• J. Occup. Environ. Med. · May 2009

    Comparative Study

    Health care utilization for musculoskeletal back disorders, Washington State union carpenters, 1989-2003.

    • Hester J Lipscomb, John M Dement, Barbara Silverstein, Kristen L Kucera, and Wilfrid Cameron.
    • Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, NC 27710, USA. Hester.lipscomb@duke.edu
    • J. Occup. Environ. Med. 2009 May 1; 51 (5): 604-11.

    ObjectivePrivate health care utilization rates for musculoskeletal back disorders were contrasted to rates of work-related injuries or disorders for a large cohort of union carpenters over a 15-year period.MethodsYearly utilization rates were compared with rates of work-related back injuries or disorders. Negative binomial regression with generalized estimating equations was used to assess utilization rates based on age, gender, union tenure, type of work, and previous work-related back injuries.ResultsPrivate utilization rates were over twice as high in 2003 as in 1989 whereas compensation rates declined substantially. Utilization was higher among carpenters with less union tenure and increased with the number of work-related injuries.ConclusionsPatterns of utilization across private and workers' compensation delivery systems are not independent; we need to look broadly at sources of health care coverage to better understand the health of working populations.

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