Xuguang Grant Tao, Paul Kauffman, Nimisha Kalia, Nina Leung, Nicholas F Tsourmas, Larry Yuspeh, Edward J Bernacki
{"title":"医疗指示对工伤赔偿制度有影响吗？肩袖撕裂索赔中与长期物理治疗和律师介入相关的雇员和雇主指导医疗护理分析。","authors":"Xuguang Grant Tao, Paul Kauffman, Nimisha Kalia, Nina Leung, Nicholas F Tsourmas, Larry Yuspeh, Edward J Bernacki","doi":"10.1097/JOM.0000000000003480","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To explore differences in employee- or employer-directed medical care for workplace injuries, related to the prolonged physical therapy (PT) and attorney involvement in the workers' compensation claim process.</p><p><strong>Method: </strong>Eight thousand eight hundred fourteen rotator cuff tear claims filed to a nationwide insurance carrier from 2007 to 2022 were analyzed for difference in prolonged PT (≥360 days) and attorney involvement by medical direction groups.</p><p><strong>Result: </strong>Employee-directed and shared employee- and employer-directed medical care had odds ratios of 1.41 and 1.58 for prolonged PT compared with employer direction, respectively. Employer-directed and shared employee and employer medical direction had odds ratios of 2.33 and 1.62 for attorney involvement compared with employee direction, respectively.</p><p><strong>Conclusion: </strong>Employee-directed medical care is associated with more PT, and employer-involved direction is associated with more attorney involvement.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":"e738-e742"},"PeriodicalIF":1.4000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Does Medical Directions Make Any Differences in Workers' Compensation System? Analysis of Employee- and Employer-Directed Medical Care in Relation to Prolonged Physical Therapy and Attorney Involvement Among Rotator Cuff Tear Claims.\",\"authors\":\"Xuguang Grant Tao, Paul Kauffman, Nimisha Kalia, Nina Leung, Nicholas F Tsourmas, Larry Yuspeh, Edward J Bernacki\",\"doi\":\"10.1097/JOM.0000000000003480\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To explore differences in employee- or employer-directed medical care for workplace injuries, related to the prolonged physical therapy (PT) and attorney involvement in the workers' compensation claim process.</p><p><strong>Method: </strong>Eight thousand eight hundred fourteen rotator cuff tear claims filed to a nationwide insurance carrier from 2007 to 2022 were analyzed for difference in prolonged PT (≥360 days) and attorney involvement by medical direction groups.</p><p><strong>Result: </strong>Employee-directed and shared employee- and employer-directed medical care had odds ratios of 1.41 and 1.58 for prolonged PT compared with employer direction, respectively. Employer-directed and shared employee and employer medical direction had odds ratios of 2.33 and 1.62 for attorney involvement compared with employee direction, respectively.</p><p><strong>Conclusion: </strong>Employee-directed medical care is associated with more PT, and employer-involved direction is associated with more attorney involvement.</p>\",\"PeriodicalId\":94100,\"journal\":{\"name\":\"Journal of occupational and environmental medicine\",\"volume\":\" \",\"pages\":\"e738-e742\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of occupational and environmental medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/JOM.0000000000003480\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/9 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of occupational and environmental medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/JOM.0000000000003480","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/9 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
Does Medical Directions Make Any Differences in Workers' Compensation System? Analysis of Employee- and Employer-Directed Medical Care in Relation to Prolonged Physical Therapy and Attorney Involvement Among Rotator Cuff Tear Claims.
Objective: To explore differences in employee- or employer-directed medical care for workplace injuries, related to the prolonged physical therapy (PT) and attorney involvement in the workers' compensation claim process.
Method: Eight thousand eight hundred fourteen rotator cuff tear claims filed to a nationwide insurance carrier from 2007 to 2022 were analyzed for difference in prolonged PT (≥360 days) and attorney involvement by medical direction groups.
Result: Employee-directed and shared employee- and employer-directed medical care had odds ratios of 1.41 and 1.58 for prolonged PT compared with employer direction, respectively. Employer-directed and shared employee and employer medical direction had odds ratios of 2.33 and 1.62 for attorney involvement compared with employee direction, respectively.
Conclusion: Employee-directed medical care is associated with more PT, and employer-involved direction is associated with more attorney involvement.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
