Presentation T P13

T P13 (Poster Presentation):
Dropout of labor insurance because of less than severe disability between occupational and general injury and illness

Presented by: Chung-Li Donald Du

Authors

Du CL1, Liang HW2, Chang HW3, Chang CH4

  1. Department of Environmental and Occupational Medicine, National Taiwan University Hospital
  2. Department of Physical Medicine and Rehabilitation,NTUH
  3. Institute of Epidemiology and Preventive Medicine, NTU
  4. Department of Medical Research, NTUH

Abstract

Background

Workers of severe disability are compulsory withdrawn from Taiwan’s labor insurance after given single payment or annuity, however, some workers also drop-out after less than severe disability, and they are non-compulsory and less noticed. Non-voluntary drop out of labor insurance is worth concerning, for which may signal the risk of unemployment, and may not only influence income but associate with ill-health. The study purpose is to explore non-voluntary drop out situation of disabling workers among labor insurance, and especially to look into whether different picture between the occupational injury and illness (OII) and non-OII population.

Methods

Database was from 2007 to 2012 compensated worker data of Labor Insurance Bureau (LIB), with LIB disability degree 1 to 7 including OII/Non-OII, while LIB degree 8-15 was defined as light disability and excluded. Designed as a case control study, The case group is OII worker and less than severe disabling, of which severe disability (LIB degree 1-3 plus lifetime unable to work) were excluded, while control group are non-OII workers and matched for the same sex and disability degree of cases. They are followed since the year of disability compensation until the year they exit labor insurance, and only the first dropout year was count. Comparison of non-voluntary dropout situation among OII/Non-OII, single/multiple disability and Cox regression analysis of these exit workers, considering other factors, such as age, gender, industry & insurance category were performed.

Results

Among workers with less than severe disabling injury, OII group tend to withdraw labor insurance non-voluntarily more and multiple disability group tend to withdraw more (also including voluntary). OII group tend to exit of labor insurance earlier than those of Non-OII. Other results will be presented later.

Conclusions

Drop out of labor insurance may have more prevalence in OII than Non-OII workers. In addition, multiple disabilities may have more adverse effect. The return to work assistance program, either from government protection regulation a decade ago for OII or new OSH law in 2013 which mandate employer’s responsibility to take care of work fitness of both types of injury and illness, had better pay attention to this ignored issue and related determinants.

Schedule Details

Tuesday September 30
12:45 - 13:45 Poster Viewing
Session: Social issues