PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “COMPENSATION AND INSURANCE”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 415 records · Page 23Linked to original sources
PubMed2005

Occupational medicine: the case for reform.

The specialty of occupational medicine is in peril, in large part because of its reliance on financing by industry, which has powerful incentives to limit costs and to favor physicians who are useful to their employers. Occupational physicians generally practice within the framework of the workers' compensation system. Serious flaws in the incentive structure of workers' compensation constrain objectivity in their practice. Under present law they are unavoidably subject to perverse influences from employers and insurance companies. A fundamental reform of workers' compensation law and practice is urgently needed to separate occupational physicians from the control of employers and workers' compensation insurers, whose interests should not be allowed to override the physicians' integrity or to compromise the specialty.

Delivery of Health Care↗
PubMed2003

Health care utilization of carpenters with substance abuse-related diagnoses.

BACKGROUND: Persons in the construction trades in the US have high rates of alcohol and substance abuse. We had the unique opportunity to evaluate health care utilization through private insurance and workers' compensation for a group of carpenters at high risk of injury and substance abuse. METHODS: We identified a cohort of union carpenters. Their claims for medical care through union insurance and workers' compensation, and appropriate measures of time at risk were documented. Using methods of indirect standardization, we compared utilization and costs between carpenters with and without alcohol and substance-abuse related diagnoses (ASRD). RESULTS: Through private insurance, those with ASRD had 10% higher outpatient utilization and 2.1 times higher rates of hospitalizations for injury care; 2.6 times higher rates of outpatient care; and 2.9 times higher inpatient admissions for non-injury care. Individuals with ASRD had only modestly increased rates (10%) of outpatient utilization through workers' compensation. CONCLUSIONS: These findings support the need for alcohol and drug abuse prevention and treatment services for this workforce. Operationalizing this among highly mobile workforces, such as the construction trades, is a challenge. While not intending to minimize the problems of alcohol or substance abuse on the job among carpenters, the focus of prevention should not necessarily be in the workplace.

Adolescent↗
PubMed1995

The community social and health care system in Finland.

The greatest challenge to the national social and health policy in Finland since 1992 has been the task of finding a correct cost/quality ratio of required services. The local authorities have the responsibility to arrange the services to the citizens and may purchase the service from a municipal or a private sector provider. The State supervises the field and contributes to the finding, but the local authorities are responsible for organizing the health services. The central bodies are the Ministry of Social Affairs and Health, and the National Research and Development Centre for Welfare and Health which operates under supervision of the Ministry. Introduction into practice of the population responsibility principle has been started. A patient applies first to his local health centre or private practitioner for examination and treatment. If he cannot be treated there, he is referred to the outpatient department of a hospital. The aim is to ensure continuity in staff-patient contacts. Health care and social care is a natural right of every citizen. The national plan for social and health services is based on statistical data. The entire population is covered by sickness insurance, which includes compensation for lost earnings and treatment costs. Sickness insurance is run by the Social Insurance Institution, directly subordinate to the Parliament and also administering the flat-rate pensions. The Institution has its own network of district and local offices. The Act on the Status and the Rights of a Patient is a comprehensive Act covering the fields of admission, treatments, patient's autonomy, access to information, report on patients, and confidentiality.(ABSTRACT TRUNCATED AT 250 WORDS)

Delivery of Health Care↗
PubMed1983

Efficacy of reporting systems of adverse reactions to drugs and care.

Only 13% of adverse drug reactions that should have been reported to the Committee on Side Effects in Sweden according to the criteria published by the National Board of Health and Welfare, were actually reported by the responsible doctors. This was found in a prospective study of all adverse reactions established in 1 271 patients at a department of infectious diseases. It was also found in retrospect that only half of the patients affected by complications making them eligible for compensation from the Patients' Insurance Office existing in Sweden actually received compensation, while the Drug Insurance Office was better utilized. Various reasons for these low reporting frequencies are discussed.

Drug-Related Side Effects and Adverse Reactions↗
PubMedDate not supplied

Workers' compensation: a background for Social Security professionals.

This article provides a brief history and background of workers' compensation programs for occupationally injured and ill workers in the United States. It presents the basic principle involved in workers' compensation and briefly discusses the disability benefits to which workers are generally entitled. It also discusses why there are settlements in this disability program and the availability of information about the amounts paid in workers' compensation cases for obtaining an offset for Social Security Disability Insurance benefits paid to the worker. Finally, the article explains the rationale behind the public policy on coordination of Disability Insurance and workers' compensation in the new paradigm of disability and return to work.

Eligibility Determination↗
PubMed1989

The effect of precertification on the rate of hospitalization of patients with low back pain. A case study comparing hospitalization rates of patients covered by workers' compensation and no-fault automobile insurance in New York State.

This report is a study of the rates of hospitalization of two similar groups of patients with a diagnosis of medical low back pain resulting from an injury. It is based on a 7-year experience with utilization review. None of the patients had met the minimal criteria for hospitalization described by the "Reference Criteria for Short-Stay Hospital Review" of the American Medical Association (1). One of these two groups was required to undergo a preservice review (precertification) before hospitalization. The other group did not undergo this precertification. This study tests the hypotheses that there is a significant incidence of unnecessary hospitalization of patients with medical low back pain and that precertification does reduce this rate of hospitalization. It also tests the hypothesis that race, age, and gender correlate with this unnecessary hospitalization. Further, it examines the relationship between the precertification process and the time of admission and the length of stay once admitted. The methods used are defined, and the controversy surrounding precertification and unnecessary hospitalization in general, and for low back pain in particular, is described.

Age Factors↗