Is compensation “bad for health”? A systematic meta-review

Spearing, Natalie; Connelly, Luke B.

doi:10.1016/j.injury.2009.12.009

Cited by 49 publications

(41 citation statements)

References 37 publications

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“…For example, epidemiologists sometimes include the ''compensation issue'' as a variable in predicting duration of disability, and sometimes conclude that those subjects who are involved in the compensation process will take longer to heal than the other subjects, an approach that is the subject of scrutiny and that can be problematic [Grant and Studdert, 2009;Spearing and Connelly, 2011]. Studies may confuse receiving benefits with being a claimant, or equate having contacted a lawyer with being in the compensation system; they do not necessarily distinguish between the tort system and workers' compensation and are then cited to show that workers' compensation increases duration of disability.…”

Section: Discourses Underpinning Workers' Compensation Systemsmentioning

confidence: 99%

“…This approach is built on the premise of ''moral hazard'' [Dembe and Boden, 2000;Campolieti, 2002], that access to benefits will prolong duration of disability, implicitly, or explicitly suggesting malingering, and as such contributes to the stigmatization of workers' compensation claimants. Recent research warns against the use of such studies in the redesign of compensation systems [Spearing and Connelly, 2011].…”

Section: Discourses Underpinning Workers' Compensation Systemsmentioning

confidence: 99%

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Preserving workers' dignity in workers' compensation systems: An international perspective

Lippel

2012

American J Industrial Med

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BackgroundWorkers' compensation systems are among the most generous disability insurance systems in North America, although they are also known to be potentially adversarial and may have iatrogenic effects on claimants. This article examines issues to be considered to ensure fair compensation provided in a way that respects the dignity of workers.MethodsAn overview of the literature on characteristics and effects of workers' compensation systems is followed by an analysis based on classic legal methods, including those of comparative law, complemented with interview data to examine three models of disability compensation.ResultsThe first part of the article identifies cross cutting issues to be considered in the examination of the equity of compensation systems and the protection of the dignity of claimants. These include three underpinnings of workers' compensation: the links between a “no‐fault” system and the adversarial process, the appropriate use of medical and scientific evidence in the determination of compensability and the application of appropriate measures for promoting return to work. The second part looks at accident compensation in New Zealand, where compensation is available regardless of the cause of the accident, and disability insurance in the Netherlands, where compensation is available regardless of the cause of the disability. It then describes a composite of characteristics favorable to equity drawn from the thirteen workers' compensation systems in Canada.ConclusionSystems that succeed in reducing opportunities for adversarial interactions and that provide substantive protection could better promote the dignity of claimants. Am. J. Ind. Med. 55:519–536, 2012. © 2012 Wiley Periodicals, Inc.

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Section: Discourses Underpinning Workers' Compensation Systemsmentioning

confidence: 99%

Section: Discourses Underpinning Workers' Compensation Systemsmentioning

confidence: 99%

Preserving workers' dignity in workers' compensation systems: An international perspective

Lippel

2012

American J Industrial Med

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“…The ACC system has been heralded as a world-leading solution when comparing medical systems that have burgeoning costs, but it has also been criticised for its potential for false claims by individuals who did not sustain an acute injury in the activity that was registered in the claim [16,17]. It seems unlikely that there would be a substantial misattribution of injuries to snow sports.…”

Section: Discussionmentioning

confidence: 99%

The Utility of Two National Injury Databases to Evaluate Snow-Sports Injuries in New Zealand

Costa-Scorse

Hopkins

Cronin

et al. 2017

Snow Sports Trauma and Safety

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To accurately inform injury-prevention initiatives an in-depth evaluation of the utility of injury-incidence databases is essential. As part of development of a 5-year national injury-prevention strategy for snow sports in New Zealand, injury rates were compared in two databases: the Accident Compensation Commission (ACC) claims database of all snow-sports injuries treated by physiotherapists or doctors and the national incident database (NID) of injuries treated at all commercial ski areas. The ACC database focuses on treatment costs, whereas the NID database provides details of skier/boarder ability, terrain, surface condition, visibility, and equipment factors, all important information for developing injury-prevention interventions. The total injury rate in the ACC database was 8.8 injuries per 1000 skier/boarder days in the 2010 and 2011 winter seasons. The NID revealed that only one-third of these injuries were assessed and treated at mountain clinics. Sprains accounted for the greatest difference in injury rates between the ACC and the NID (5.3 and 1.3, respectively). Rates of all other main types of injury where higher in the ACC. This "bypass" effect likely represents a delay in seeking treatment that may be explained by increased swelling or pain after leaving the ski area. The bypass effect presumably applies to injury rates in all studies based solely on mountain-clinic incident data and needs to be taken into account when assessing injury trends and aetiology in alpine skiing and snowboarding.

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“…19 While there is evidence of a correlation between some measures of health outcome and compensation-related processes, the extent to which the empirical evidence supports the contention of a causal relationship is a source of considerable debate. 6,17,18,[20][21][22] Another way of limiting moral hazard in clinical services markets is to reinstate price signals. Typically, insurers do so with copayment provisions on the demand side of the market, in the form of a deductible (or "excess" or "first dollar") provision, a coinsurance provision, or both.…”

Section: Scheme Design and Limits On Efficiency Lossmentioning

confidence: 99%

Is compensation “bad for health”? A systematic meta-review

Cited by 49 publications

References 37 publications

Preserving workers' dignity in workers' compensation systems: An international perspective

Preserving workers' dignity in workers' compensation systems: An international perspective

The Utility of Two National Injury Databases to Evaluate Snow-Sports Injuries in New Zealand

The Nature of Whiplash in a Compensable Environment: Injury, Disability, Rehabilitation, and Compensation Systems

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