Understanding the effect of compensation on recovery from severe motor vehicle crash injuries: a qualitative study

Murgatroyd, Darnel; Cameron, Ian D.; Harris, Ian

doi:10.1136/ip.2010.029546

Cited by 72 publications

(67 citation statements)

References 25 publications

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“…In reality this means that with the exception of some claimants (those that can establish severe hardship), many claimants do not have access to their compensation entitlements for extended periods of time [18]. This is a consistent finding in compensation research where claimants have reported issues of 'financial hardship' and difficult experiences in returning to work post injury [16]; and another reporting that stress is associated with understanding the requirements of the claiming process and the time taken to deal with their claims [32]. Given the reported complexities and numerous stressors, it is plausible that it is these stressors, specifically extended exposure to them that contributes to the increasing numbers with lawyer involvement at 12 months post injury.…”

Section: Discussionmentioning

confidence: 53%

“…Scheme participants report that they require 'legal representation to negotiate with insurers and steer them through the claims process despite often disliking the involvement of a lawyer' [16]. Other stress inducing factors occurring within the compensation system such as the frequency of medico-legal assessments and insufficient claims information have been linked to increased legal representation [17].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Associations with legal representation in a compensation setting 12 months after injury

Casey

Feyer²,

Cameron

2015

Injury

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Section: Discussionmentioning

confidence: 53%

Section: Introductionmentioning

confidence: 99%

Associations with legal representation in a compensation setting 12 months after injury

Casey

Feyer²,

Cameron

2015

Injury

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“…For most, working is a financial necessity so recovery [3] and RTW from an unexpected injury are important to workers and their families if only for financial reasons. Murgatroyd et al (2010) considered the effect of compensation on recovery following severe motor vehicle crash injuries and suggested that recovery was particularly stressful for those claiming compensation [9]. In the current study, around half of the participants were in receipt of injury compensation.…”

Section: Discussionmentioning

confidence: 81%

“…Qualitative research has explored recovery from the perspective of the injured person following physical trauma, lower back pain, hand injuries, and upper limb musculoskeletal disorders [9][10][11][12]. Various themes have emerged from these studies including the "importance of the injury event" and "moving on from the trauma" as well as the role of family and work support.…”

Section: Introductionmentioning

confidence: 99%

Injured Workers Perspectives on Recovery following Non-Life-Threatening Acute Orthopaedic Trauma: A Descriptive Study

Clay

Shourie

Robinson

et al. 2014

ISRN Rehabilitation

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Background. Little is known about the recovery process following non-life-threatening acute orthopaedic trauma from the viewpoint of the injured person. A better understanding could facilitate optimal rehabilitative planning. Objective. To explore patients' views on factors important to them in recovery following non-life threatening acute orthopaedic trauma. Methods. Descriptive study utilizing content analysis and chi-square analysis. To better understand recovery expectations, 168 adults who had sustained non-life threatening acute orthopaedic trauma were surveyed at 2, 12, and 26 weeks after injury and invited to respond to the following question "what are the most important things necessary for you to best recover?" Results. According to participant's responses, major themes on recovery involved a return to health and a return to health but with an ongoing plan, and for a minority (12%) recovery involved a focus on their current status. The study found that some recovery expectations changed over time. Conclusion. The journey to recovery is complex, often prolonged, and highly individual. Responses suggest that some injured persons need more assistance for a successful recovery than others. Those who appeared "caught in the moment" of the injury may benefit from clinical and rehabilitative management focusing on long-term recovery and acceptance of the injury event.

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“…Researchers have looked at the impact of the claims process, interactions between injured workers, health care providers and insurers [21–23], and financial and employment considerations [24]. Results showed having a compensation claim had largely negative influence on injury recovery.…”

Section: Introductionmentioning

confidence: 99%

Predictors of seeking financial compensation following motor vehicle trauma: inception cohort with moderate to severe musculoskeletal injuries

Murgatroyd

Harris

Chen

et al. 2017

BMC Musculoskelet Disord

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BackgroundCompensation related factors have been repeatedly associated with poor recovery following orthopaedic trauma. There is limited research into the factors associated with seeking financial compensation. Further understanding of these factors could facilitate injury recovery by purposeful compensation scheme design. The aim of this study was to investigate the predictors of seeking financial compensation, namely making a claim and seeking legal representation, following motor vehicle related orthopaedic trauma. The study was conducted in New South Wales (NSW), Australia, in motor vehicle crash and workers’ compensation schemes.MethodsParticipants were patients admitted with upper or lower extremity factures following a motor vehicle crash to two trauma hospitals. Data were collected at baseline within two weeks of injury. Participants were followed up at six months. Analysis involved: descriptive statistics for baseline characteristics; comparison of compensable and non-compensable participants with Analysis of Variance (ANOVA) and chi-squared tests; and logistic regression for predictor models.ResultsThe cohort consisted of 452 participants with a mean age 40 years; 75% male; 74% working pre-injury; 30% in excellent pre-injury health; 56% sustained serious injuries with an Injury Severity Score (ISS) 9-15; 61% had a low-middle range household income; and 35% self-reported at fault in the crash. There was no significant difference in pre-injury/baseline health between compensable and non-compensable participants. Follow up data was available for 301 (67%) participants.The significant predictor of claiming compensation in the adjusted analysis was higher body mass index (BMI) (overweight Odds Ratio [OR] 3.05, 95% Confidence Interval [CI] 1.63-5.68; obese OR 1.63, 95% CI 0.83-3.20). Participants less likely to claim were: involved in a motorcycle crash (OR 0.47, 95% CI 0.28-0.82); socioeconomically less disadvantaged (OR 0.37, 95% CI 0.17-0.82) or least disadvantaged (OR 0.39, 95% CI 0.17-0.90); at risk for short term harm (injury) due to alcohol consumption (OR 0.56, 95% CI 0.32-0.97); and with fair-poor pre-injury health (OR 0.30, 95% CI 0.09-0.94). The predictors for seeking legal representation were speaking a language other than English at home (OR 2.80, 95% CI 1.2-6.52) and lower household income (OR 3.63, 95% CI 1.22-10.72). Participants less likely to seek legal representation were least socioeconomically disadvantaged (OR 0.15, 95% CI 0.04-0.50).ConclusionsSeeking financial compensation was associated with a higher pre-injury BMI rather than injury-related factors. Seeking legal representation was solely related to socio-economic factors.

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Understanding the effect of compensation on recovery from severe motor vehicle crash injuries: a qualitative study

Cited by 72 publications

References 25 publications

Associations with legal representation in a compensation setting 12 months after injury

Associations with legal representation in a compensation setting 12 months after injury

Injured Workers Perspectives on Recovery following Non-Life-Threatening Acute Orthopaedic Trauma: A Descriptive Study

Predictors of seeking financial compensation following motor vehicle trauma: inception cohort with moderate to severe musculoskeletal injuries

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