Therapeutic and Anti-Therapeutic Consequences of Workers' Compensation

Lippel, Katherine

doi:10.1016/s0160-2527(99)00024-2

Cited by 68 publications

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“…While the replacement of tort based claims by ''no-fault'' compensation is a positive step, eliminating what Ison accurately described as the forensic lottery [Ison, 1968], the elimination of tort does not imply that workers' compensation is a non-adversarial system as the adversarial nature of a process does not necessarily imply that the claim has been the object of litigation [Strunin and Boden, 2004]. Nor does the elimination of tort preclude attribution of blame, particularly with regard to the victim [Lippel, 1999]. The invitation addressed to employers on claim forms to contest claims, or the availability of ''snitch lines'' on workers' compensation board websites are just two illustrations of ways in which systems encourage an adversarial process, long before a claim is denied or an appeal is filed [Eakin et al, 2009].…”

Section: Discourses Underpinning Workers' Compensation Systemsmentioning

confidence: 99%

“…Studies in Canada [Ison, 1986;Lippel, 1999;Beardwood et al, 2005;Eakin, 2005;Lippel, 2007;MacEachen et al, 2007aMacEachen et al, , 2010, Australia [Roberts-Yates, 2003;Sager and James, 2005], and the United States [Lax and Manetti, 2001;Strunin and Boden, 2004] have shown that many workers' compensation claimants report feeling stigmatized by the process, blamed for being an injured worker, and shunned by the community and healthcare professionals because of their status as an injured worker.…”

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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“…In addition, the Swedish system is a comprehensive system, where a disease does not need to be work related in order to make the individual eligible for sickness benefits. This stands in contrast to cause-based systems, as the North American, where eligibility to compensation is tied to evidence that an injury is caused by work, which implies a process with more litigation and conflict [22,23]. One of the consequences of a comprehensive system is that the compensation system needs to administrate a broader set of diagnoses than if the system would have been limited to work injuries.…”

Section: The Importance Of Institutional Structures or What Is Swedish?mentioning

confidence: 99%

A Matter of Trust? A Study of Coordination of Swedish Stakeholders in Return-to-Work

et al. 2009

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“…A Clínica de Dor tem se caracterizado por reunir terapeutas e práticas convencionais e não-convencionais, voltados para alcançar alguns objetivos comuns: fortalecer a compreensão da dor como crônica e incurável redirecionando os objetivos do "sujeito que sofre de dor" para aumentar o nível de atividade física, retorná-lo ao trabalho ou alguma atividade ocupacional, diminuir a procura de serviços de saúde em momentos de reagudização do quadro, reduzir questões jurídicas por indenizações e promover melhor relação custo-efetividade 16,17 .…”

Section: Apresentando O Cenário: O Grupo De Dor E O Hospital-escolaunclassified

A dor crônica sob o olhar médico: modelo biomédico e prática clínica

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Trad

2007

Cad. Saúde Pública

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This study aimed to shed light on the meanings ascribed to chronic pain in medical discourse and clinical practice in two Pain Clinics located in University hospitals in Salvador (Bahia) IntroduçãoA dor crônica é um importante problema de saúde pública contemporâneo 1,2 , assim como a crescente demanda por serviços de saúde e recursos tecnológicos para a abordagem das diversas dimensões envolvidas na incapacidade e sofrimento resultantes 3 . Ao lado disso, lidar com o cuidado da pessoa com dor crônica tem representado um grande desafio para os profissionais de saúde 4,5 .Nos últimos cinqüenta anos, o estudo da dor tem contribuído com mudanças profundas na compreensão da dinâmica e complexidade do sistema nervoso; tem impulsionado o reconhecimento da importância das dimensões sócio-culturais e psíquicas na experiência e expressão do fenômeno doloroso, além de proporcionado a diversificação de recursos terapêuticos mobilizados no cuidado da dor crônica 7,8 .Um dos aspectos mais fascinantes da dor é a ambigüidade de sua presença entre o corpo e a mente. A dor é definida como sendo "uma experiência sensorial e emocional desagradável relacionada com o dano real ou potencial de algum tecido ou que se descreve em termos de tal dano" 9 (p. 11). Este conceito reflete mudanças nucleares na concepção da dor, absorve o visível e o invisível impostos pela dor, notadamente, a dor crônica.Estudos etnográficos e teóricos, no campo da Antropologia Médica, têm explicitado as impli- ARTIGO ARTICLE 2672Cad. Saúde Pública, Rio de Janeiro, 23(11

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Therapeutic and Anti-Therapeutic Consequences of Workers' Compensation

Cited by 68 publications

References 0 publications

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

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

A Matter of Trust? A Study of Coordination of Swedish Stakeholders in Return-to-Work

A dor crônica sob o olhar médico: modelo biomédico e prática clínica

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