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. 2002 Sep;92(9):1421-9.
doi: 10.2105/ajph.92.9.1421.

Occupational injury and illness surveillance: conceptual filters explain underreporting

Lenore S Azaroff  1 , Charles Levenstein, David H Wegman
Affiliations

Occupational injury and illness surveillance: conceptual filters explain underreporting

Lenore S Azaroff et al. Am J Public Health. 2002 Sep.

Abstract

Occupational health surveillance data are key to effective intervention. However, the US Bureau of Labor Statistics survey significantly underestimates the incidence of work-related injuries and illnesses. Researchers supplement these statistics with data from other systems not designed for surveillance. The authors apply the filter model of Webb et al. to underreporting by the Bureau of Labor Statistics, workers' compensation wage-replacement documents, physician reporting systems, and medical records of treatment charged to workers' compensation. Mechanisms are described for the loss of cases at successive steps of documentation. Empirical findings indicate that workers repeatedly risk adverse consequences for attempting to complete these steps, while systems for ensuring their completion are weak or absent.

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Figures

FIGURE 1
FIGURE 1
—Simplified flowchart of events necessary to the documentation of work-related injuries and illnesses.
See this image and copyright information in PMC

References

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