Gaps in Workplace Injury Reporting Among Physicians to the United States Bureau of Labor Statistics.

Andrew T Gabrielson, Kristin Chrouser, M Susan Hallbeck, Tara Cohen, Claudia Corwin
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Abstract

Objective: To identify gaps in nonfatal injury and illness (NII) reporting between physicians and other occupations.

Methods: Bureau of Labor Statistics data (2011-2019) were analyzed, comparing annualized NII incidence rates using incidence rate ratios (IRR), with physicians as the reference.

Results: Between 2011-2019, physicians reported significantly lower NII rates compared to high-hazard non-medical occupations (IRR 17.2-70.8, all p < 0.01) and most low-hazard non-medical occupations (IRR 1.2-6.3, all p < 0.01), except lawyers. NII rates among physicians were also lower than those in non-physician medical occupations (IRR 1.4-27.6, all p < 0.01). In 2020, relative NII rates between physicians and non-physician medical occupations decreased but returned to pre-pandemic levels by 2021.

Conclusions: Physicians report significantly lower NII rates than other occupations, likely due to underreporting or undercounting, highlighting a potential gap in occupational injury data.

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向美国劳工统计局报告医生工作场所伤害的差距。
目的:确定医师和其他职业在非致命性伤害和疾病(NII)报告方面的差距。方法:分析美国劳工统计局(Bureau of Labor Statistics) 2011-2019年数据,以医师为参考,采用发病率比(IRR)比较年化NII发病率。结果:2011-2019年期间,除律师外,医生报告的NII率显著低于高风险非医疗职业(IRR 17.2-70.8,均p < 0.01)和大多数低风险非医疗职业(IRR 1.2-6.3,均p < 0.01)。医师的NII率也低于非医师医疗职业(IRR 1.4 ~ 27.6, p < 0.01)。2020年,医生和非医生医疗职业之间的相对NII比率下降,但到2021年恢复到大流行前的水平。结论:医生报告的NII率明显低于其他职业,可能是由于少报或少计,突出了职业伤害数据的潜在差距。
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