Injuries in home health care workers: An analysis of occupational morbidity from a state compensation database

Background Home health services represent one of the fastest-growing segmen ts of the US economy. Home health care workers (HHCWs) might be expected to have a high incidence and increased severity of injury because of inherent difficulty in control over their work environment, and the limited amount of research on injuries in home health care appears to support this hypothe sis. Methods Using data on workers' compensation claims for 1995-1996 from a lar ge state database, we calculated the incidence, frequency, and types of inj uries occurring in this working population. Comparison data were drawn from nursing home (NH) and hospital based nursing personnel. Results An incidence of 52 injuries per 1,000 workers per year was calculat ed; this rate lies between nursing home workers (132/1,000) and hospital-ba sed workers (46/1,000). The percentage of indemnified (>3 days lost-time) i njuries was increased over those occurring in nursing home personnel. Mean number of days lost from work by home health workers was 44, significantly increased from the average 18 and 14 days lost by NH and hospital nursing w orkers, respectively. Mean indemnity payment was $1,523 and mean medical co sts were $1,276 per injury. Permanent partial disability awards were made t o 19 (4.9%) of the injured HHCWs during the 2-year study period; back injur ies accounted for 63% (12) of these awards. Overexertion injuries and falls accounted for 63% of total injuries in this group of workers, while 13.5% occurred as a result of motor vehicle accidents. The incidence of injury at tributed to motor vehicles in HHCWs was 7 per 1,000 workers per year an ord er of magnitude greater than in NH and hospital workers. Conclusions These data indicate that injuries to HHCWs, though less frequen t than in their nursing home counterparts, result in greater lost time from work and accompanying costs, which may indicate greater severity of injury . Characteristics of home health work, including increased intensity and sp eed of work, adverse working conditions, and the necessity of motor vehicle transportation as a condition of work may be contributors to injury in thi s setting. Further investigation of determinants of accidents and injuries in home health care, both in the actual setting where the work takes place and in the way it is structured is warranted. (C) 1999 Wiley-Liss, Inc.