Medical insurance claims associated with international business travel.
Objectives-Preliminary investigations of whether 10 884 staff and consultants of the World Bank experience disease due to work related travel.
Medical insurance claims filed by 4738 travellers during 1993 were compared with claims of non-travellers.
Methods-Specific diagnoses obtained from claims were analysed overall (one or more v no missions) and by frequency of international mission (1,2-3, or =4).
Standardised rate of claims ratios (SRRs) for each diagnostic category were obtained by dividing the age adjusted rate of claims for travellers by the age adjusted rate of claims for non-travellers, and were calculated for men and women travellers separately.
Overall, rates of insurance claims were 80% higher for men and 18% higher for women travellers than their non-travelling counterparts.
Several associations with frequency of travel were found.
SRRs for infectious disease were 1.28,1.54, and 1.97 among men who had completed one, two or three, and four or more missions, and 1.16,1.28, and 1.61, respectively, among women.
The greatest excess related to travel was found for psychological disorders.
For men SRRs were 2.11,3.13, and 3.06 and for women, SRRs were 1.47,1.96, and 2.59.
Conclusions-International business travel may pose health risks beyond exposure to infectious diseases.
Business travellers file medical claims at a greater rate than non-travellers, and for many categories of disease, the rate of claims increases with frequency of travel. (...)
Mots-clés Pascal : Mission professionnelle, International, Voyage, Assurance maladie, Indemnité dédommagement, Activité professionnelle, Risque, Infection, Epidémiologie, Homme, Médecine travail, Pays etranger
Mots-clés Pascal anglais : Professional responsability, International, Travel, Health insurance, Indemnity, Professional activity, Risk, Infection, Epidemiology, Human, Occupational medicine
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0430641
Code Inist : 002B30B04. Création : 19/12/1997.