Certified Safe Farm Evaluating Health Insurance Claims

经认证的安全农场评估健康保险索赔

• 批准号: 6914171
• 负责人: KELLEY JON DONHAM
• 金额: $ 25.01万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-01 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6914171
• 关键词: agriculture worker; clinical research; cooperative study; education; health care cost /financing; health insurance; human subject; injury prevention; managed care; occupational hazard; occupational health /safety

DESCRIPTION (provided by applicant): Agriculture is one of the most hazardous industries in the US. A recent systematic review of farm safety interventions found little evidence of the interventions being effective. The Certified Safe Farm (CSF) program has shown exceptional potential to become a widely used effective intervention model. Our pilot results show a 17% reduction in total farm related injury and illness costs and 35% reduction in the costs covered by insurance. These results are very promising, but they are self-reported, and may be subject to bias. We propose to validate these results in this new proposed study, which has large sample sizes and measures success with actual health insurance claims data. Iowa Farm Bureau Federation, Wellmark Blue Cross Blue Shield of Iowa, and AgriSafe Network are our active partners. The specific aims of this project are to: 1. Enroll 600 Iowa farmers into the CSF program who are members of the Iowa Farm Bureau Federation and have Wellmark health insurance coverage through Iowa Farm Bureau Federation. 2. Provide CSF services (agricultural occupational health screenings, education, and on-farm safety reviews) to each of the enrolled farmers twice during the four-year project. 3. Provide safety and health education to CSF farm families on a continual basis. 4. Conduct retrospective and prospective analyses of health insurance claims data for the 600 CSF farmers and at least 2400 control farmers who are also Iowa Farm Bureau-Wellmark insurees. 5. Analyze the association of health outcomes and demographic, farm production, health, insurance, and farm hazard characteristics. 6. Utilize project findings to build an ongoing CSF program in collaboration with insurance and agribusiness partners. The CSF program has shown to be well received among farmers, feasible to implement, and transportable to different farming situations. It has shown to reduce farm hazards, increase the use of personal protective equipment, reduce respiratory symptoms, and decrease farm-related injury and illness costs. This proposal aims to take this program to the next level - a sustainable ongoing program linked with farm organizations, insurance companies, and agribusinesses. Positive results from this study will provide justification for the private sector to invest in the CSF program. With insurance and agribusiness participation, this program has the potential to achieve high participation rates among farmers and make a significant difference in reducing the burden of injuries and illnesses in US agriculture.

描述（由申请人提供）：农业是美国最危险的行业之一。最近对农场安全干预措施的系统审查发现几乎没有证据表明这些干预措施有效。安全农场认证 (CSF) 计划已显示出成为广泛使用的有效干预模式的巨大潜力。我们的试点结果显示，与农场相关的伤害和疾病总成本减少了 17%，保险涵盖的成本减少了 35%。这些结果非常有希望，但它们是自我报告的，可能会存在偏差。我们建议在这项新提出的研究中验证这些结果，该研究具有大样本量并通过实际健康保险索赔数据来衡量成功程度。爱荷华州农业局联合会、爱荷华州 Wellmark Blue Cross Blue Shield 和 AgriSafe Network 是我们的积极合作伙伴。该项目的具体目标是： 1. 将 600 名爱荷华州农民纳入 CSF 计划，他们是爱荷华州农场局联合会的成员，并通过爱荷华州农场局联合会拥有 Wellmark 健康保险。 2. 在四年的项目期间，为每位登记农民提供两次 CSF 服务（农业职业健康检查、教育和农场安全审查）。 3、持续对CSF农户进行安全健康教育。 4. 对 600 名 CSF 农民和至少 2400 名同样是爱荷华州农场局 Wellmark 被保险人的对照农民的健康保险索赔数据进行回顾性和前瞻性分析。 5. 分析健康结果与人口、农业生产、健康、保险和农场灾害特征的关联。 6. 利用项目结果与保险和农业企业合作伙伴合作建立持续的 CSF 计划。 CSF 计划已被证明深受农民欢迎，实施可行，并且可推广到不同的农业情况。事实证明，它可以减少农场危害，增加个人防护设备的使用，减少呼吸道症状，并减少与农场相关的伤害和疾病成本。该提案旨在将该计划提升到一个新的水平——一个与农场组织、保险公司和农业企业相关的可持续持续计划。这项研究的积极结果将为私营部门投资 CSF 计划提供理由。通过保险和农业企业的参与，该计划有可能实现农民的高参与率，并在减轻美国农业的伤害和疾病负担方面发挥重大作用。