Workers' Compensation, Moral Hazard and the Composition of Workplace Injuries

2002 ◽  
Vol 37 (3) ◽  
pp. 623 ◽  
Author(s):  
Denis Bolduc ◽  
Bernard Fortin ◽  
France Labrecque ◽  
Paul Lanoie
Keyword(s):  
Moral Hazard ◽  
Workers Compensation ◽  
Workplace Injuries

scholarly journals P038: Comparison of diagnostic imaging rates between workplace and non-workplace injuries in the emergency department: a ten-year review

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S78-S78
Author(s):  
A. Sampalli ◽  
C. LeBlanc ◽  
S. Campbell ◽  
M. Vohra
Keyword(s):  
Emergency Department ◽  
Nova Scotia ◽  
Occupational Injuries ◽  
Head Injuries ◽  
Central Zone ◽  
Value Added ◽  
Further Education ◽  
Workers Compensation ◽  
Workplace Injuries ◽  
Work Related

Background: In Canada, injuries represent 21% of Emergency Department (ED) visits. Faced with occupational injuries, physicians may feel pressured to provide urgent imaging to facilitate expedited return to work. There is not a body of literature to support this practice. Twenty percent of adult ED injuries involve workers compensation. Aim Statement: Tacit pressures were felt to impact imaging rates for patients with workplace injuries, and our aim was to determine if this hypothesis was accurate. We conducted a quality review to assess imaging rates among injuries suffered at work and outside work. A secondary aim was to reduce the harm resulting from non-value-added testing. Measures & Design: Information was collected from the Emergency Department Information System on patients with acute injuries over the age of 16-years including upper limb, lower limb, neck, back and head injuries. Data included both workplace and non-work-related presentations, Canadian Triage and Acuity Scale (CTAS) levels and age at presentation. Imaging included any of X-ray, CT, MRI, or Ultrasound ordered in EDs across the central zone of Nova Scotia from July 1, 2009 to June 30, 2019. A total of 282,860 patient-encounters were included for analysis. Comparison was made between patients presenting under the Workers’ Compensation Board of Nova Scotia (WCB) and those covered by the Department of Health and Wellness (DOHW). Imaging rates for all injuries were also trended over this ten-year period. Evaluation/Results: In patients between 16 and 65-years, the WCB group underwent more imaging (55.3% of visits) than did the DOHW group (43.1% of visits). In the same cohort, there was an overall decrease of over 10% in mean imaging rates for both WBC and DOHW between the first five-year period (2009-2013) and the second five-year study period (2013-2018). Imaging rates for WCB and DOHW converged with each decade beyond 35 years of age. No comparison was possible beyond 85-years, due to the absence of WCB presentations. Discussion/Impact: Patients presenting to the ED with workplace injuries are imaged at a higher rate than those covered by the DOHW. Campaigns promoting value-added care may have impacted imaging rates during the ten-year study period, explaining the decline in ED imaging for all injuries. While this 10% decrease in overall imaging is encouraging, these preliminary data indicate the need for further education on resource stewardship, especially for patients presenting to the ED with workplace injuries.

scholarly journals Moral Hazard in Monday Claim Filing: Evidence from Spanish Sick Leave Insurance

2016 ◽  
Vol 16 (1) ◽  
pp. 437-476 ◽  
Author(s):  
Angel Luis Martin-Roman ◽  
Alfonso Moral
Keyword(s):  
Sick Leave ◽  
Moral Hazard ◽  
Recovery Period ◽  
Legal Regulation ◽  
Econometric Analysis ◽  
Workers Compensation ◽  
Monday Effect ◽  
Percentage Points ◽  
Day Of The Week

AbstractThe Monday effect on workers’ compensation insurance shows that there is a higher proportion of hard-to-diagnose injuries the first day of the week. The aim of this paper is to test whether the physiological hypothesis or the economic explanation is more satisfactory to understand this Monday effect and, if both are correct, to obtain an estimation of the magnitude of each of them. To do this, we exploit the singular legal regulation of Spanish sick leave benefits and use this country as a “laboratory”. Our econometric analysis detects and measures a hard-to-diagnose reporting gap on Mondays by about 6.5 percentage points due to physiological reasons and up to 1.4 percentage points attributable to moral hazard for those injuries with a short recovery period.

Workers’ Compensation and Moral Hazard in Tunisia

2016 ◽  
Vol 52 (11) ◽  
pp. 1533-1544 ◽  
Author(s):  
Abdelaziz Benkhalifa ◽  
Paul Lanoie ◽  
Mohamed Ayadi
Keyword(s):  
Moral Hazard ◽  
Workers Compensation

Moral Hazard in the French Workers' Compensation System

1998 ◽  
Vol 65 (1) ◽  
pp. 125 ◽  
Author(s):  
Thomas Aiuppa ◽  
James Trieschmann
Keyword(s):  
Moral Hazard ◽  
Compensation System ◽  
Workers Compensation
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