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Results for “COMPENSATION AND INSURANCE”

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PubMed1990

[Urinary incontinence and health insurance].

We interviewed 187 women and 150 men with urinary incontinence. The majority of the patients had consulted their doctor about the problem (women 55%, men 83%), but had received inadequate information about the compensation provided under the National Insurance Act. Our findings suggest that the system of compensation provided for by the Act is by no means fully exploited. We review the provisions in the National Insurance Act which refer to urinary incontinence.

Female↗
PubMedDate not supplied

Determinants of use of outpatient rehabilitation services following upper extremity injury.

This study documents the utilization of outpatient therapy services following upper extremity injury and identifies factors that influence the use of services. One hundred twelve patients admitted to a hand center for treatment of upper extremity injury were followed prospectively for 7 months to determine their utilization of therapy services and their perceptions of unmet need. Eighty percent of the patients used therapy services following their injury Those who were more severely injured, were female, had health insurance, or obtained disability compensation made more visits than other subjects. One third of the patients reported that they did not have an adequate number of therapy visits. Subjects cited various reasons (e.g., lack of insurance, transportation difficulties) for unmet need. These findings suggest that the variation in utilization of rehabilitation services depends on not only the severity of the injury but other patient characteristics and resources as well.

Adolescent↗
PubMed2004

Return-to-work interval and surgery for carpal tunnel syndrome. Results of a prospective series of 233 patients.

AIM OF THE STUDY: To evaluate the connection between the type of patient insurance and the time taken to return to work after carpal tunnel surgery. PATIENTS AND METHODS: Two hundred and thirty-three patients in full-time work were operated on for carpal tunnel syndrome between 1 January and 30 June 1998. They were divided into three groups: independent workers (n=87), wage earners in the private sector (n=90) and civil servants (n=56). Four categories were defined: manual workers, non-manual workers, patients with social security insurance and patients with workers compensation. The average return-to-work interval after surgery for each of the groups was evaluated and compared group by group. RESULTS: For independent workers the average time off work is 17 days, for those in the private sector it is 35 days, and for civil servants it is 56 days. Patients with social security insurance were off work for 32 days and those with workers compensation for 49 days. DISCUSSION: The comparison shows significant differences with regard to social security insurance: the return-to-work interval in civil servants is larger than for private sector workers, and this is higher than in independent workers. The difference between patients with workers compensation and those with social security insurance is 17 days and significant. There is a significant difference between manual and non-manual workers in independent and private sector workers. There is no significant difference between the sub-groups in the civil servants. These cross references enable us to work out the influence that social security status has on the return-to-work time following surgery.

Adolescent↗
PubMedDate not supplied

The effects of malpractice insurance on certified nurse-midwives. The case of rural Arizona.

This study of CNMs in rural Arizona indicated malpractice insurance has had a negative effect on the practice of nurse-midwifery. In 1987 a telephone survey was conducted to assess the effects on the practice patterns of Arizona's 21 rural CNMs, four of whom had had previous experience as licensed midwives. Results indicated 24% had been refused medical back-up by a physician. Although 10% were personally responsible for paying malpractice insurance premiums, they were not able to afford the cost and were going "bare." Nearly 30% had changed their employment status from private practitioner to salaried employee, suffering a decrease in professional autonomy, flexibility of hours, quality of lifestyle, benefits, and income. Unless there are changes that result in lower malpractice insurance premiums or greater compensation and benefits, there likely will be a diminishing number of entries into an increasingly stressed profession.

Arizona↗