RESUMEN
INTRODUCTION: In Australia, mental health conditions (MHCs) arising from workplace factors are a leading cause of long term work incapacity and absenteeism. While most patients are treated in general practice, general practitioners report several challenges associated with diagnosing and managing workplace MHCs. This guideline, approved by the National Health and Medical Research Council and endorsed by the Royal Australian College of General Practitioners and the Australian College of Rural and Remote Medicine, is the first internationally to address the clinical complexities associated with diagnosing and managing work-related MHCs in general practice. MAIN RECOMMENDATIONS: Our 11 evidence-based recommendations and 19 consensus-based statements aim to assist GPs with: the assessment of symptoms and diagnosis of a work-related MHC; the early identification of an MHC that develops as a comorbid or secondary condition after an initial workplace injury; determining if an MHC has arisen as a result of work factors; managing a work-related MHC to improve personal recovery or return to work; determining if a patient can work in some capacity; communicating with the patient's workplace; and managing a work-related MHC that is not improving as anticipated. CHANGES IN MANAGEMENT AS RESULT OF THE GUIDELINE: This guideline will enhance care and improve health outcomes by encouraging: the use of appropriate tools to assist the diagnosis and determine the severity of MHCs; consideration of factors that can lead to the development of an MHC after a workplace injury; more comprehensive clinical assessments; the use of existing high quality guidelines to inform the clinical management of MHCs; consideration of a patient's capacity to work; appropriate communication with the workplace; and collaboration with other health professionals.
Asunto(s)
Medicina General/normas , Salud Mental , Australia , Humanos , Trastornos Mentales/diagnóstico , Trastornos Mentales/terapia , Enfermedades Profesionales/diagnóstico , Enfermedades Profesionales/terapia , Lugar de TrabajoAsunto(s)
Curriculum , Atención Odontológica , Educación en Odontología , Accesibilidad a los Servicios de Salud , Servicios de Salud Comunitaria , Clínicas Odontológicas , Odontólogos/provisión & distribución , Política de Salud , Disparidades en Atención de Salud , Humanos , Área sin Atención Médica , Pacientes no Asegurados , Preceptoría , Facultades de Odontología , Estudiantes de Odontología , Estados UnidosRESUMEN
The purpose of this paper is to explore current challenges to the financial security of the world's dental schools, analyse and compare current methods of funding dental education, identify best practices and formulate recommendations in order to assist dental educators to meet future fiscal challenges.