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Michael B Lax MD MPH Rosemary Klein MS C-ANP Central New York Occupational Health Clinical Center

More than meets the eye: Aspects of social, financial, and emotional impacts of work related injury and illness. Michael B Lax MD MPH Rosemary Klein MS C-ANP Central New York Occupational Health Clinical Center Syracuse, New York. Purpose of the Study.

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Michael B Lax MD MPH Rosemary Klein MS C-ANP Central New York Occupational Health Clinical Center

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  1. More than meets the eye:Aspects of social, financial, and emotional impacts of work related injury and illness Michael B Lax MD MPH Rosemary Klein MS C-ANP Central New York Occupational Health Clinical Center Syracuse, New York

  2. Purpose of the Study • Describe aspects of the impact of occupational disease on Injured Workers: • Barriers accessing medical care • Financial impact • Use and usefulness of legal resources • Overall life impact

  3. Methods • Survey of patients at specialized Occupational Medicine Clinic • Recruited from: • Meeting of Injured Workers • Selected from recent patients • Telephone survey • 50 responses- no one refused

  4. Results

  5. Results • Occupation • Blue Collar 70% • White and Pink Collar 30%

  6. Results- Work Status

  7. Results- Diagnoses

  8. Results- Diagnoses

  9. Results- Diagnoses

  10. Results

  11. Results- Health Insurance • Had health insurance pre Dx 84% • Lost Health insurance post Dx 63% • Lost >6 months 75% • Lost > 1 year 60%

  12. Results- Work related diagnosis • Felt MD thought work related but avoided addressing 54% • Were told had work related Dx but health insurance billed 34% • Told Dx not work related but MD notes suggest it is 12%

  13. Results- Accessing Medical Care

  14. Results- Out of Pocket Expenses

  15. Results- Financial Impacts

  16. Results

  17. Results- Off Work Time Used

  18. Results

  19. Results

  20. Results

  21. Results-Overall Impact on Health • 96% reported adverse impact on physical and/or mental health

  22. Conclusions/Implications • Occupational Disease- profound impact on fundamental aspects of life: • Health • Job • Finances • Social Supports • Identity

  23. Conclusions/Implications • Health Care Providers • Participation in WC • Attitude change Re: WC • Anticipate emotional/mental health issues • Recognize these issues as part of the ‘case’ • Provide or refer for treatment for these issues • Provide information/referral to possible health insurance

  24. Conclusions/Implications • Ties to ‘other’ issues • National health insurance • Serious re-training • Availability of jobs • Corporate externalizing of costs- injured workers bear heavy burden

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