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Biomedical subjects

R J Pearson

Publications and source records attributed to R J Pearson.

At least 19 recordsLinked to original sources
PubMed1990

Early intervention in low back disability among coal miners in West Virginia: negative findings.

A major issue in the field of workers' compensation is cost containment, not only of medical costs, but of extended disability costs as well. For a 9-month period in 1985 to 1986, the West Virginia Workers' Compensation Fund tested an early intervention case management approach begun within 2 weeks after injury and found it not to be cost effective. In a controlled study of 284 reported back injuries among underground coal miners, medical costs increased with the case management intervention, although only to the extent of the added costs of the intervention, and disability costs and time lost from work did not decrease. Permanent partial disability awards, litigation rates, number of hospitalizations, and return to work were similar between both the experimental and control groups. Regression analyses of 25 factors identified factors most highly predictive of disability and medical costs, but in predicting extended disability, although the factors were 100% sensitive, they were only 43.6% specific. The case management approach was insufficient to prevent extended disability or to lower medical costs.

Absenteeism↗
PubMed1984

The challenge of helping the handicapped.

Disabled persons represent a special problem for health and welfare services, as the services are usually specialized but the patient needs are multiple and need coordination. A brief description is given as to how in Ottawa, Canada, in the mid 1970s, voluntary efforts by health and welfare providers and patients and friends combined to smooth the road for at least some disabled persons.

Delivery of Health Care↗
PubMed1979

Significance of retrospective studies.

Examples of retrospective studies are presented to demonstrate some facets of such studies, both good and bad, pointing out the need for good controls. Also important are a clear idea of the question to be answered, and careful planning around that answer as the study progresses.

Adenocarcinoma↗
PubMed1968

Tools for the job.

Explore the source record for details and available documents.

Equipment and Supplies↗