Workers' Compensation

Publication Title: 
Neurology

OBJECTIVE: Trace the medical-legal involvement of the 19th century clinical neurologist Jean-Martin Charcot. BACKGROUND: The two major neurologic concerns of the 1800s that involved legal questions were topics of particular academic interest to Charcot: post-traumatic neurologic syndromes and the behavioral consequences of hysteria and hypnotism. Although Charcot's medical views influenced several nonmedical fields, including art, poetry, and drama, his impact on medical-legal issues has not been examined.

Author(s): 
Goetz, Christopher G.
Publication Title: 
The New Zealand Medical Journal

Back injury is one of the commonest claims for accident compensation. A survey carried out over three months in 1984 identified 420 claimants having details of their accidents. Labourers, freezing workers, coal miners and railway workers were at high risk. Over half (54.7%) developed back pain whilst lifting and for almost two-thirds (63.6%) there was a sudden strain. Half had a previous history of back pain and the incidence rose to 70% for those aged 40-59 years. Eighty-two percent returned to work within four weeks.

Author(s): 
Burry, H. C.
Gravis, V.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

The cost of care and the number of days lost because of work injury were analyzed from information gathered in a postal card survey sent to all Iowa back or neck injury claimants (sprain/strain) on record for 1984. Descriptive findings for the flow of care of the respondents were evaluated and a comparison made of the benefits and costs of care received by patients treated by chiropractic doctors (DCs), medical doctors (MDs) or osteopathic doctors (DOs).

Author(s): 
Johnson, M. R.
Schultz, M. K.
Ferguson, A. C.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

This paper reports on a case-control study of 201 randomly selected workers' compensation cases involving disabling low back injuries. To control for claim severity prior to comparison studies on time loss and treatment cost, a classification scheme based on documented clinical signs and symptoms was used to subgroup the claims from two provider groups, chiropractic (DC) and medical (MD), into three categories of clinical presentation. Soft tissue strain/sprain predominated in both provider groups.

Author(s): 
Nyiendo, J.
Lamm, L.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

This paper reports on time loss incurred by chiropractic (DC) and medical (MD) claimants with disabling low back work-related injuries in Oregon. Clinical categorization was accomplished using medical records and was based on reported symptomatology, objective clinical findings and functional impairment. The median time loss days for cases with comparable clinical presentation (severity) was 9.0 for DC cases and 11.5 for MD cases. Chiropractic claimants had a higher frequency of return to work with 1 wk or less of time loss.

Author(s): 
Nyiendo, J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To review the literature and test a new methodology of assessing chiropractic utilization and cost-effectiveness on workers' compensation claimants. DESIGN: A retrospective analysis of data from the WorkCover Authority (WCA) of New South Wales, Australia. MAIN OUTCOME MEASURES: Average chiropractic treatment cost per case, average medical treatment cost per case, comparisons with total compensation payments, assessments of related indirect costs (e.g., pathology tests).

Author(s): 
Tuchin, P. J.
Bonello, R.
Publication Title: 
Occupational Health & Safety (Waco, Tex.)

Despite the AMA's skepticism, employers are using chiropractic and preventive acupuncture. Is homeopathy next?

Author(s): 
Overman, S.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To determine the effect of preauthorization of chiropractic services costs in non-surgical back injury cases in a managed care environment. The program was implemented in the chiropractic provider group by the Worker Compensation Fund of Utah. The results were compared with those of similar injury claims in a separate provider group in which there was no preauthorization program. DESIGN: The study was a retrospective review of approximately 5000 claims from 1986 and 5000 claims from 1989 of injured workers in the Utah Worker Compensation Fund.

Author(s): 
Jarvis, K. B.
Phillips, R. B.
Danielson, C.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

BACKGROUND: In Queensland, Australia, patients with work-related injuries must receive a referral from a general medical practitioner to receive treatment from such "nontraditional" practitioners as physiotherapists, chiropractors or osteopaths, even though these nontraditional practitioners are primary care providers outside of the workers' compensation system. The Chiropractors' Association of Australia (Queensland Branch) (CAAQ) believed that injured workers wishing to receive chiropractic care stood little chance of obtaining a medical referral.

Author(s): 
Simpson, J. K.
Publication Title: 
Spine

STUDY DESIGN: The administrative database maintained by the National Council on Compensation Insurance (United States) was used to compare health care use and indemnity costs within the natural history of work-related low back pain disability. OBJECTIVES: To determine the relative costs of health care services and indemnity at different phases of work disability. SUMMARY OF BACKGROUND DATA: Existing studies have compared total costs along the work disability continuum.

Author(s): 
Williams, D. A.
Feuerstein, M.
Durbin, D.
Pezzullo, J.

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