Physician review of workers' compensation case files: Can it affect decision outcomes?

Mark E. Hammett, Christopher Jankosky, John Muller, Elizabeth Hughes, Francesca Litow

Research output: Contribution to journalReview articlepeer-review

Abstract

Objective: To identify common attributes of Federal workers' compensation cases referred to Navy physicians for medical opinions and to determine the impact of the review on the final case decision. Methods: Retrospective case study and descriptive analysis of 258 opinion letters written by physicians on referred cases from 2006 to 2010. Results: Navy physician opinions were considered in the outcome in some of the cases, and there was a statistically significant difference between the claim acceptance rate in the study population and the total population. Worker age was correlated with certain claim types. Conclusions: There is preliminary evidence that the opinion letters of Navy physicians influenced case decisions. Because of the selection bias in how the cases came to the study population, a prospective cohort study is warranted to establish whether this conclusion and the other results noted are valid.

Original languageEnglish (US)
Pages (from-to)17-22
Number of pages6
JournalMilitary medicine
Volume177
Issue number1
DOIs
StatePublished - Jan 2012

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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