Barriers to use of workers' compensation for patient care at Massachusetts community health centers

Details

• Personal Author:
  Azaroff LS ; Davis LK ; Hashimoto D ; Laing JR ; Naparstek R ; Wegman, David H.
• Description:
  OBJECTIVES: To examine barriers community health centers (CHCs) face in using workers' compensation insurance (WC). DATA SOURCES/STUDY SETTING: Leadership of CHCs in Massachusetts. STUDY DESIGN: We used purposeful snowball sampling of CHC leaders for in-depth exploration of reimbursement policies and practices, experiences with WC, and decisions about using WC. We quantified the prevalence of perceived barriers to using WC through a mail survey of all CHCs in Massachusetts. DATA COLLECTION/EXTRACTION METHODS: Emergent coding was used to elaborate themes and processes related to use of WC. Numbers and percentages of survey responses were calculated. PRINCIPAL FINDINGS: Few CHCs formally discourage use of WC, but underutilization emerged as a major issue: "We see an awful lot of work-related injury, and I would say that most of it doesn't go through workers' comp." Barriers include lack of familiarity with WC, uncertainty about work-relatedness, and reliance on patients to identify work-relatedness of their conditions. Reimbursement delays and denials lead patients and CHCs to absorb costs of services. CONCLUSION: Follow-up studies should fully characterize barriers to CHC use of WC and experiences in other states to guide system changes in CHCs and WC agencies. Education should target CHC staff and workers about WC. [Description provided by NIOSH]
• Subjects:
  Delivery Of Health Care Education Health Care Facilities Workforce And Services Health Personnel Health Promotion Occupational Health Public Health Safety Surveys And Questionnaires
• Keywords:
  Administration Author Keywords: Workers Compensation Community Health Center Disabled-workers Diseases Health-care Health-care-facilities Health-care-personnel Health-programs Health-services Health-surveys Information-systems Injuries Lost-work-days Medical-care Medical Insurance Occupational-health Physical-therapy Public-health Sociological-factors Statistical-analysis Surveillance-programs Work-organization Work-related Injuries And Illnesses Worker-health

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• ISSN:
  0017-9124
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  48
• Issue:
  4
• NIOSHTIC Number:
  nn:20043369
• Citation:
  Health Serv Res 2013 Aug; 48(4):1375-1392
• Email:
  letitia.davis@state.ma.us
• Federal Fiscal Year:
  2013
• Performing Organization:
  Massachusetts State Department of Public Health
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Health Services Research
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:c11e38dfeaff06743b14629063507db5dbbc08959205d5abaecf111b9b460f0a9c52d5a77f0edaf3b0829f582aadf6fc2a92e860d991fdb13dcc0494246a0f21
• Download URL:
  https://stacks.cdc.gov/view/cdc/195286/cdc_195286_DS1.pdf
• File Type:
  [PDF - 291.80 KB ]