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Medical insurance claims associated with international business travel.
Occup Environ Med. 1997 Jul; 54(7):499-503.OE

Abstract

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 > or = 4). Standardised rate of claims ratios (SSRs) 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.

RESULTS

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. Because 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. The reasons for higher rates of claims among travellers are not well understood. Additional research on psychosocial factors, health practices, time zones crossed, and temporal relation between travel and onset of disease is planned.

Authors+Show Affiliations

Health Services Department, World Bank, Washington, DC 20433, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9282127

Citation

Liese, B, et al. "Medical Insurance Claims Associated With International Business Travel." Occupational and Environmental Medicine, vol. 54, no. 7, 1997, pp. 499-503.
Liese B, Mundt KA, Dell LD, et al. Medical insurance claims associated with international business travel. Occup Environ Med. 1997;54(7):499-503.
Liese, B., Mundt, K. A., Dell, L. D., Nagy, L., & Demure, B. (1997). Medical insurance claims associated with international business travel. Occupational and Environmental Medicine, 54(7), 499-503.
Liese B, et al. Medical Insurance Claims Associated With International Business Travel. Occup Environ Med. 1997;54(7):499-503. PubMed PMID: 9282127.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Medical insurance claims associated with international business travel. AU - Liese,B, AU - Mundt,K A, AU - Dell,L D, AU - Nagy,L, AU - Demure,B, PY - 1997/7/1/pubmed PY - 1997/7/1/medline PY - 1997/7/1/entrez SP - 499 EP - 503 JF - Occupational and environmental medicine JO - Occup Environ Med VL - 54 IS - 7 N2 - 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 > or = 4). Standardised rate of claims ratios (SSRs) 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. RESULTS: 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. Because 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. The reasons for higher rates of claims among travellers are not well understood. Additional research on psychosocial factors, health practices, time zones crossed, and temporal relation between travel and onset of disease is planned. SN - 1351-0711 UR - https://www.unboundmedicine.com/medline/citation/9282127/full_citation L2 - http://oem.bmj.com/cgi/pmidlookup?view=long&pmid=9282127 DB - PRIME DP - Unbound Medicine ER -