{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T18:33:18Z","timestamp":1758479598793,"version":"3.32.0"},"reference-count":16,"publisher":"BMJ","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Occup Environ Med"],"published-print":{"date-parts":[[2006,6]]},"abstract":"<jats:p><jats:bold>Objectives:<\/jats:bold>There is growing evidence that occupational injuries influence workers\u2019 emotional and physical wellbeing, extending healthcare use beyond what is covered by the Workers\u2019 Compensation Board (WCB).<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold>The authors used an administrative database that links individual publicly funded healthcare and WCB data for the population of British Columbia (BC), Canada. They examined change in service use, relative to one year before the injury, for workers who required time off for their injuries (lost time\u200a=\u200aLT) and compared them to other injured workers (no lost time\u200a=\u200aNLT) and individuals in the population who were not injured (non-injured\u200a=\u200aNI).<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold>LT workers increased physician visits (22%), hospital days (50%), and mental healthcare use (43% physician visits; and 70% hospital days) five years after the injury, relative to the year before the injury, at a higher rate than the NI group. For the NLT workers, the level of increased use following the injury was between that of these two groups. These patterns persisted when adjusting for registration in the BC Medical Service Plan (MSP) and several workplace characteristics.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold>Although the WCB system is the primary mechanism for processing claims and providing information about workplace injury, it is clear that the consequences of workplace injury extend beyond what is covered by the WCB into the publicly funded healthcare system.<\/jats:p>","DOI":"10.1136\/oem.2005.022707","type":"journal-article","created":{"date-parts":[[2006,2,24]],"date-time":"2006-02-24T01:48:44Z","timestamp":1140745724000},"page":"396-403","source":"Crossref","is-referenced-by-count":16,"title":["Healthcare use before and after a workplace injury in British Columbia, Canada"],"prefix":"10.1136","volume":"63","author":[{"given":"J A","family":"Brown","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"McDonough","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C A","family":"Mustard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H S","family":"Shannon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2006,2,23]]},"reference":[{"key":"2024052223074003000_63.6.396.1","unstructured":"Association of Workers\u00e2\u0080\u0099 Compensation Boards of Canada. Work Injuries and Diseases. Number of Accepted Time-loss Injuries, by Province, 1982\u00e2\u0080\u00932003. National Work Injuries Statistics Program 2005;Available at http:\/\/www.awcbc.org\/english\/NWISP_Stats.htm (accessed March 2006)."},{"key":"2024052223074003000_63.6.396.2","unstructured":"Bureau of Labor Statistics (BLS). Workplace injuries and illnesses in 2003. United States Department of Labor 2005:1\u00e2\u0080\u009316."},{"key":"2024052223074003000_63.6.396.3","unstructured":"National Institue for Occupational Safety and Health. National Occupational Research Agenda (NORA) update 2001. NIOSH 2001; Pub No 2001\u00e2\u0080\u0093147 :1\u00e2\u0080\u009348."},{"key":"2024052223074003000_63.6.396.4","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(200004)37:4<400::AID-AJIM10>3.0.CO;2-C"},{"key":"2024052223074003000_63.6.396.5","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.10004"},{"key":"2024052223074003000_63.6.396.6","unstructured":"Adams M, Burton J, Butcher F, et al. Aftermath: the social and economic consequences of workplace injury and illness. New Zealand Department of Labour 2002:1\u00e2\u0080\u0093246."},{"key":"2024052223074003000_63.6.396.7","doi-asserted-by":"crossref","first-page":"221","DOI":"10.3233\/WOR-2003-00322","volume":"21","year":"2003","journal-title":"Work"},{"key":"2024052223074003000_63.6.396.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(03)00333-2"},{"key":"2024052223074003000_63.6.396.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0160-2527(99)00027-8"},{"key":"2024052223074003000_63.6.396.10","unstructured":"WorkSafe BC. Workers\u00e2\u0080\u0099 Compensation Board of British Columbia 2005. Available at http:\/\/search.worksafebc.com (accessed March 2006)."},{"key":"2024052223074003000_63.6.396.11","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-199611000-00017"},{"key":"2024052223074003000_63.6.396.12","unstructured":"Martens P. Patterns of regional mental illness disorder diagnoses and service use in Manitoba: a population-based study. Manitoba Centre for Health Policy, University of Manitoba 2004."},{"key":"2024052223074003000_63.6.396.13","unstructured":"Tataryn D, Mustard C, Derksen S. The utilization of medical services for mental health disorders Manitoba: 1991\u00e2\u0080\u00931992. Manitoba Centre for Health Policy, Report #2356 1994."},{"key":"2024052223074003000_63.6.396.14","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1179\/oeh.1998.4.4.209","volume":"4","year":"1998","journal-title":"Int J Occup Environ Health"},{"key":"2024052223074003000_63.6.396.15","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1300\/J045v06n01_08","volume":"6","year":"1994","journal-title":"J Health Soc Policy"},{"key":"2024052223074003000_63.6.396.16","doi-asserted-by":"crossref","unstructured":"Lea G, Crawford T. An expanded role for psychology in British Columbia\u00e2\u0080\u0099s mental and behavioural health care. 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