Patterns of Health and Health Service Use in Construction

Details

• Personal Author:
  Chowdhury R ; Dement, John M. ; Lipscomb HJ ; Pollack ES
• Description:
  In the United States, the cost of health care delivery for individuals working in the construction trades in theoretically covered by two different insurance systems-private insurance through an employer or union and workers' compensation. Although in theory these two systems are separate, and in combination they should provide comprehensive coverage, there are potential gaps and overlaps between them. Chronic diseases and ailments that arise gradually from exposures in the workplace are much less likely to be recognized through workers' compensation than events which are the result of acute injury. Little is known about the delivery of health services to construction workers. Union construction worker, who receive their health insurance coverage through jointly trusteed health and welfare trusts, may have lapses of coverage during periods of unemployment-which is not uncommon in the construction trades due to the very nature of the work. The purposes of this work included the study of overall rates and patterns of health care utilization among construction carpenters and laborers including health conditions of possible occupational origin; the magnitude of costs associated with their care; and the identification of sequellae of serious occupational illness or injury on health care coverage, utilization, occupational status and personal and family status. The goal was to compare patterns of care within subgroups of each of the cohorts and to compare care received under workers' compensation and private health insurance. Description provided by NIOSH
• Subjects:
  • Construction Industry
  • Health Care Facilities Workforce and Services
  • Health Personnel
  • Occupational Health
  • Safety
• Keywords:
  • Construction-workers
  • Occupational-health-services
  • Health-care-personnel
  • Workers
  • Medical-services
• Series:
  Grant Final Reports
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Final Grant Report
• Place as Subject:
  Georgia ; North Carolina ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  OEP - Office of Extramural Programs
• Topic:
  Workplace Safety & Health
• Location:
  North America
• NIOSHTIC Number:
  nn:20000940
• NTIS Accession Number:
  PB2001-101676
• Citation:
  NIOSH 1999 Dec; :1-459
• Contact Point Address:
  Duke University Medical Center, Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Box 3834, Durham, NC 27710
• Federal Fiscal Year:
  2000
• NORA Priority Area:
  Research Tools and Approaches: Health Services Research
• Performing Organization:
  Duke University Medical Center, Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Durham, North Carolina
• Peer Reviewed:
  False
• Start Date:
  19950930
• Source Full Name:
  National Institute for Occupational Safety and Health
• End Date:
  19990929
• Download URL:
  https://stacks.cdc.gov/view/cdc/217969/cdc_217969_DS1.pdf
• File Type:
  [PDF - 17.87 MB]
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:c9cc43daa492f44ea1385d1e3d5ecd4f08b0564ddb04d062c855ab940ff17bc797ba9047ed514c08bca125c44476ff6199b5e4b3349d77486c25ba6527632357