Register      Login
Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Scoping review of claimants’ experiences within Australian workers’ compensation systems

Anne-Marie Dean A C , Mandy Matthewson A , Melissa Buultjens B and Gregory Murphy B
+ Author Affiliations
- Author Affiliations

A Division of Psychology, School of Medicine, Faculty of Health, University of Tasmania, Private Bag 30, Hobart, Tas. 7001, Australia. Email: mandy.matthewson@utas.edu.au

B School of Psychology and Public Health, HS2-534, Corner Kingsbury Drive and Plenty Road, La Trobe University, Bundoora, Vic. 3086, Australia. Email: M.Buultjens@latrobe.edu.au, G.Murphy@latrobe.edu.au

C Corresponding author. Email: annemarie.dean@utas.edu.au

Australian Health Review 43(4) 457-465 https://doi.org/10.1071/AH17244
Submitted: 24 October 2017  Accepted: 7 March 2018   Published: 23 July 2018

Abstract

Objective The aim of this scoping review was to map the literature on the lived experiences of injured workers in Australia in order to better understand the factors that inhibit the transition back to work and improved health. The ultimate aim of the study was to identify areas for further research into workers’ compensation systems and practices that are associated with improved occupational rehabilitation outcomes.

Methods PubMed, ProQuest, Embase and Cumulative Index to Nursing and Allied Health Literature (CINAHL) were searched for eligible articles published in English in peer-reviewed journals from 2001 to 2017. Narrative data synthesis was used to analyse the data collected from included articles.

Results Twelve articles examining injured workers’ experiences within Australian workers’ compensation systems were identified. Injured workers reported similar experiences across states and territories in Australia. Four common themes and three subthemes were noted, namely: (1) relationships and interactions; (2) injured workers’ perceptions (subthemes: mental health effects, social effects and financial effects); (3) the workers’ compensation process; and (4) independent medical evaluations.

Conclusions There are common difficulties that injured workers experience within Australian workers’ compensation systems that are reported to impede rehabilitation and return to work. A less harmful, more cooperative approach to worker rehabilitation and compensation is needed.

What is known about the topic? Different workers’ compensation systems exist throughout Australia. Little is known about injured workers’ perceptions of their experiences within these systems in Australia and whether these experiences are similar or different across systems.

What does this paper add? This scoping review synthesises available evidence showing that injured workers report negative experiences of workers’ compensation systems, and that this experience is similar across the different systems. This review also identified a clear need for future research on workers’ compensation systems in order to promote evidence-based approaches to best support the occupational rehabilitation of injured workers.

What are the implications for practitioners? Evidence suggests a more holistic, biopsychosocial approach is required by practitioners when facilitating an injured worker’s recovery and return to work. This approach is also vital when considering legislative reforms, such as workers’ compensation systems, processes and practices.

Additional keywords: health, occupational health, policy workforce.


References

[1]  Safe Work Australia. Australian workers’ compensation statistics 2015–16. 2018. Available at: https://www.safeworkaustralia.gov.au/system/files/documents/1801/awcs_2015-16_report-20171023_v3_0.pdf [verified 22 February 2018].

[2]  Safe Work Australia. The cost of work-related injury and illness for Australian employers, workers and the community: 2012–13. 2015. Available at: https://www.safeworkaustralia.gov.au/system/files/documents/1702/cost-of-work-related-injury-and-disease-2012-13.docx.pdf [verified 22 February 2018].

[3]  Safe Work Australia. Comparison of workers’ compensation arrangements in Australia and New Zealand. 2012. Available at: https://www.safeworkaustralia.gov.au/doc/comparison-workers-compensation-arrangements-australia-and-new-zealand-2012 [verified 21 June 2018].

[4]  Fair Work Ombudsman. Workers compensation. 2017. Available at: https://www.fairwork.gov.au/leave/workers-compensation [verified 22 June 2017].

[5]  Heads of Workers Compensation Authorities: Australia and New Zealand. Guide: Nationally consistent approval framework for workplace rehabilitation providers. 2015. Available at: http://www.hwca.org.au/wp-content/uploads/2016/08/1-Guide-Nationally-Consistent-Approval-Framework-for-Workplace-Rehabi....pdf [verified 22 July 2016].

[6]  Safe Work Australia. National workers compensation action plan 2010–2013. 2010. Available at: https://www.safeworkaustralia.gov.au/doc/national-workers-compensation-action-plan-2010-2013 [verified 21 June 2018].

[7]  Pollard WM. Injured teachers’ experiences of the Victoria workers’ compensation stress claims process: adversarial and alienating. Health Sociol Rev 2014; 23 102–12.
Injured teachers’ experiences of the Victoria workers’ compensation stress claims process: adversarial and alienating.Crossref | GoogleScholarGoogle Scholar |

[8]  Safe Work Australia. Comparative performance monitoring report. 2014. Available at: https://www.safeworkaustralia.gov.au/system/files/documents/1702/cpm16-web.pdf [verified 22 February 2018].

[9]  Campbell Research. Australia and New Zealand return to work monitor 2011/12. 2012. Clifton Hill, Victoria.

[10]  Murgatroyd DF, Cameron ID, Harris IA. Understanding the effect of compensation on recovery from severe motor vehicle crash injuries: a qualitative study. Inj Prev 2011; 17 222–7.
Understanding the effect of compensation on recovery from severe motor vehicle crash injuries: a qualitative study.Crossref | GoogleScholarGoogle Scholar |

[11]  Calvey J, Jansz J. Women’s experience of the workers’ compensation system in Queensland. Aust J Soc Issues 2005; 40 285–311.
Women’s experience of the workers’ compensation system in Queensland.Crossref | GoogleScholarGoogle Scholar |

[12]  Brijnath B, Mazza D, Singh N, Kosny A, Ruseckaite R, Collie A. Mental health claims management and return to work: qualitative insights from Melbourne, Australia. J Occup Rehabil 2014; 24 766–76.
Mental health claims management and return to work: qualitative insights from Melbourne, Australia.Crossref | GoogleScholarGoogle Scholar |

[13]  Parrish M, Schofield T. Injured workers experiences of the workers compensation claims process: institutional disrespect and the neoliberal state. Health Sociol Rev 2005; 14 33–46.
Injured workers experiences of the workers compensation claims process: institutional disrespect and the neoliberal state.Crossref | GoogleScholarGoogle Scholar |

[14]  Sager L, James C. Injured workers’ perspectives of their rehabilitation process under the New South Wales Workers Compensation System. Aust Occup Ther J 2005; 52 127–35.
Injured workers’ perspectives of their rehabilitation process under the New South Wales Workers Compensation System.Crossref | GoogleScholarGoogle Scholar |

[15]  Grant GM, O’Donnell ML, Spittal MJ, Creamer M, Studdert DM. Relationship between stressfulness of claiming for injury compensation and long-term recovery: a prospective cohort study. JAMA Psychiatry 2014; 71 446–53.
Relationship between stressfulness of claiming for injury compensation and long-term recovery: a prospective cohort study.Crossref | GoogleScholarGoogle Scholar |

[16]  Kilgour E, Kosny A, McKenzie D, Collie A. Healing or harming? Healthcare provider interactions with injured workers and insurers in workers’ compensation systems. J Occup Rehabil 2015; 25 220–39.
Healing or harming? Healthcare provider interactions with injured workers and insurers in workers’ compensation systems.Crossref | GoogleScholarGoogle Scholar |

[17]  Kilgour E, Kosny A, McKenzie D, Collie A. Interactions between injured workers and insurers in workers’ compensation systems: a systematic review of qualitative research literature. J Occup Rehabil 2015; 25 160–81.
Interactions between injured workers and insurers in workers’ compensation systems: a systematic review of qualitative research literature.Crossref | GoogleScholarGoogle Scholar |

[18]  Aurbach R. Breaking the web of needless disability. Work 2014; 48 591–607.
Breaking the web of needless disability.Crossref | GoogleScholarGoogle Scholar |

[19]  Waddell G, Burton A. Concepts of rehabilitation for the management of common health problems. London: The Stationery Office; 2004.

[20]  World Health Organization (WHO). International classification of functioning disability and health (ICF). Geneva: WHO; 2001.

[21]  Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol 2005; 8 19–32.
Scoping studies: towards a methodological framework.Crossref | GoogleScholarGoogle Scholar |

[22]  Mays N, Roberts E, Popay J. Synthesising research evidence. In: Fulop N, Allen P, Clarke A, Black N, editors. Studying the organisation and delivery of health services: research methods. London: Routledge; 2001. pp. 188–220.

[23]  Moher D, Liberati A, Tetzlaff J, Altman D. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement. J Clin Epidemiol 2009; 62 1006–12.
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement.Crossref | GoogleScholarGoogle Scholar |

[24]  Cromie JE, Robertson VJ, Best MO. Physical therapists who claimed workers’ compensation: a qualitative study. Phys Ther 2003; 83 1080–9.

[25]  Roberts-Yates C. The concerns and issues of injured workers in relation to claims/injury management and rehabilitation: the need for new operational frameworks. Disabil Rehabil 2003; 25 898–907.
The concerns and issues of injured workers in relation to claims/injury management and rehabilitation: the need for new operational frameworks.Crossref | GoogleScholarGoogle Scholar |

[26]  Wall CL, Morrissey SA, Ogloff JRP. The workers’ compensation experience: a qualitative exploration of workers’ beliefs regarding the impact of the compensation system on their recovery and rehabilitation. Int J Disabil Manag 2009; 4 19–26.
The workers’ compensation experience: a qualitative exploration of workers’ beliefs regarding the impact of the compensation system on their recovery and rehabilitation.Crossref | GoogleScholarGoogle Scholar |

[27]  Welch A, Walter M, Ezzy D. Long term benefits study workers’ compensation research: phase 2 report. Hobart: School of Sociology and Social Work, University of Tasmania; 2009.

[28]  Welch A, Ezzy D, Walter M. Long term benefits study workers compensation research: phase 3 Research Report. Hobart: School of Sociology and Social Work, University of Tasmania; 2009.

[29]  Tricco AC, Antony J, Soobiah C, Kastner M, Cogo E, MacDonald H, D’Souza J, Hui W, Straus SE. Knowledge synthesis methods for generating or refining theory: a scoping review reveals that little guidance is available. J Clin Epidemiol 2016; 73 36–42.
Knowledge synthesis methods for generating or refining theory: a scoping review reveals that little guidance is available.Crossref | GoogleScholarGoogle Scholar |

[30]  Mays N, Pope C, Popay J. Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. J Health Serv Res Policy 2005; 10 6–20.
Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field.Crossref | GoogleScholarGoogle Scholar |

[31]  Critical Appraisal Skills Programme (CASP). Qualitative research checklist. 10 questions to help you make sense of qualitative research. Oxford: CASP. 2014. Available at: http://media.wix.com/ugd/dded87_29c5b002d99342f788c6ac670e49f274.pdf [verified 4 July 2017].