149 lines
4.9 KiB
YAML
149 lines
4.9 KiB
YAML
abstract: 'Objectives: To explore the financial and employment impacts following
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serious injury.
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Design: Semi-structured telephone administered qualitative interviews
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with purposive sampling and thematic qualitative analysis.
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Participants: 118 patients (18-81 years) registered by the Victorian
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State Trauma Registry or Victorian Orthopaedic Trauma Outcomes Registry
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12-24 months post-injury.
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Results: Key findings of the study were that although out-of-pocket
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treatment costs were generally low, financial hardship was prevalent
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after hospitalisation for serious injury, and was predominantly
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experienced by working age patients due to prolonged absences from paid
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employment. Where participants were financially pressured prior to
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injury, injury further exacerbated these financial concerns. Reliance on
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savings and loans and the need to budget carefully to limit financial
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burden were discussed. Financial implications of loss of income were
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generally less for those covered by compensation schemes, with
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non-compensable participants requiring welfare payments due to an
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inability to earn an income. Most participants reported that the injury
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had a negative impact on work. Loss of earnings payments from injury
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compensation schemes and income protection policies, supportive
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employers, and return to work programs were perceived as key factors in
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reducing the financial burden of injured participants. Employer-related
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barriers to return to work included the employer not listening to the
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needs of the injured participant, not understanding their physical
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limitations, and placing unrealistic expectations on the injured person.
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While the financial benefits of compensation schemes were acknowledged,
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issues accessing entitlements and delays in receiving benefits were
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commonly reported by participants, suggesting that improvements in
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scheme processes could have substantial benefits for injured patients.
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Conclusions: Seriously injured patients commonly experienced substantial
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financial and work-related impacts of injury. Participants of working
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age who were unemployed prior to injury, did not have extensive leave
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accrual at their pre-injury employment, and those not covered by injury
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compensation schemes or income protection insurance clearly represent
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participants ``at risk'''' for substantial financial hardship post-injury.
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Early identification of these patients, and improved provision of
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information about financial support services, budgeting and work
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retraining could assist in alleviating financial stress after injury (C)
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2014 Elsevier Ltd. All rights reserved.'
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affiliation: 'Gabbe, BJ (Corresponding Author), Monash Univ, Alfred Ctr, Dept Epidemiol
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\& Prevent Med, Commercial Rd, Melbourne, Vic 3004, Australia.
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Gabbe, Belinda J.; Gosling, Cameron M.; Wilson, Krystle; Sutherland, Ann; Hart,
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Melissa; Watterson, Dina, Monash Univ, Dept Epidemiol \& Prevent Med, Melbourne,
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Vic 3004, Australia.
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Gabbe, Belinda J., Swansea Univ, Coll Med, Swansea, W Glam, Wales.
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Sleney, Jude S., Univ Surrey, Dept Sociol, Guildford GU2 5XH, Surrey, England.
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Sutherland, Ann, The Alfred, Emergency \& Trauma Ctr, Melbourne, Vic, Australia.
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Hart, Melissa, Royal Melbourne Hosp, Dept Orthopaed, Parkville, Vic, Australia.
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Watterson, Dina, Alfred Hlth, Occupat Therapy Dept, Melbourne, Vic, Australia.
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Christie, Nicola, UCL, Ctr Transport Studies, Dept Civil Environm \& Geomat Engn,
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London WC1E 6BT, England.'
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author: Gabbe, Belinda J. and Sleney, Jude S. and Gosling, Cameron M. and Wilson,
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Krystle and Sutherland, Ann and Hart, Melissa and Watterson, Dina and Christie,
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Nicola
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author-email: belinda.gabbe@monash.edu
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author_list:
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- family: Gabbe
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given: Belinda J.
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- family: Sleney
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given: Jude S.
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- family: Gosling
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given: Cameron M.
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- family: Wilson
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given: Krystle
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- family: Sutherland
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given: Ann
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- family: Hart
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given: Melissa
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- family: Watterson
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given: Dina
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- family: Christie
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given: Nicola
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da: '2023-09-28'
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doi: 10.1016/j.injury.2014.01.019
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eissn: 1879-0267
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files: []
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issn: 0020-1383
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journal: INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
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keywords: Trauma; Outcomes; Disability; Financial impact; Return to work
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keywords-plus: 'TRAUMA REGISTRY; OUTCOMES; RECOVERY; CARE; COMPENSATION; UNEMPLOYMENT;
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SYSTEM; HEALTH; RETURN; WORK'
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language: English
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month: SEP
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number: '9'
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number-of-cited-references: '30'
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orcid-numbers: 'Christie, Nicola/0000-0001-7152-5240
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Gosling, Cameron/0000-0003-1771-0458
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Gabbe, Belinda/0000-0001-7096-7688'
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pages: 1445-1451
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papis_id: 98cc1a823f17740bdea59cad902e4ced
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ref: Gabbe2014financialemployment
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times-cited: '41'
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title: 'Financial and employment impacts of serious injury: A qualitative study'
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type: article
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unique-id: WOS:000340280900028
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usage-count-last-180-days: '0'
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usage-count-since-2013: '15'
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volume: '45'
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web-of-science-categories: Critical Care Medicine; Emergency Medicine; Orthopedics;
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Surgery
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year: '2014'
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