摘要
目的 了解昆山市工伤医疗费用的影响因素.方法 通过昆山市人力资源和社会保障局的"江苏人社一体化经办平台"收集2016-2021年昆山市工伤事故数据,采用分位数回归方法分析工伤医疗费用的影响因素.结果 昆山市2016-2021年人均工伤医疗费用中位数(四分位数间距)为1 025.6(7 199.1)元.0.50分位数回归分析结果显示,男性职工工伤医疗费用高于女性(P<0.01);≥46岁组职工工伤医疗费用高于16~<26岁组(P<0.01);老职工工伤医疗费用低于新职工(P<0.01);第三、四、五、六大类风险行业职工工伤医疗费用均高于第一大类风险行业(P值均<0.05);下肢、头颈部、躯干、多部位受伤类工伤医疗费用均低于上肢工伤(P值均<0.01);死亡、5~6级、7~10级、未达级与未定级职工工伤医疗费用均低于1~4级工伤(P值均<0.01);烫伤/烧伤/灼伤类工伤医疗费用高于割伤/擦伤/刺伤工伤(P<0.01).结论 年龄、性别和受伤部位等因素均可影响职工工伤医疗费用.应进一步加强对男性、新入职、第三至六类风险行业、46岁及以上高龄职工等人群的工伤预防;同时预防职工发生烫伤、烧伤、灼伤,上肢受伤,高伤残等级类型的工伤伤害,减轻职工与社会的经济负担.
Abstract
Objective To understand the influencing factors of work-related injury medical expenses in Kunshan City.Methods The work-related injury data of Kunshan City from 2016 to 2021 were collected from the"Jiangsu Human Resources and Social Security Integration Handling Platform"of Kunshan Municipal Human Resources and Social Security Bureau,and the influencing factors of work-related injury medical expenses were analyzed using quantile regression.Results The median(interquartile range)of per capita work-related injury medical expenses in Kunshan City from 2016 to 2021 was 1 025.6(7 199.1)yuan.The result of 0.50 quantile regression analysis showed that the work-related injury medical expenses of male workers were higher than that of female workers(P<0.01),the work-related injury medical expenses of workers aged 46 and above were higher than those aged 16-<26(P<0.01),the work-related injury medical expenses of veteran workers were lower than those of new workers(P<0.01),the work-related injury medical expenses of workers in the third,fourth,fifth,and sixth major risk industries were higher than that in the first major risk industry(all P<0.05),the work-related injury medical expenses on lower limb,head and neck,trunk,and multiple injured areas were lower than upper limb injuries(all P<0.01),the work-related injury medical expenses of workers with death,grades 5 to 6,grades 7 to 10,failure to reach grade,and ungraded injuries were lower than those of workers with grades 1 to 4 injuries(all P<0.01),the medical expenses for work-related injuries such as scalds,burns,and scorch were higher than cuts,abrasions,and stabs injuries(P<0.01).Conclusion The influencing factors of the workers'medical expenses for work-related injuries are age,gender,and injured body part.It is necessary to further strengthen the prevention of work-related injuries for males,new workers,workers in the third to sixth major risk industries,and those aged 46 and above.Meanwhile,it is needed to prevent workers from suffering scalds,burns,scorch injuries,upper limb injuries,and high disability grades injuries,to reduce the economic burden on workers and the society.
基金项目
国家社会科学基金重大项目(17ZDA078)
昆山市基于价值实现的全链式工伤预防体系建设项目(SZGZ2022-FG-027)