Effect of physician-dispensed medication on workers' Compensation claim outcomes in the state of Illinois

Jeffrey A. White, Xu Guang Tao, Ryan D. Artuso, Craig Bilinski, James Rademacher, Edward J. Bernacki

Research output: Contribution to journalArticle

Abstract

OBJECTIVE:: To evaluate differences between physician-dispensed and non-physician-dispensed medication with regard to lost time, prescription volume, and pharmaceutical, medical, indemnity costs in the Illinois workers' compensation system. METHODS:: We studied a sample of 6824 workers' compensation indemnity claims that were opened and closed between January 1, 2007, and December 31, 2012, by Accident Fund Holdings in the State of Illinois. RESULTS:: The number of prescriptions per claim and pharmaceutical, medical, and indemnity costs, as well as time out from work, were significantly higher in claims where a pharmaceutical was dispensed by the physician within 90 days of injury than in claims where physician dispensing did not occur. These differences persisted controlling for age, sex, attorney involvement, and injury complexity. CONCLUSION:: Physician dispensing is associated with higher costs and more lost time than pharmacy-dispensed medications in workers' compensation claims.

Original languageEnglish (US)
Pages (from-to)459-464
Number of pages6
JournalJournal of Occupational and Environmental Medicine
Volume56
Issue number5
DOIs
Publication statusPublished - 2014

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ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

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