Work-Related Injuries and Illnesses of Public Workers: A Review of Employees Compensation Claims from GSIS,

Transcription

1 Work-Related Injuries and Illnesses of Public Workers: A Review of Employees Compensation Claims from GSIS, Marissa Lomuntad-San Jose, MD, MOH Supervising Occupational Health Officer Occupational Safety and Health Center

2 OBJECTIVES General: To examine the profile of work-related injuries and illnesses of approved claims for employees compensation (EC) benefits by GSIS in Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

3 OBJECTIVES Specific: To describe the socio-demographic profile of claimants. To identify the types of injuries and illnesses approved for compensation under the EC program. To recommend appropriate preventive safety and health policies/programs based on findings Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

4 METHODS GSIS provided the research team with 4,565 records of compensated claims for EC benefits covering information collected from records included: name, gender, age, occupation, name of agency, type of EC claim (whether for illness or for injury), body parts affected, and date of compensation. Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

5 METHODS Each claimant s information was coded according to: Philippine Standard Occupation Classification (PSOC) Philippine Standard Industry Classification (PSIC) International Statistical Classification of Diseases and Related Health Problems, 10 th Revision (ICD- 10) Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

6 METHODS Data Claims are recorded as number of transactions a person makes in a year, while claimants refer to the person making the claims number of claimants in not equivalent to number of claims Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

7 METHODS Obtain complete database of approved EC claims for 2010, 2011 and 2012 from GSIS (soft copy in Excel format) Manual coding on Type of Industry, Occupation, Type of Injury, Diagnosis of Illnesses and Injuries Perform analysis of data using EPI INFO software Socio-demographic profile Types of Injury Diagnosis of Illnesses and Injuries Report writing and Recommendation Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

8 Results Table 1. Demographic profile of EC claimants by year approved TOTAL Number of Claims 4,565 1,304 (28.57%) 1,882 (41.23%) 1,379 (30.20%) Number of Claimants (person may claim every year) 2,199 (non-repeating names) 658 (non-repeating names) 911 (non-repeating names) 630 (non-repeating names) Female 909 (41.34%) 281 (42.71%) 365 (40.07%) 263 (41.75%) Male 1,290 (58.66%) 377 (57.29%) 546 (59.93%) 367 (58.25%) Age (years) Range years years years years Range of number of claims per person Number of offices 1,711 (non-repeating offices)

9 Results Table 2. Number of unique claims by year approved YEAR COMPENSATED NUMBER OF CLAIMS PERCENT % , % % Total 2, % Claims for the same nature of injury or illness were counted only once per year Example: Claimant A (2010): Sickness X will only be counted once even if claim appeared 12x Sickness Y and Sickness Z will be counted as unique claims

10 Results Table 3. Regional distribution where EC claims were filed by year approved REGIONS TOTAL RANK ARMM BICOL REGION CAGAYAN VALLEY CALABARZON CAR CARAGA CENTRAL LUZON CENTRAL VISAYAS DAVAO REGION EASTERN VISAYAS ILOCOS REGION MIMAROPA NATIONAL CAPITAL REGION NORTHERN MINDANAO WESTERN VISAYAS ZAMBOANGA PENINSULA Total

11 Results Table 4. Occupation of claimants, (claimangt may have multiple claims per year if claims are for different disease or injury) CLASSIFICATION OF OCCUPATION Total Professional Workers count % of year 29.48% 21.15% 15.75% 22.16% Policemen and Soldiers count % of year 0.22% 2.32% 3.03% 1.88% Technical Workers count % of year 4.40% 4.64% 3.97% 4.37% Not Elsewhere Classified count % of year 9.57% 8.60% 13.07% 10.21% Managerial Workers count % of year 2.86% 2.75% 2.33% 2.66% Transportation Workers count % of year 1.21% 1.29% 1.75% 1.40% Teachers and Related Occupations count % of year 20.79% 23.04% 22.52% 22.19% Administrative Workers count % of year 15.07% 13.50% 19.25% 15.67% Clerical Workers count % of year 6.38% 10.06% 9.57% 8.77% Protective Servicemen and other service workers count % of year 3.08% 5.16% 2.92% 3.86% Farmers count % of year 0.00% 0.17% 0.47% 0.20% Woodsmen count % of year 0.11% 0.00% 0.35% 0.14% Laborers count % of year 5.39% 5.93% 2.68% 4.81% Construction Workers count % of year 1.43% 1.38% 2.33% 1.67% Total

12 Results Table 5. Offices where EC claims were filed by year approved OFFICE TOTAL RANK Electric Power Generation, Transmission and Distribution Water Collection, Treatment, Supply Postal Activities Television broadcasting and relay stations and studios including closed circuit television services Central banking Specialized government banking Credit cooperative activities Non-life Insurance Legal Activities Scientific Research and Development National executive and legislative administration Public administration, regional government Public administration, local government Public administration and supervision of financial and fiscal affairs; operation of taxation schemes Ancillary service activities for the government as a whole

13 Results Table 5. Offices where EC claims were filed by year approved (cont) OFFICE TOTAL RANK Regulation of activities of providing health care, education, cultural services and other social services excluding social security Regulation of and contribution to more efficient operation of business Foreign affairs Defense activities Public order and safety activities Compulsory social security activities Public Pre-primary/pre-school education Public general secondary education Public general secondary education for children with special needs Public technical and vocational secondary education Public higher education Public general hospital activities Public sanitaria and other similar activities Rehabilitation of people addicted to drugs or alcohol Social work activities without accommodation Operation of concert and theater halls and other arts facilities TOTAL

14 Results Table 6. Nature of claims by year approved NATURE OF CLAIMS TOTAL Disease Count % within Year 73.62% 75.40% 71.26% 73.64% Injury Count % within Year 20.25% 19.93% 25.83% 21.80% Death Count % within Year 1.61% 2.76% 1.52% 2.06% Not Elsewhere Count Classified % within Year 4.52% 1.91% 1.38% 2.50% Total Count 1,304 1,882 1,378 4,564 % within Year % % %

15 Results Table 7. Most common compensated disease by year approved (multiple claims per year under the same classification counted only once) Classification of Disease (Major Categories ICD 10) Diseases of the heart and circulatory system (including CVAs) Certain infectious and parasitic diseases (includes TB, sepsis, schistosomiasis, etc) Diseases of the genitourinary system (including endstage renal disease, chronic renal disease, Diseases of the respiratory system (includes asthma, COPD, etc.) Diseases of the musculoskeletal system and connective tissues (herniated disc, rheumatoid arthritis, SLE, etc.) Diseases of the nervous system (including neuropathies, carpal tunnel syndrome, multiple sclerosis, etc.) Toxic effects of substances chiefly nonmedicinal as to source (including chemical toxicities) 4 9 5

16 Results Table 8. Most common compensated injuries by year approved (multiple claims per year under the same classification counted only once) Classification of Injury (Major Categories ICD 10) TOTAL Transport accidents Pedestrian injured in unspecified transport accident Discharge from other or unspecified firearm

17 Certain infectious and parasitic diseases Neoplasms Blood Endocrine, Nutritional and Metabolic Mental and Behavioral Nervous System Eye and Ear Circulatory System Respiratory System Digestive System Skin and Subcutaneous Tissue Musculoskeletal System Genitourinary System Congenital Malformation Symptoms and signs involving the circulatory Toxic effects of substances chiefly TOTAL Results Table 9. Diseases by office classification (claimant may have multiple claims for different disease or injury) Office DISEASES Electric Power Generation, Transmission and Distribution Water Collection, Treatment, Supply Postal activities Television broadcasting Central banking Specialized government banking Credit cooperative activities Non-life Insurance Legal activities Research and experimental development on natural sciences and engineering National executive and legislative administration Public administration, regional government Public administration, local government Public administration and supervision of financial and fiscal affairs; operation of taxation schemes Ancillary service activities for the Government as a whole Regulation of activities of providing health care, education, cultural services and other social services excluding social security

18 Certain infectious and parasitic diseases Neoplasms Diseases of the Blood Endocrine, Nutritional and Metabolic Mental and Behavioral Nervous System Eye and Ear Circulatory System Respiratory System Digestive System Skin and Subcutaneous Tissue Musculoskeletal System Genitourinary System Congenital Malformation Symptoms and signs involving the circulatory Toxic effects of substances chiefly nonmedicinal as TOTAL Results Table 9. Diseases by office classification (claimant may have multiple claims for different disease or injury) - continuation Office DISEASES Regulation of and contribution to more efficient operation of business Foreign affairs Defense activities Public order and safety activities Compulsory social security activities Public Pre-primary/pre-school education Public general secondary education Public general secondary education for children with special needs Public technical and vocational secondary education Public higher education Public general hospital activities Public sanitaria and other similar activities Rehabilitation of people addicted to drugs or alcohol Social work activities without accommodation Operation of concert and theater halls and other arts facilities TOTAL

19 Transport accidents Pedestrian injured in unspecified transport accident Unspecified aircraft accident injuring Fall on occupant same level from slipping, tripping and stumbling Contact with knife, sword or dagger Discharge from other and unspecified firearms Explosion of other materials Unspecified drowning and submersion Exposure to unspecified electric current Contact with other and unspecified heat and hot substances Exposure to excessive natural heat Exposure to unspecified factor Exposure to unspecified factor causing other and unspecified injury Unspecified event, undetermined intent Missing TOTAL Results Table 10. Injuries by office classification (claimant may have multiple claims for different disease or injury) INJURIES Office Electric Power Generation, Transmission and Distribution Water Collection, Treatment, Supply Postal activities Television broadcasting Central banking Specialized government banking Credit cooperative activities Non-life Insurance Legal activities Research and experimental development on natural sciences and engineering National executive and legislative administration Public administration, regional government Public administration, local government Public administration and supervision of financial and fiscal affairs; operation of taxation schemes Ancillary service activities for the Government as a whole Regulation of activities of providing health care, education, cultural services and other social services excluding social security

20 Certain infectious and parasitic diseases Neoplasms Blood and Blood- Forming Organs Endocrine, Nutritional and Metabolic Mental and behavioral Nervous System Eyes and Ears Circulatory System Rspirtory System Digestive System Skin and Subcutaneous Tissue Musculoskeletal and Subcutaneous Tissues Genitourinary System Congenital Malformations Symptoms, Sings and Abnormal Clinical and Labroatory Findings Toxic effects of substances chiefly nonmedicinal as to source TOTAL Results Table 11. Disease by occupation classification (claimant may have multiple claims for different disease or injury) CLASSIFICATION OF OCCUPATION Professional Workers Policemen and Soldiers Technical Workers Not Elsewhere Classified Managerial Workers Transportation Workers Teacher and Related Occupations Administrative Workers Clerical Workers Protective Servicemen Farmer Woodsmen Laborers Construction Workers TOTAL

21 Transport accidents Pedestrian injured in unspecified transport accident Unspecified aircraft accident injuring occupant Fall on same level from slipping, tripping and stumbling Contact with knife, sword or dagger Discharge from other and unspecified firearms Explosion of other materials Unspecified drowning and submersion Exposure to unspecified electric current Contact with other and unspecified heat and hot substances Exposure to excessive natural heat Exposure to unspecified factor Exposure to unspecified factor causing other and unspecified injury Unspecified event, undetermined intent Missing TOTAL Results Table 12. Injuries by occupation classification (claimant may have multiple claims for different disease or injury) INJURIES Office Electric Power Generation, Transmission and Distribution Water Collection, Treatment, Supply Postal activities Television broadcasting Central banking Specialized government banking Credit cooperative activities Non-life Insurance Legal activities Research and experimental development on natural sciences and engineering National executive and legislative administration Public administration, regional government Public administration, local government Public administration and supervision of financial and fiscal affairs; operation of taxation schemes Ancillary service activities for the Government as a whole Regulation of activities of providing health care, education, cultural services and other social services excluding social security

22 Transport accidents Pedestrian injured in unspecified transport accident Unspecified aircraft accident injuring occupant Fall on same level from slipping, tripping and stumbling Contact with knife, sword or dagger Discharge from other and unspecified firearms Explosion of other materials Unspecified drowning and submersion Exposure to unspecified electric current Contact with other and unspecified heat and hot substances Exposure to excessive natural heat Exposure to unspecified factor Exposure to unspecified factor causing other and unspecified injury Unspecified event, undetermined intent Missing TOTAL Results Table 12. Injuries by occupation classification (claimant may have multiple claims for different disease or injury) - continuation INJURIES Office Regulation of and contribution to more efficient operation of business Foreign affairs Defense activities Public order and safety activities Compulsory social security activities Public Pre-primary/pre-school education Public general secondary education Public general secondary education for children with special needs Public technical and vocational secondary education Public higher education Public general hospital activities Public sanitaria and other similar activities Rehabilitation of people addicted to drugs or alcohol Social work activities without accommodation Operation of concert and theater halls and other arts facilities TOTAL

23 Summary of Findings The top 3 regions where EC claims were filed and approved are: 1. National Capital Region (NCR), 2. Calabarzon Region, 3. Davao Region. The NCR also ranks first in each of the year reviewed. Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

24 Summary of Findings Diseases of the heart and circulatory system were the most commonly compensated diseases. Infectious diseases ranked second while 3rd are diseases referable to the genitourinary system Diseases of the circulatory system were mostly seen among workers in the professional group as well as among teachers Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

25 Summary of Findings Most common injuries compensated: Vehicular accidents and pedestrian injuries Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

26 DISCUSSION The survey was able to produce two significant outputs: 1. Distribution of occupational disorders and injuries in government workers by office and by occupation information on prevalent or frequently claimed diseases and accidents type of industry or sector would carry the possibility of increased risk to a particular diseases or injury Basis for health promotional and preventive programs Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

27 DISCUSSION 2. Second database generated for compensated claims of government (the first: ) Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

28 DISCUSSION Diseases of the circulatory system were mostly seen among workers in the professional group specific exposures? lifestyle-related factors? OSH and health promotion programs? While the database puts into sharper focus some current safety and health issues of government workers Inadequate occupational exposure data for risk assessments Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

29 Policy Recommendations Inclusion of exposure data/information to facilitate validation / assessment / determination of work-relatedness of diseases Imperative since many diseases may be caused by multiple factors (both occupational and nonoccupational factors) Integral in quality assurance Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

30 Policy Recommendations Establish policies to push for installation of health promotion and OSH programs in the public sector CSC MC and other issuances not responsive (OSHC and multisectoral committees have been initiated to engage CSC to issue OSH guidelines for public sector ) Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

31 Policy Recommendations Use of International Classification of Diseases (ICD) version 10 in recording the diagnosis of diseases and injuries Standardized classification to facilitate epidemiological inferences (mortality and morbidity data, trends, etc.), for efficient health care management, allocation of resources, monitoring and evaluation, research, primary care, prevention and treatment Facilitates comparison of data among organizations, sectors and countries in a consistent and standard way Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

32 Specific Recommendations Compensated diseases be made distinct from the database for the benefits being received by the claimant Multiple claims for a single disease is noted for individuals who may be receiving medical reimbursement several times in a year or those who are receiving other benefits that released several times in a year Department of Labor and Employment OCCUPATIONAL SAFETY AND HEALTH CENTER

33 Thank You!