Contrasting patterns of care for musculoskeletal disorders and injuries of the upper extremity and knee through workers' compensation and private health care insurance among union carpenters in Washington State, 1989 to 2008

Am J Ind Med. 2015 Sep;58(9):955-63. doi: 10.1002/ajim.22455. Epub 2015 May 4.

Abstract

Background: Musculoskeletal symptoms and disorders (MSDIs) are common reasons for visits to medical providers in the general population and they are common work-related complaints. Prior reports raise concerns as to whether declines in workers' compensation (WC) rates represent true improvement in occupational health and safety or shifting of care to other payment systems.

Methods: By linking administrative records, we compared patterns of WC claims and private health care utilization for disorders of the upper extremity (UE) and knee among a large cohort of union carpenters over a 20-year period.

Results: As WC claim rates declined, private health care utilization increased. The increase was muted somewhat but sustained when adjusting for other patterns of health care utilization.

Conclusions: Findings suggest the decline of WC claim rates do not solely represent improved occupational safety in this population, but also a considerable shifting of care to their private insurance coverage over time.

Keywords: care-shifting; cohort; compensation; construction; cost-shifting; health care utilization; health insurance; longitudinal; musculoskeletal; workers'.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Construction Industry / statistics & numerical data*
  • Construction Industry / trends
  • Delivery of Health Care / statistics & numerical data*
  • Delivery of Health Care / trends
  • Female
  • Humans
  • Insurance, Health / statistics & numerical data*
  • Insurance, Health / trends
  • Knee Injuries / epidemiology
  • Knee Injuries / etiology
  • Labor Unions
  • Male
  • Middle Aged
  • Musculoskeletal Diseases / epidemiology
  • Musculoskeletal Diseases / etiology
  • Occupational Diseases / epidemiology
  • Occupational Diseases / etiology
  • Occupational Injuries / epidemiology
  • Occupational Injuries / etiology
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Private Sector
  • Upper Extremity / injuries
  • Washington / epidemiology
  • Workers' Compensation / statistics & numerical data*
  • Workers' Compensation / trends