Do Claim Factors Predict Health Care Utilization after Transport Accidents?

Accident Analysis and Prevention 53 (2013) 121–126

6 Pages Posted: 10 Feb 2015

See all articles by Nieke A. Elbers

Nieke A. Elbers

VU University Amsterdam - Faculty of Law

Pim Cuijpers

VU University Amsterdam - Department of Clinical Psychology; The EMGO Institute, VU University Medical Center; The Amsterdam Interdisciplinary Center of Law and Health

Arno Akkermans

Amsterdam Law and Behavior Insitute (A-LAB); Amsterdam Centre for Comprehensive Law; Vrije Universiteit Amsterdam - Faculty of Law

Alex Collie

Monash University - Institute for Safety - Compensation and Recovery Research

Rasa Ruseckaite

Monash University - Institute for Safety - Compensation and Recovery Research

David J. Bruinvels

The Society of Occupational Medicine (NVAB) Utrecht; The Coronel Institute of Occupational Health, Academic Medical Center; The Amsterdam Interdisciplinary Center of Law and Health; VU University Amsterdam - Department of Clinical Psychology

Date Written: June 1, 2012

Abstract

Background: Injured people who are involved in compensation processes have less recovery and less well-being compared to those not involved in claims settlement procedures. This study investigated whether claim factors, such as no-fault versus common law claims, the number of independent medical assessments, and legal disputes, predict health care utilization after transport accidents.

Method: The sample consisted of 68,911 claimants who lodged a compensation claim at the Transport Accident Commission (TAC) in Victoria, Australia, between 2000 and 2005. The main outcome measure was health care utilization, which was defined as the number of visits to health care providers (e.g. general practitioners, physiotherapists, psychologists) during the 5 year period post-accident.

Results: After correction for gender, age, role in accident, injury type, and severity of injury, it was found that independent medical assessments were associated with greater health care utilization (β = .36, p < .001). Involvement in common law claims and legal disputes were both significantly related to health care utilization (respectively β = .05, p < .001 and β = −.02, p < .001), however, the standardized betas were negligible, therefore the effect is not clinically relevant. A model including claim factors predicted the number of health care visits significantly better (ΔR2 = .08, p < .001) than a model including only gender, age, role in accident, injury type, and severity of injury.

Conclusion: The positive association between the number of independent medical assessments and health care utilization after transport accidents may imply that numerous medical assessments have a negative effect on claimants’ health. However, further research is needed to determine a causal relationship.

Keywords: Transport accidents, Compensation processes, Health care utilization, Medical assessments, Therapeutic Jurisprudence

Suggested Citation

Elbers, Nieke A. and Cuijpers, Pim and Akkermans, Arno and Collie, Alex and Ruseckaite, Rasa and Bruinvels, David J., Do Claim Factors Predict Health Care Utilization after Transport Accidents? (June 1, 2012). Accident Analysis and Prevention 53 (2013) 121–126, Available at SSRN: https://ssrn.com/abstract=2562332

Nieke A. Elbers (Contact Author)

VU University Amsterdam - Faculty of Law ( email )

De Boelelaan 1105
1081 HV Amsterdam
Netherlands

Pim Cuijpers

VU University Amsterdam - Department of Clinical Psychology ( email )

Amsterdam, 1081 HV
Netherlands

The EMGO Institute, VU University Medical Center

Amsterdam
Netherlands

The Amsterdam Interdisciplinary Center of Law and Health

De Boelelaan 1105
Amsterdam, 1081HV
Netherlands

Arno Akkermans

Amsterdam Law and Behavior Insitute (A-LAB) ( email )

De Boelelaan 1105
Amsterdam, 1081HV
Netherlands

HOME PAGE: http://https://research.vu.nl/en/persons/arno-j-akkermans

Amsterdam Centre for Comprehensive Law ( email )

Faculty of Law, Initium Building
De Boelelaan 1077
Amsterdam, 1081HV
Netherlands

HOME PAGE: http://https://research.vu.nl/en/persons/arno-j-akkermans

Vrije Universiteit Amsterdam - Faculty of Law ( email )

Amsterdam, 1081 HV
Netherlands
+31205986286 (Phone)
+31205986280 (Fax)

HOME PAGE: http://https://research.vu.nl/en/persons/arno-j-akkermans

Alex Collie

Monash University - Institute for Safety - Compensation and Recovery Research ( email )

23 Innovation Walk
Wellington Road
Clayton, Victoria 3800
Australia

HOME PAGE: http://www.iscrr.com.au/about/people/acollie.html

Rasa Ruseckaite

Monash University - Institute for Safety - Compensation and Recovery Research ( email )

23 Innovation Walk
Wellington Road
Clayton, Victoria 3800
Australia

David J. Bruinvels

The Society of Occupational Medicine (NVAB) Utrecht ( email )

Utrecht
Netherlands

The Coronel Institute of Occupational Health, Academic Medical Center

Amsterdam
Netherlands

The Amsterdam Interdisciplinary Center of Law and Health

De Boelelaan 1105
Amsterdam, 1081HV
Netherlands

VU University Amsterdam - Department of Clinical Psychology ( email )

Amsterdam, 1081 HV
Netherlands

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