Current Perspectives in Clinical Treatment & Management in Worker's Compensation Cases

Persistent Problems in Clinical Practice

Author(s): Peter Rousmaniere

Pp: 202-208 (7)

DOI: 10.2174/978160805251611101010202

* (Excluding Mailing and Handling)

Abstract

Medical care accounts for 60% of the total cost of workers compensation claims. Claims that payers under invest in medical intelligence, thereby allowing medical errors and sub-optimal treatment to happen more than they need to be. However, structural, system-wide factors are behind some of the persistent problems in clinical practice. Systemic problems persist in making assessments of work causality of injury and in estimating permanent impairment. States have since the early 1990s erected a complex structure of managed care practices, however, they are flawed in a number of ways, and claims payers fail to implement them as comprehensively as they could. Claims are in a position to invest more in medical intelligence to encourage and facilitate improvements in clinical practice .

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      • 16. app/Models/Subject.php:238
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      • 11. app/Models/ContentAccess.php:647
      • 12. app/Http/Controllers/ChapterController.php:1465
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      • 11. app/Models/ContentAccess.php:647
      • 12. app/Http/Controllers/ChapterController.php:1478
      • 13. vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 14. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
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      • 13. app/Models/UserAccess/UserAccess.php:1266
      • 14. app/Http/Controllers/ChapterController.php:1518
      • 15. vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 16. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • 17. vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
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      1.05msalphaeurekaselec_live_10_06_2022UserAccess.php#1266
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      • 13. app/Models/UserAccess/UserAccess.php:1266
      • 14. app/Http/Controllers/ChapterController.php:1549
      • 15. vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 16. vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • 17. vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • select b.banner_link, b.banner_name, b.banner_script, b.banner_remarks, b.banner_file_name, b.banner_placement, bd.content_type, bd.content_id from `tbl_banner` as `b` inner join `tbl_banner_detail` as `bd` on `bd`.`banner_id` = `b`.`banner_id` inner join `users` as `u` on `u`.`id` = `b`.`updated_by` where `b`.`banner_ebook` = 1 and `bd`.`content_type` = 'B' and `bd`.`content_id` = 982 and `b`.`banner_from_date` <= 1740776057 and `b`.`banner_to_date` >= 1740776057 and `b`.`banner_status` = 'A' order by `b`.`banner_id` desc
      62.2msalphaeurekaselec_live_10_06_2022Banner.php#95
      Bindings
      • 0: 1
      • 1: B
      • 2: 982
      • 3: 1740776057
      • 4: 1740776057
      • 5: A
      Backtrace
      • 13. app/Models/Banner.php:95
      • 14. app/Http/helpers.php:404
      • 17. vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 18. vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • 19. vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:73
    • select count(*) as aggregate from `uc_cart_products` where cart_id='408d0ebe199d549ab14394519e5b2e29'
      10.81msalphaeurekaselec_live_10_06_2022Cart.php#271
      Backtrace
      • 15. app/Models/Cart.php:271
      • 16. view::layouts._header:291
      • 18. vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 19. vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • 20. vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:73
    App\Models\Chapter
    1Chapter.php#?
    App\Models\Ebook
    1Ebook.php#?
        _token
        jcFXMgQmkVCzScHK5madduDa1ezpESnogKMw6atJ
        uc_cart_id
        408d0ebe199d549ab14394519e5b2e29
        _previous
        array:1 [ "url" => "http://alpha.eurekaselect.com/chapter/2830" ]
        _flash
        array:2 [ "old" => [] "new" => [] ]
        PHPDEBUGBAR_STACK_DATA
        []
        path_info
        /chapter/2830
        status_code
        200
        
        status_text
        OK
        format
        html
        content_type
        text/html; charset=UTF-8
        request_query
        []
        
        request_request
        []
        
        request_headers
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        request_cookies
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        response_headers
        0 of 0
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        session_attributes
        0 of 0
        array:5 [ "_token" => "jcFXMgQmkVCzScHK5madduDa1ezpESnogKMw6atJ" "uc_cart_id" => "408d0ebe199d549ab14394519e5b2e29" "_previous" => array:1 [ "url" => "http://alpha.eurekaselect.com/chapter/2830" ] "_flash" => array:2 [ "old" => [] "new" => [] ] "PHPDEBUGBAR_STACK_DATA" => [] ]
        ClearShow all
        Date ↕MethodURLData
        #12025-02-28 20:54:17GET/chapter/2830112182