Costs of Occupational Injuries and Illnesses

Front Cover
University of Michigan Press, 2000 - Business & Economics - 310 pages
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.
 

Contents

Introduction and Summary
1
Number of Injuries
4
Number of Illnesses
6
Two Methods for Measuring Costs
7
Costs of Injuries
8
Costs of Disease
9
Workers Compensation Costs across Occupations
10
Who Pays?
11
Estimates of Morbidity and Mortality from
68
Conclusion
88
A WillingnesstoPay Estimate
104
National Council on Compensation Insurance NCCI
107
Costs of Disease
135
Workers Compensation Costs
157
Who Pays?
170
Policy and Cost Comparisons
182

Policy and Cost Comparisons
12
Conclusion
13
Number of Injuries
14
Definitions of JobRelated Injuries
16
Fatalities
17
Nonfatal Injuries
25
Our Fatal and Nonfatal Estimates and Classification Scheme
31
Secondary Sources Literature Review
33
Demographic Occupational Industrial and Regional Characteristics of Injuries
39
Causes of Death and Injury
49
Number of Illnesses
55
Limitations and Assumptions
194
Conclusion
203
Descriptions Problems and Analyses
209
Supplementary Data System SDS
233
Table B2 4 Number and Percentage Distribution of Fatal
239
Table B2 11 Percentage Distribution of Nonfatal Occupational
245
Table B2 13 Average Annual Number of Injuries by Class
246
Notes
259
References
279
Index
305
Copyright

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About the author (2000)

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.

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