Costs of Occupational Injuries and Illnesses

Costs of Occupational Injuries and Illnesses
Author: J. Paul Leigh
Publisher: University of Michigan Press
Total Pages: 332
Release: 2000
Genre: Business & Economics
ISBN: 9780472110810

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As the debate over health care reform continues, costs have become a critical measure in the many plans and proposals to come before us. Knowing costs is important because it allows comparisons across such disparate health conditions as AIDS, Alzheimer's disease, heart disease, and cancer. This book presents the results of a major study estimating the large and largely overlooked costs of occupational injury and illness--costs as large as those for cancer and over four times the costs of AIDS. The incidence and mortality of occupational injury and illness were assessed by reviewing data from national surveys and applied an attributable-risk-proportion method. Costs were assessed using the human capital method that decomposes costs into direct categories such as medical costs and insurance administration expenses, as well as indirect categories such as lost earnings and lost fringe benefits. The total is estimated to be $155 billion and is likely to be low as it does not include costs associated with pain and suffering or of home care provided by family members. Invaluable as an aid in the analysis of policy issues, Costs of Occupational Injuryand Illness will serve as a resource and reference for economists, policy analysts, public health researchers, insurance administrators, labor unions and labor lawyers, benefits managers, and environmental scientists, among others. J. Paul Leigh is Professor in the School of Medicine, Department of Epidemiology and Preventive Medicine, University of California, Davis. Stephen Markowitz, M.D., is Professor in the Department of Community Health and Social Medicine, City University of New York Medical School. Marianne Fahs is Director of the Health Policy Research Center, Milano Graduate School of Management and Urban Policy, New School University. Philip Landrigan, M.D., is Wise Professor and Chair of the Department of Community Medicine, Mount Sinai Medical Center, New York.

The Economic Burden of Occupational Fatal Injuries to Civilian Workers in the United States Based on the Census of Fatal Occupational Injuries, 1992-2002

The Economic Burden of Occupational Fatal Injuries to Civilian Workers in the United States Based on the Census of Fatal Occupational Injuries, 1992-2002
Author: Department of Health and Human Services
Publisher:
Total Pages: 178
Release: 2014-02-16
Genre: Technology & Engineering
ISBN: 9781495967658

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The national burden imposed by occupational injury and illness encompasses numerous areas of personal and public life: It deeply affects personal well-being, it affects relationships between workers, their families, and their communities, and it affects the institutions and governing bodies of this country. This burden includes a component that is vital to overall function and health at the national, local, and personal level—the economic component of loss. To more completely understand the burden imposed by injury and illness in the workplace, it is necessary to further develop measures of the economic component of loss. This document attempts to add an economic dimension to existing research efforts addressing the incidence and prevalence measures of loss associated with fatal occupational injury. This research effort is of long standing within the National Institute for Occupational Safety and Health (NIOSH) and has been previously reported in such documents as The Cost of Fatal Injuries to Civilian Workers in the United States, 1992–2001, which is based on surveillance conducted within NIOSH and which draws on counts and information from the vital statistic reporting systems across the Nation. The current document builds on this research and incorporates new information and counts from current and revised methods regarding fatal occupational injury, which are described in greater detail within the text of this document. The findings are compelling: Over the period studied, 1992–2002, the costs from these premature deaths exceeded $53 billion, an amount greater than the reportable gross domestic product for some States. These findings inform national efforts to reduce this severe toll on our nation's workers, institutions, communities, and the nation itself. Researchers and concerned parties within the occupational and public health professions, academics, organizations focusing on workplace safety, labor unions, and the business community have all proven to be willing and avid users of this data and have used this research to continue their efforts, in concert with continuing NIOSH research efforts, to reduce the great toll that fatal occupational injuries impose on our workers, workplaces, and nation.

The Economic Burden of Occupational Fatal Injuries to Civilian Workers in the United States Based on the Census of Fatal Occupational Injuries, 1992-2002

The Economic Burden of Occupational Fatal Injuries to Civilian Workers in the United States Based on the Census of Fatal Occupational Injuries, 1992-2002
Author: Elyce Anne Biddle
Publisher:
Total Pages: 167
Release: 2011
Genre: Industrial accidents
ISBN:

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"Researchers within the National Institute for Occupational Safety and Health (NIOSH) have a longstanding commitment to determining the circumstances and costs of fatal occupational injury, reflecting the national commitment to understanding the severity and gravity of these incidents. Additional efforts have been undertaken to establish methods and recommendations to reduce the toll on our country's workers. This document continues this commitment to understanding and enumerating the dimensions of this nation's loss from fatal occupational injury. Despite the importance of fatal occupational illness, this document is limited to the economic burden of fatal occupational injuries. Beginning in 1992, the Bureau of Labor Statistics (BLS) augmented their injury surveillance efforts with a national, systematic and comprehensive surveillance system to collect information on all fatal occupational injuries in the U.S. The joint State-Federal program, the Census of Fatal Occupational Injuries (CFOI), was designed to record, manage, and publish data from reporting systems in all 50 States and the District of Columbia on fatal occupational injuries. NIOSH researchers integrated data from the CFOI program into their continued research efforts, beginning with the initial reporting year, and have published a number of documents related to the NIOSH mission. In addition to reporting prevalence measures of fatal occupational injury, NIOSH researchers also developed measures to capture the economic costs from these incidents. These efforts reflected underlying concerns that the full measure of such loss must include the economic component of this loss. Such a measure not only captures an important additional component of the loss experience for the worker, employer, and encompassing social structure, but may also serves to direct limited resources toward the most effective prevention strategies. The cost-of-illness method, which sums direct and indirect lifetime costs, was used to calculate the mean, median, and total societal costs for the fatal occupational injuries reported through the CFOI program. Indirect costs are calculated for each incident by accounting for median annual compensation at the time of death, the probability of survival, household production, wage growth rate adjustments, and the real discount rate. These costs are then added to the direct lifetime cost of medical expenses to arrive at the societal cost of fatal injury. The addition of the value of household production costs to this model represents advancement in methodology over previous models, which simply accounts for loss of income from wages and presents a point of departure from previous studies. In summary, the current document provides detailed information on the extent of economic loss for premature occupational fatality for the years 1992 through 2002. These estimates are based on a well-known methodology in the field of direct and indirect cost estimation that was adapted by NIOSH [Rice 1965; Rice 1966; Miller et al.1995; Rice et al.1989; Leigh et al. 2000; Finkelstein et al. 2006]. The method is grounded in economic theory and has been reviewed by experts in the fields of economic costing and surveillance systems. Detailed information within this document includes the number of fatal occupational injuries and their total, mean, and median societal costs for each State and by worker and case characteristics" - NIOSHTIC-2

A Smarter National Surveillance System for Occupational Safety and Health in the 21st Century

A Smarter National Surveillance System for Occupational Safety and Health in the 21st Century
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 319
Release: 2018-04-27
Genre: Medical
ISBN: 0309462991

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The workplace is where 156 million working adults in the United States spend many waking hours, and it has a profound influence on health and well-being. Although some occupations and work-related activities are more hazardous than others and face higher rates of injuries, illness, disease, and fatalities, workers in all occupations face some form of work-related safety and health concerns. Understanding those risks to prevent injury, illness, or even fatal incidents is an important function of society. Occupational safety and health (OSH) surveillance provides the data and analyses needed to understand the relationships between work and injuries and illnesses in order to improve worker safety and health and prevent work-related injuries and illnesses. Information about the circumstances in which workers are injured or made ill on the job and how these patterns change over time is essential to develop effective prevention programs and target future research. The nation needs a robust OSH surveillance system to provide this critical information for informing policy development, guiding educational and regulatory activities, developing safer technologies, and enabling research and prevention strategies that serves and protects all workers. A Smarter National Surveillance System for Occupational Safety and Health in the 21st Century provides a comprehensive assessment of the state of OSH surveillance. This report is intended to be useful to federal and state agencies that have an interest in occupational safety and health, but may also be of interest broadly to employers, labor unions and other worker advocacy organizations, the workers' compensation insurance industry, as well as state epidemiologists, academic researchers, and the broader public health community. The recommendations address the strengths and weaknesses of the envisioned system relative to the status quo and both short- and long-term actions and strategies needed to bring about a progressive evolution of the current system.

Investing in Health

Investing in Health
Author: Irina Farquhar
Publisher: Elsevier
Total Pages: 476
Release: 2001-08-31
Genre: Juvenile Nonfiction
ISBN: 9780762306978

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Public health has, for many years, been concerned with efforts to increase the efficiency of health care delivery, to measure changes in health care resource utilization and associated costs, and to link these changes to different types of interventions. These efforts, as well as collaboration between biopharmaceutical organizations, producers of medical devices, and managed care and public health organizations, have been enhanced by the opportunities created within the fast growing field of outcomes research. This volume presents studies contributing to the enhancement of the outcomes research paradigm by incorporating economic and social interactions within the health care delivery, clinical decision-making and outcomes systems. A multidisciplinary team of scientists in the fields of outcomes research, pharmacoeconomics, public health, health services research, and health economics address such complex problems as: benefits and cost of advancements in genetic technologies; methodologies for constructing health care utilization and cost estimates; and the effect of insurance type on resource utilization and health outcomes. Other studies consider both the types of drugs purchased and the prices paid, pharmaceutical spending and health outcomes, incremental advantages of newer treatments, willingness to pay measurements, disease-specific impacts on human capital and quality of life, and modelling clinical trial results. One of the most important findings in this book is the description of the role of low energy in the symptomatology of depression and its strong relationship with absenteeism, work productivity and social functioning. Another paper documents the disease-specific mortality, case-fatality and annual health care utilization in diabetics and establishes the association of respiratory conditions with elevated mortality among diabetics. The work contains other papers which provide significant results in cardiovascular, infectious, central nervous system disease areas as well as in quality of life and health outcomes measurements.

Musculoskeletal Disorders and the Workplace

Musculoskeletal Disorders and the Workplace
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 510
Release: 2001-05-24
Genre: Business & Economics
ISBN: 0309132991

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Every year workers' low-back, hand, and arm problems lead to time away from jobs and reduce the nation's economic productivity. The connection of these problems to workplace activities-from carrying boxes to lifting patients to pounding computer keyboards-is the subject of major disagreements among workers, employers, advocacy groups, and researchers. Musculoskeletal Disorders and the Workplace examines the scientific basis for connecting musculoskeletal disorders with the workplace, considering people, job tasks, and work environments. A multidisciplinary panel draws conclusions about the likelihood of causal links and the effectiveness of various intervention strategies. The panel also offers recommendations for what actions can be considered on the basis of current information and for closing information gaps. This book presents the latest information on the prevalence, incidence, and costs of musculoskeletal disorders and identifies factors that influence injury reporting. It reviews the broad scope of evidence: epidemiological studies of physical and psychosocial variables, basic biology, biomechanics, and physical and behavioral responses to stress. Given the magnitude of the problem-approximately 1 million people miss some work each year-and the current trends in workplace practices, this volume will be a must for advocates for workplace health, policy makers, employers, employees, medical professionals, engineers, lawyers, and labor officials.

The Incidence and Economic Burden of Injuries in the United States

The Incidence and Economic Burden of Injuries in the United States
Author: Eric Finkelstein
Publisher:
Total Pages: 202
Release: 2006
Genre: Business & Economics
ISBN: 019517948X

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Injuries are one of the most serious public health problems facing the United States today. Through premature death, disability, medical cost and lost productivity, injuries impact the health and welfare of all Americans. Deaths only begin to tell the story. Although many injuries are minor, a large proportion result in fractures, amputations, burns, or other significant injuries that have far-reaching consequences. Now, for the first time in over 15 years, we have comprehensive estimates of the impact of these injuries in economic terms. This book updates a landmark Report to Congress from 1989. Since the report, no undertaking has addressed the incidence and economic burden of injuries with more timely data, despite major changes in the fields of prevention, reporting, and surveillance. Since the mid-eighties, new safety technologies have been developed to prevent injuries or to decrease the severity of injuries, and new policies and laws have been enacted to promote injury prevention. Chapter topics include incidence by detailed categorizations, lifetime medical costs and productivity losses as a result of injuries, and a discussion of recent trends. Lavishly illustrated with tables and graphs, this volume is a valuable reference for public health practitioners, researchers, and students alike.

Reducing the Burden of Injury

Reducing the Burden of Injury
Author: Committee on Injury Prevention and Control
Publisher: National Academies Press
Total Pages: 336
Release: 1999-01-04
Genre: Medical
ISBN: 0309593468

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Injuries are the leading cause of death and disability among people under age 35 in the United States. Despite great strides in injury prevention over the decades, injuries result in 150,000 deaths, 2.6 million hospitalizations, and 36 million visits to the emergency room each year. Reducing the Burden of Injury describes the cost and magnitude of the injury problem in America and looks critically at the current response by the public and private sectors, including: Data and surveillance needs. Research priorities. Trauma care systems development. Infrastructure support, including training for injury professionals. Firearm safety. Coordination among federal agencies. The authors define the field of injury and establish boundaries for the field regarding intentional injuries. This book highlights the crosscutting nature of the injury field, identifies opportunities to leverage resources and expertise of the numerous parties involved, and discusses issues regarding leadership at the federal level.

Preventing Illness and Injury in the Workplace

Preventing Illness and Injury in the Workplace
Author:
Publisher:
Total Pages: 440
Release: 1985
Genre: Accidents
ISBN:

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Research report evaluating the present situation and suggesting ways of improving occupational health and occupational safety in the USA - identifies common hazards; shows how protective equipment, ergonomics and safety training can help reduce occupational accidents; explains the role of government agencys and labour inspection; includes a glossary of safety terms. Bibliography, illustrations, organigram, statistical tables.