Association Between the Type of First Healthcare Provider and the Duration of Financial Compensation for Occupational Back Pain
Written by Editor   
Tuesday, March 21, 2017 07:13 AM

News bite:  Data from a study of over 5500 workers concludes the type of healthcare provider first visited for back pain is a determinant of the duration of financial compensation during the first 5 months following injury. Chiropractic patients experience the shortest duration of compensation, and physiotherapy patients experience the longest. These differences raise concerns regarding the use of physiotherapists as gatekeepers for the worker’s compensation system.


To compare the duration of financial compensation and the occurrence of a second episode of compensation of workers with occupational back pain who first sought three types of healthcare providers.

We analyzed data from a cohort of 5,511 workers who received compensation from the Workplace Safety and Insurance Board for back pain in 2005. 

Compared with the workers who first saw a physician, those who first saw a chiropractor experienced shorter first episodes of 100% wage compensation, and the workers who first saw a physiotherapist experienced a longer episode of 100% compensation during the first 149 days of compensation. The odds of having a second episode of financial compensation were higher among the workers who first consulted a physiotherapist rather than a physician.

The type of healthcare provider first visited for back pain is a determinant of the duration of financial compensation during the first 5 months. Chiropractic patients experience the shortest duration of compensation, and physiotherapy patients experience the longest. These differences raise concerns regarding the use of physiotherapists as gatekeepers for the worker’s compensation system. Further investigation is required to understand the between-provider differences.


Source: http://chiro.org/wordpress/2017/03/association-between-the-type-of-first-healthcare-provider-and-the-duration-of-financial-compensation-for-occupational-back-pain/