Abstract：
:It has been suggested that health maintenance organizations (HMOs) overdiagnose work-related injuries and illnesses to increase their income. This study compared the Workers' Compensation experience of 2,176 Boston postal employees enrolled in a large HMO with that of 3,473 employees enrolled in a large fee-for-service health insurance plan. It controlled for the potential confounders of age, gender, job classification, type of injury, and duration of employment. It found no difference in the incidence of injuries: 5.93% for HMO enrollees and 6.25% for fee-for-service plan enrollees. Medical costs averaged $475 for HMO enrollees and $838 for fee-for-service plan enrollees (p = 0.018). Total costs averaged (09 for HMO enrollees and $1388 for fee-for-service plan enrollees (p = 0.063). In our cohort, there was no evidence of cost shifting. It appeared that the HMO provided less expensive medical care for injured postal workers.
journal_name
Am J Ind Medjournal_title
American journal of industrial medicineauthors
Zwerling C,Ryan J,Orav EJdoi
10.1002/ajim.4700190306subject
Has Abstractpub_date
1991-01-01 00:00:00pages
317-25issue
3eissn
0271-3586issn
1097-0274journal_volume
19pub_type
杂志文章abstract：BACKGROUND:Construction workers move frequently from jobsite to jobsite, yet little is documented about length of stay on-site and associations with worker characteristics. METHOD:Using cross-sectional data, we investigated associations between worker characteristics (including trade and musculoskeletal pain) and leng...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.22461
更新日期：2015-09-01 00:00:00
abstract：:To investigate the effects of styrene exposure on peripheral, central, and autonomic nervous system functions in man, we measured the distribution of nerve conduction velocities (DCV), short-latency somatosensory evoked potentials (SSEP), and variability in electrocardiographic R-R interval (CVRR) as well as conventio...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.4700200609
更新日期：1991-01-01 00:00:00
abstract：BACKGROUND:After cryptosporidiosis was reported in three workers caring for preweaned calves at an academic research laboratory, we sought to identify cases, determine risk factors, and implement control measures. METHODS:A cryptosporidiosis case was defined as diarrhea duration ≥72 hr, abdominal cramps, or vomiting i...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.22630
更新日期：2017-02-01 00:00:00
abstract：:A case-control study on work with video screen equipment during pregnancy has been made for three cohorts of women, identified with the aid of occupational codes in the census, linked to the Medical Birth Registry and a registry containing information on women hospitalized for spontaneous abortion. Five hundred and tw...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.4700090507
更新日期：1986-01-01 00:00:00
abstract：CONTEXT:A definite cause of sarcoidosis has not been identified, however past research suggests that environmental factors may be triggers of the granulomatous response in genetically susceptible individuals. CASE PRESENTATION:A 22-year-old male non-smoker, presented with progressive exertional dyspnea and cough of 3 ...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.21030
更新日期：2012-04-01 00:00:00
abstract：BACKGROUND:Fish processing is a common economic activity in Southern Africa. The aim of this study was to determine the prevalence and host determinants of allergic symptoms, allergic sensitization, bronchial hyper-responsiveness and asthma among workers processing saltwater fish. METHODS:A cross-sectional study was c...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.20635
更新日期：2008-12-01 00:00:00
abstract：:A 5-year prospective analysis tests the hypothesis that coal miners who have impaired respiratory health also experience greater numbers of disability days due to occupational injury. Occupational and respiratory health information collected for the period 1977 through 1981 by the National Institute for Occupational S...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.4700070409
更新日期：1985-01-01 00:00:00
abstract：BACKGROUND:The rate of lost-time sprains and strains in private nursing homes is over three times the national average, and for back injuries, almost four times the national average. The Ohio Bureau of Workers' Compensation (BWC) has sponsored interventions that were preferentially promoted to nursing homes in 2000-200...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.20731
更新日期：2009-09-01 00:00:00
abstract：METHODS:We used a population-based sample of 403 Parkinson's disease cases and 405 controls to examine risks by occupation. Results were compared to a previous clinic-based analysis. RESULTS:With censoring of jobs held within 10 years of diagnosis, the following had significantly or strongly increased risks: social sc...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.22272
更新日期：2014-02-01 00:00:00
abstract：:While blood lead concentration has been inversely associated with indicators of reproductive health in occupationally exposed male workers, the utility of lead concentration in semen as an indicator of lead exposure to the male reproductive system has not been fully explored. Blood and semen lead concentrations from 8...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/(sici)1097-0274(199811)34:4<464::aid-ajim2
更新日期：1998-11-01 00:00:00
abstract：:The national occupational standard values for benzene are 10 ppm for Australia, 10 ppm for Denmark, 10 ppm for Finland, 10 ppm for Japan, 10 ppm for The Netherlands, 10 ppm for the United States, and 5 ppm for Sweden; in the Federal Republic of Germany the technical guideline value is 8 ppm. Crude mineral oil contains...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.4700070504
更新日期：1985-01-01 00:00:00
abstract：:In 1979, a pilot survey defined respiratory status and unmet health care needs of retired and former male asbestos workers in Hawaii. Of 1,401 identified subjects, 741 were contacted and 411 were interviewed. Forty-five subjects were between 39 and 54 years of age; 208, between 55 and 64; and 158, age 65 or more. They...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.4700060208
更新日期：1984-01-01 00:00:00
abstract：:Several studies have shown that playing-related musculoskeletal disorders (PRMDs) present a significant health problem for musicians. To examine physiological, psychological, and behavioral risk factors of musicians' PRMDs, data for a case-control analysis were collected from classically-trained professional and unive...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/(sici)1097-0274(199709)32:3<292::aid-ajim1
更新日期：1997-09-01 00:00:00
abstract：BACKGROUND:Hexavalent chromium is widely recognized to be a lung carcinogen. However, the U.S. Occupational Safety and Health Administration (OSHA) has failed to reduce the permissible exposure limit (PEL), despite having acknowledged in 1994 that the current limit is too high. In 1993, Public Citizen and the Paper, Al...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.10128
更新日期：2002-11-01 00:00:00
abstract：BACKGROUND:Previous studies of workers' compensation claims for low back pain (LBP) have revealed that the preponderance of disability is borne by a fraction of cases. However, less is known regarding the influence of occupational factors on these extreme conditions. METHODS:Workers' compensation claims (n=107,867) fo...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/(sici)1097-0274(200005)37:5<558::aid-ajim1
更新日期：2000-05-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to investigate the prevalence of airway hyperresponsiveness induced by methylene diphenyldiisocyanate (MDI) and toluene diisocyanate (TDI) at a petrochemical industry complex in Korea. METHODS:Questionnaires, allergic skin test, and nonspecific airway hyperresponsiveness (AHR) ...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/(sici)1097-0274(200006)37:6<663::aid-ajim1
更新日期：2000-06-01 00:00:00
abstract：:A study was performed in 17 female workers employed in a latex glove manufacturing plant. The mean age of these workers was 42 years and the mean duration of their employment was 19 years. The employees were primarily nonsmokers or light smokers. The presence of chronic respiratory symptoms and acute work-related symp...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/(sici)1097-0274(199802)33:2<175::aid-ajim9
更新日期：1998-02-01 00:00:00
abstract：BACKGROUND:Climate change is a natural phenomenon that has been intensified due to increased emissions of greenhouse gases (GHG). It has become an indispensable issue in international negotiations related to global sustainability and is deeply related to the overall status of environmental health in our planet. METHOD...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.22051
更新日期：2012-12-01 00:00:00
abstract：BACKGROUND:Previous epidemiological studies investigating modification of organophosphate (OP) neurotoxicity by xenobiotic metabolizing enzymes (XMEs) polymorphisms have produced inconsistent results. METHODS:A cross-sectional study of 301 emerging farmers was conducted. Neurotoxicity testing included forward and back...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.22790
更新日期：2018-01-01 00:00:00
abstract：:The occupational histories of fathers were collected prospectively as part of the Avon Longitudinal Study of Pregnancy and Childhood (ALSPAC), and were used to investigate the association of paternal job title with a baby's birth weight and gestational age. The analysis cohort consisted of 4,795 singleton live-born ba...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/(sici)1097-0274(199706)31:6<738::aid-ajim1
更新日期：1997-06-01 00:00:00
abstract：BACKGROUND:No information exists on the differences between teenagers with work permits and teenagers without work permits in regards to workplace injury, near-miss incidents, and safety training. METHODS:In May 2003, an anonymous questionnaire was administered to 7,506 teens attending high school throughout the five ...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.20301
更新日期：2006-05-01 00:00:00
abstract：:Mortality and cancer incidence was investigated among 2,807 workers, employed for at least one year before 1972, at 11 Swedish companies manufacturing prefabricated wooden houses. A total of 1,068 workers had been exposed to man-made mineral fibers (MMMF) used for insulation. Mortality was followed from 1969 to 1988 a...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.4700210605
更新日期：1992-01-01 00:00:00
abstract：:Ethylene oxide was tested in environmental air and in the alveolar air of 10 workers employed in a hospital sterilizer unit at hourly intervals during the work shift. Alveolar ethylene oxide concentrations (Ca) were correlated with environmental concentration (Ci) in all the workers studied (r = 0.89-0.99). The ratio ...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.4700080109
更新日期：1985-01-01 00:00:00
abstract：BACKGROUND:Symptoms of post-traumatic stress disorder (PTSD) have been reported even years after the terrorist attacks of September 11, 2001 (9/11). METHODS:We used screening tools to assess the prevalence of probable PTSD in 9/11-exposed firefighters at two time points, within 6 months of 9/11 (baseline) and 3-4 year...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.20894
更新日期：2010-12-01 00:00:00
abstract：:Since direct measures of individual exposure seldom exist for the entire period of an occupational mortality study, retrospective exposure estimates are necessary. This is often done in a subjective manner involving a consensus of opinion from a panel of epidemiologists and industrial hygienists. An alternative method...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.4700250607
更新日期：1994-06-01 00:00:00
abstract：BACKGROUND:Despite the human and monetary costs of occupational injury and illness, occupational health care has focused more on treatment than prevention, and prevention is not part of many clinical occupational health practices. This represents a failure of occupational health care to meet the health care needs of th...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.1105
更新日期：2001-09-01 00:00:00
abstract：BACKGROUND:Several case-control studies have found an association between chronic beryllium disease (CBD) and HLA-DPB1 gene variants. However, the relationship between HLA-DPB1 and beryllium sensitization, and whether the presence of one or two HLA-DPB1(Glu69) alleles is differentially associated with CBD and beryllium...
journal_title：American journal of industrial medicine
pub_type： 杂志文章,多中心研究
doi：10.1002/ajim.20045
更新日期：2004-08-01 00:00:00
abstract：BACKGROUND:Around the globe, work has a heavy impact on health. To better advise policy makers, we assessed the global burden of disease and injury due to selected occupational hazards. This article presents an overview, and describes the methodology employed in the companion studies. METHODS:Using the World Health Or...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.20211
更新日期：2005-12-01 00:00:00
abstract：BACKGROUND:Pain and fatigue are commonly associated with work-related upper extremity disorders. Occasionally these symptoms persist beyond a reasonable healing period. One potential explanation for prolonged symptom expression is the concurrent development of a stress-mediated illness or CMI (Chronic Multi-Symptom Ill...
journal_title：American journal of industrial medicine
pub_type： 杂志文章,评审
doi：10.1002/ajim.10068
更新日期：2002-05-01 00:00:00
abstract：BACKGROUND:Farmers have been previously reported to have higher rates of depression and suicide compared to other occupations. Comparisons of depressive symptoms and risk factors for states should increase understanding of depression in farmers. METHODS:Representative samples of 385 Iowa and 470 Colorado male principa...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/(sici)1097-0274(200004)37:4<382::aid-ajim8
更新日期：2000-04-01 00:00:00
