title: Use of attorneys and appeal filing in the Washington State workers' compensation program: does patient satisfaction matter?
abstract: OBJECTIVE
  Specify the frequency with which injured workers in Washington State's compensation system retained an attorney or filed an appeal, and the personal and job-related correlates of these actions. Analyze the relationship between workers' legal actions and their satisfaction in two domains: how well the claim was managed administratively, and how well the worker and claim manager communicated with one another. Characterize the relationship between retaining an attorney and long-term disability.
  Little is known about how often injured workers retain attorneys or file appeals in the workers' compensation system. We conducted a population-based study to examine the frequency of attorney retention and appeal filing in the Washington State workers' compensation program and the factors related to this event. Data for the study were provided by a survey conducted on 804 injured workers who were interviewed an average of 159 days after claim receipt. Attorney retention and appeal filing were examined up to 28 months later. Seven percent of the workers either retained an attorney or filed an appeal. Workers who were less satisfied with claims administration procedures were more likely to retain an attorney or file an appeal (P<0.05). The average length of time from claim receipt to attorney retention (368 days) suggests that retaining an attorney is a correlate rather than a predictor of long-term disability.
authors.affiliation: Department of Health Services, University of Washington, Seattle 98195-7660, USA. tomwick@u.washington.edu
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Wickizer
authors.forename: Gary
authors.initials: G
authors.lastname: Franklin
authors.forename: Judith
authors.initials: J
authors.lastname: Turner
authors.forename: Deborah
authors.initials: D
authors.lastname: Fulton-Kehoe
authors.forename: Robert
authors.initials: R
authors.lastname: Mootz
authors.forename: Terri
authors.initials: T
authors.lastname: Smith-Weller
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D019538:Health Care Surveys; D006801:Humans; D033241:Lawyers / Q000706:statistics & numerical data*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009784:Occupational Diseases / Q000191:economics* / Q000534:rehabilitation; D017060:Patient Satisfaction; D011787:Quality of Health Care; D014861:Washington; D014942:Workers' Compensation / Q000331:legislation & jurisprudence* / Q000458:organization & administration