Time为53,942美元) (MO为1,331美元,Lost-Time为25,593美元).
结论:
- 脚扭伤在工人赔偿中代表着一个重大而往往被低估的财务负担.
- 诉讼,特定的并发症和并发症被确定为高成本脚扭伤索赔的关键预测因素.
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