Work-related injury insurance (WRII) is essential for protecting workers’ rights and enhancing workplace safety, yet its promotion in construction faces challenges. This study investigates WRII adoption barriers and facilitators in China’s construction sector using a mixed-methods approach. Semi-structured interviews with 14 industry experts were conducted, followed by thematic analysis to identify key barriers. An analytic hierarchy process was then applied to prioritize these barriers. The findings reveal six main barriers: (1) cumbersome claim process, (2) incomplete law and regulation system, (3) weak right-protection awareness of construction workers, (4) weak legal consciousness of contractors, (5) unreasonable compensation treatment and fund management, and (6) difficulties in employment relationship identification. To address these challenges, the study proposes five targeted measures: (1) simplifying the claim process, (2) promulgating authoritative and detailed laws and regulations, (3) strengthening supervision and law enforcement, (4) strengthening advocacy, and (5) improving insurance compensation and fund management. These findings offer practical guidance for policymakers to enhance WRII effectiveness in China’s construction industry and provide insights applicable to other developing countries. Despite limitations related to expert judgment and sector focus, the study offers valuable recommendations for future research on cross-industry comparisons and digital solutions for WRII.
Cheng et al. (Wed,) studied this question.