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1.
BMC Health Serv Res ; 22(1): 1142, 2022 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-36085150

RESUMO

BACKGROUND: Effective care services for people whose work participation is at risk require low-threshold access, a comprehensive diagnostic clarification of intervention needs, a connection to the workplace and job demands, and interdisciplinary collaboration between key stakeholders at the interface of rehabilitation and occupational medicine. We have developed a comprehensive diagnostic service to clarify intervention needs for employees with health restrictions and limited work ability: this service is initiated by occupational health physicians. METHODS/DESIGN: Our randomized controlled trial tests the effectiveness of a comprehensive diagnostic service for clarifying intervention needs (GIBI: Comprehensive clarification of the need for intervention for people whose work participation is at risk). The comprehensive intervention comprises three elements: initial consultation, two-day diagnostics at a rehabilitation center and follow-up consultations. We will include 210 employees with health restrictions and limited work ability, who are identified by occupational health physicians. All individuals will receive an initial consultation with their occupational health physician to discuss their health, work ability and job demands. After this, half the individuals are randomly assigned to the intervention group and the other half to the waiting-list control group. Individuals in the intervention group start two-day diagnostics, carried out by a multi-professional rehabilitation team in a rehabilitation center, shortly after the initial consultation. The diagnostics will allow first recommendations for improving work participation. The implementation of these recommendations is supported by an occupational health physician in four follow-up consultations. The control group will receive the comprehensive two-day diagnostic service and subsequent follow-up consultations six months after the initial consultation. The primary outcome of the randomized controlled trial is self-rated work ability assessed using the Work Ability Score (0 to 10 points) six months after study inclusion. Secondary outcomes include a range of patient-reported outcomes regarding physical and mental health, impairment, and the physical and mental demands of jobs. DISCUSSION: This randomized controlled trial is designed to test the effects of a new complex intervention involving a comprehensive clarification of intervention needs in order to promote work participation and prevent the worsening of health and work disability. TRIAL REGISTRATION: German Clinical Trials Register (DRKS00027577, February 01, 2022).


Assuntos
Medicina , Médicos do Trabalho , Medicina do Trabalho , Serviços de Diagnóstico , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Centros de Reabilitação
2.
Ned Tijdschr Geneeskd ; 1662022 08 10.
Artigo em Holandês | MEDLINE | ID: mdl-36036703

RESUMO

Work-related asthma is an underestimated problem. More awareness is needed for early identification of work-related lung diseases to prevent permanent damage in patients with lung diseases. Work-related asthma can lead to an increase in the burden of disease, the number of exacerbations and hospital admissions. Therefore, exposure to substances with irritating and/or sensitizing properties should be regarded as an additional treatable trait in asthma treatment. The number of occupations where such exposures plays a role is large and diverse. Inquiring about the profession, activities or future career choice of the (asthma) patient during the first consultation is of great importance for the correct diagnosis and treatment. Cooperation between pulmonologist, lung nurse, ENT specialist, dermatologist, company doctor and occupational hygienist can contribute to this. A regional organization with a 'multidisciplinary consultation' for occupational lung diseases is important to guarantee optimal care and advice. The clinical case series demonstrate work-related asthma in clinical practice.


Assuntos
Asma , Doenças Profissionais , Exposição Ocupacional , Médicos do Trabalho , Asma/diagnóstico , Asma/etiologia , Asma/terapia , Humanos , Doenças Profissionais/diagnóstico
3.
Artigo em Inglês | MEDLINE | ID: mdl-35954960

RESUMO

Workers' health surveillance is considered essential for employees' health and protection against hazardous working conditions. It is one part of occupational health care and thus one of four pillars of holistic workplace health management. In Germany, employers are obliged to provide mandatory and voluntary occupational health care (OHC) to employees, dependent on the defined occupational hazards. However, employees are not obliged to make use of voluntary OHC. No empirical information is available about the uptake of voluntary OHC by employees and the influencing factors in Germany. Thus, we carried out an explorative multi-perspective study with qualitative and quantitative elements to get insights from the view of occupational health physicians (OHPs) and employees. We conducted a survey among OHPs based on prior statements from two focus group discussions. A multivariate logistic regression analysis was performed to detect enablers and barriers regarding employee uptake of the offered voluntary OHC. We used extended qualitative methods among employees instead of an analogous survey. In total, 460 OHPs participated in the survey (response rate 29.1%), and 25 employees took part in interviews. Most of the employees had not heard the term voluntary OHC before, and only a few remembered respective occupational health care after explanatory request. In total, 78% of the OHPs assessed that employees always/mostly take up voluntary OHC. The most important attributed reason for non-uptake was that employees see no need for occupational health care when they feel healthy. The most important enabler for the perceived high uptake of voluntary OHC in the regression analysis was a positive attitude of the OHP toward voluntary OHC. While OHPs perceived that voluntary OHC was accepted by a majority of employees, this was not confirmed by the interviews with selected employees. This could indicate that the OHP respondents overestimated the amount of uptake. Since it became clear that employees are often unfamiliar with the terminology itself, we see a need for more and better information regarding the objectives and content of occupational health care to improve this important pillar of workplace health management.


Assuntos
Médicos do Trabalho , Serviços de Saúde do Trabalhador , Saúde do Trabalhador , Alemanha , Humanos , Local de Trabalho
4.
Sangyo Eiseigaku Zasshi ; 64(3): 152-162, 2022 May 25.
Artigo em Japonês | MEDLINE | ID: mdl-34349077

RESUMO

OBJECTIVES: This study aimed to examine the present state of activities of occupational health physicians (OHPs) and companies' opinions about them. METHODS: Questionnaires, to be answered anonymously, were sent to 1,898 companies with ≥ 50 employees. We analyzed the data according to type of industry and the size of the company. RESULTS: We received 692 responses. First, we compared the data with the results of a previous study we had conducted in 2003. The percentage of companies that employed OHPs was found to have increased from 77% to 97%. The implementation rate of work place inspection conducted by OHPs had increased from 41% to 65%, and the attendance rate of health committees increased from 24% to 56%. Regarding overtime, we found that the percentage of workers who did more than 80 hours of overtime work per month had decreased from 29% to 7%, but in the transportation industry the high rate of 38% was maintained. Stress assessments were conducted by 98% of the companies with ≥ 50 employees. CONCLUSIONS: This study determined the present situation in companies, with regard to recent law revisions. Stress assessments are carried out more frequently, the number of workers doing overtime has decreased, and measures against second-hand smoke are being promoted. In addition, we found an increase in the frequency of work place inspection and attendance of health committees, but in one-third of the companies these were not carried out.


Assuntos
Médicos do Trabalho , Saúde do Trabalhador , Humanos , Indústrias , Inquéritos e Questionários , Local de Trabalho
5.
Med Leg J ; 89(3): 178-179, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34279142

RESUMO

An occupational physician is employed to be responsible for the overall assessment of workers' health risks and all work-related pathological situations which creates an unusual doctor-patient relationship. The duties of the occupational physician are also very limited as is their professional responsibility. However, the boundaries of the occupational physician's duties and responsibilities are not always clear. The purpose of this article is to answer the following question: Does the occupational doctor have a duty to carry out general clinical evaluations (not work-related) of the patient?


Assuntos
Médicos do Trabalho/legislação & jurisprudência , Médicos do Trabalho/normas , Papel Profissional , Padrão de Cuidado/legislação & jurisprudência , Humanos , Medicina do Trabalho/legislação & jurisprudência , Medicina do Trabalho/normas
6.
Sangyo Eiseigaku Zasshi ; 63(1): 6-20, 2021 Jan 25.
Artigo em Japonês | MEDLINE | ID: mdl-32641595

RESUMO

OBJECTIVES: In Japan, the population is aging and there is a declining birth rate. It is an important occupational health issue to support the balance between illness treatment (including nursing care, childcare, etc.) and work. Many patients require mental and financial support to help them with their work-treatment balance. In 2016, the Ministry of Health, Labor and Welfare provided guidelines for supporting employee's work-treatment balance, and in 2018, "Consulting Fee" was approved as an insured medical treatment when clinic doctors supported their patients for continuing to work. The request for the consulting fee requires that the clinician and the occupational physician exchange information on the support necessary for the patient to continue working. Generally, occupational physicians obtain medical information from clinicians to give advice on a worker's employment considerations. However, we do not know what kind of workplace information clinicians hope to know when treating their patients. Therefore, we conducted this survey to clarify how occupational physicians could provide useful information to clinicians. METHODS: We asked approximately 1,500 occupational physicians from the Occupational Health Subcommittee of the Japan Society for Occupational Health to provide us with a letter sent to their clinician to assist workers. From the collected letters, the structural parts of the letters (titles, greetings, acknowledgments, etc.) were removed. We defined a section as a contextual unit that does not impair the meaning. The prepared sections underwent qualitative inductive analysis using the content analysis method of "Berelson, B." RESULTS: A total of 103 cases and 178 documents from 42 people were included in the analysis. Extracting descriptions that could be interpreted as providing information, including descriptions related to treatment, employment, and living environment, and opinions and suggestions from occupational physicians resulted in 596 sections. As a result of the qualitative and inductive classification, the information was classified into three large categories that consisted of information provision, opinions of occupational physicians, and information handling, five middle and eighteen small classifications. In addition, some good practices that were considered significant to clinicians were illustrated. CONCLUSIONS: We analyzed and categorized the information present in the letters sent by occupational physicians to clinicians. The letter does not need to contain all the information in the category table. However, it is important that it should have the necessary and sufficient information considering the case in question. We believe that this category table will aid occupational physicians in writing letters to clinicians.


Assuntos
Médicos do Trabalho , Serviços de Saúde do Trabalhador/métodos , Saúde do Trabalhador , Médicos de Atenção Primária , Qualidade da Assistência à Saúde , Encaminhamento e Consulta , Inquéritos e Questionários , Cooperação e Adesão ao Tratamento , Local de Trabalho , Emprego , Feminino , Humanos , Masculino , Retorno ao Trabalho
7.
AIDS Care ; 33(4): 468-472, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-32138523

RESUMO

Management of HIV-associated neurocognitive disorders (HAND) is becoming increasingly important with HIV-positive people living normal life spans. We aimed to establish the level of HAND awareness among doctor and nurse occupational health practitioners, screening used to detect impairment, factors limiting screening for HAND, and training needs. One-hundred-and-five members of the nursing and physician professional societies for occupational health practitioners in South Africa and Occupational Health Departments at five South African universities responded to an email invitation to complete an online survey addressing demographics, HAND knowledge, screeners being used to screen for HAND and related training needs. While 80% had heard of HAND, few (13.3%) were aware of the Frascati criteria. Only 2% had received training addressing HAND; 11.4% screened for HAND; 45.7% did not know what screening tool to us; 80% preferred spending <15 min on screening. The largest obstacle to screening was lack of expertise (77.1%) but 77.3% thought it important to screen for HAND. 94.3% wanted screening training. Health providers are poorly informed about HAND and lack expertise and tools to screen for HAND in their treatment programs. While few had relevant training, they recognize the importance of screening for HAND in the workplace and desire training.


Assuntos
Complexo AIDS Demência/diagnóstico , Infecções por HIV/complicações , Conhecimentos, Atitudes e Prática em Saúde , Saúde Mental/estatística & dados numéricos , Transtornos Neurocognitivos/diagnóstico , Enfermagem do Trabalho , Médicos do Trabalho/psicologia , Idoso , Estudos Transversais , Feminino , Infecções por HIV/diagnóstico , Humanos , Masculino , Programas de Rastreamento , Testes Neuropsicológicos , Saúde do Trabalhador , África do Sul
8.
Tog (A Coruña) ; 17(2): 104-107, nov. 2020.
Artigo em Espanhol | IBECS | ID: ibc-198807

RESUMO

La aparición de las y los superhéroes ha sido a lo largo de la historia una propaganda social que mantiene viva la llama de la esperanza. La realidad se torna incierta cuando una o un superhéroe flaquea. Pero la realidad es que todas y todos los superhéroes a lo largo de su vida han sentido una falta de equilibrio ocupacional que ha roto su sensación de competencia. Esta situación no exenta de ciertas repercusiones mantiene ese punto de cercanía con la sociedad. El desempeño ocupacional de una o un superhéroe va a depender las cruzadas en las que se encuentre. En la sociedad actual más de una y uno se ha enfundado en el traje siendo esa o ese superhéroe para otros y otras


The appearance of superhero has been throughout history a social propaganda that keeps the flame of hope alive. Reality becomes uncertain when one or a superhero falters. But the reality is that each and every superhero throughout their lives has felt a lack of occupational balance that has broken their sense of competence. This situation is not without certain repercussions maintains that point of closeness with society. The occupational performance of one or a superhero will depend on the crusades in which they are. In today's society more than one and one has dressed in the suit being one or a superhero for others and others


Assuntos
Humanos , Saúde do Trabalhador/tendências , Médicos do Trabalho/organização & administração , Medicina do Trabalho/organização & administração , Publicações Periódicas como Assunto/tendências , Publicação Periódica , Sociedades Médicas/organização & administração , Sociedades Médicas/normas , Redes de Comunicação de Computadores/normas , Internet
9.
J Occup Health ; 62(1): e12147, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32881283

RESUMO

OBJECTIVES: To elucidate the factors that influence occupational physicians' decision to issue an employer warning. METHODS: The interview was conducted with 10 Japan Society for Occupational Health certified occupational physicians (COPs) and certified senior occupational physicians (CSOPs) to create nine fictive scenarios in which an occupational physician may need to consider issuing a warning. Sixteen CSOPs assessed the seriousness of the problem in each of nine scenarios where they may need to consider issuing an employer warning. Next, using a survey questionnaire, 597 COPs and CSOPs were asked to rate how likely they were to issue a warning in each of the nine scenarios, and answer items on their characteristics and number of previously issued warnings. A multilevel logistic regression analysis nested for various scenarios was used to assess the odds ratio (OR) of being likely to issue a warning. RESULTS: Valid questionnaires were obtained from 117 participants (19.6%). The ORs and 95% confidence intervals (CIs) were as follows: mean score of seriousness of the problem, 5.90 (4.50-7.75); years of experience as occupational physician, 1.04 (1.02-1.06); women, 1.75 (1.20-2.54); being a part-time occupational physician without in-house experience, 2.08 (1.31-3.29); and having previously issued two or more times warnings, 1.99 (1.29-3.06), compared with those who had never issued a warning. CONCLUSIONS: Occupational physicians' likelihood to issue a warning was associated with the seriousness of the problem as assessed in various scenarios, years of experience as occupational physician, gender, employment type, experience as in-house occupational physician, and number of past warnings.


Assuntos
Tomada de Decisões , Emprego/normas , Médicos do Trabalho/estatística & dados numéricos , Saúde do Trabalhador , Papel do Médico , Feminino , Humanos , Japão , Masculino , Fatores Sexuais , Inquéritos e Questionários
10.
Occup Med (Lond) ; 70(9): 628-632, 2020 Dec 30.
Artigo em Inglês | MEDLINE | ID: mdl-32756891

RESUMO

BACKGROUND: Electronic health records (EHRs)' purpose is to facilitate the documentation of patient data and to improve the exchange of information between the professionals involved in a patient's care. AIMS: To investigate occupational health (OH) physicians' experiences of EHRs and the factors hampering work. METHODS: An electronic questionnaire was sent to physicians working in OH services in April 2017 and a total of 342 OH physicians participated in the study. The results were reported as quantities and percentages. The survey text was analysed using data-driven content analysis. RESULTS: The respondents considered their EHR stable in terms of technical features but the routine tasks with EHR were not straightforward. Also, the documentation of patient data for statistical purposes took an unreasonable amount of time and the access to patient data from other organizations was poor. Instead, a well-functioning feature of EHRs were electronic prescriptions. The factors, which hampered respondents' work, were constant or frequent time pressure, too little time to do their job properly and a stress caused by uncompleted tasks. CONCLUSIONS: This study showed that the usability problems of EHRs were the slowness, unexpected downtimes and difficulties in obtaining patient data. Also, respondents felt very often a lack of time in their work. OH physicians' work is best supported by EHRs that consider their specific role in healthcare, i.e. the assessment of work ability, the co-ordination of care and rehabilitation and support for return to work.


Assuntos
Registros Eletrônicos de Saúde , Médicos do Trabalho , Médicos , Documentação , Humanos , Inquéritos e Questionários
12.
Ind Health ; 58(4): 354-365, 2020 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-32062626

RESUMO

This study aimed to quantitatively grasp the structure of support for balancing cancer treatment and work among occupational health nurses (OHNs) with the current implementation status. The anonymous questionnaire was designed based on the findings of our previous qualitative study and distributed to OHNs. The degrees of support implementation for workers with cancer, superiors and colleagues, and human resource managers were assessed for each item. Factor analysis of support items was conducted, and Wilcoxon signed-rank test was carried out to compare the support scores between the factors. Support for workers with cancer comprised six factors in which the factor, concerning the provision of information regarding resources inside and outside the company, showed the lowest score. Support for superiors and colleagues was divided into three factors, and that for human resource managers comprised two factors. By Mann-Whitney's U-test, it was found that OHNs, who worked without full-time occupational health physicians for smaller companies, showed significantly higher implementation for several support factors, such as support to human resource managers. This study revealed the structure as well as implementation status of OHNs' support for balancing cancer treatment and work, which will provide suggestions for developing training programs for OHNs to promote these activities.


Assuntos
Neoplasias/enfermagem , Neoplasias/terapia , Enfermagem do Trabalho/métodos , Retorno ao Trabalho , Adulto , Humanos , Japão , Pessoa de Meia-Idade , Médicos do Trabalho , Apoio Social , Inquéritos e Questionários , Recursos Humanos/organização & administração , Local de Trabalho
13.
Sangyo Eiseigaku Zasshi ; 62(5): 183-191, 2020 Oct 09.
Artigo em Japonês | MEDLINE | ID: mdl-31915321

RESUMO

OBJECTIVES: We investigated the support environments in companies in Ishikawa prefecture that aim to maintain a balance between work and treatment of their employees' diseases. The relationships between these strategies, company size, and type of industry were examined. METHODS: In 2016, as a part of a survey, questionnaires were sent to 1,491 companies with ≥ 50 employees. Of the 688 companies who responded (response rate, 46.1%), 624 companies who provided complete main survey data were included in the final analysis. The questionnaire acquired responses on systems for arranging working hours and sick leave, the role of occupational health physicians, and the outcomes of support that was offered over the last 3 years. The targeted diseases were mental health problems, such as depression, and physical diseases. Responses were compared according to the size of the company and type of industry. RESULTS: A total of 409 companies (65.5%) reported their experiences of helping employees maintain a balance between treatment and work over the last 3 years. Employees with depression received the most support. In 36.7% of the companies, some employees had retired due to their disease over the last 3 years, with the highest proportion in medical care and welfare businesses. Further, 66% of the companies had a support system to help employees with diseases, and the proportion of companies with flexible working hours and sick leave increased with the number of employees. The proportion of companies with shorter working hours and hourly paid leave was lower in the manufacturing industry and transportation/traffic business. The proportion of companies in which an occupational health physician interviewed employees who took sick leave and returned to work was 22%. CONCLUSIONS: Almost 70% of the companies reported supporting workers during their disease treatment. There were some differences in arranging these support systems between companies of varying sizes and type of industry. The enablement of companies to support workers with diseases so that they keep working and receive treatment requires consideration of company characteristics.


Assuntos
Readaptação ao Emprego , Meio Ambiente , Indústrias , Saúde do Trabalhador , Retorno ao Trabalho , Licença Médica , Local de Trabalho , Feminino , Humanos , Japão , Masculino , Saúde Mental , Médicos do Trabalho , Inquéritos e Questionários
14.
Ind Health ; 58(3): 287-301, 2020 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-31666461

RESUMO

The Ministry of Health, Labor, and Welfare of Japan recommends that an occupational physician (OP) play an important role in implementing the stress-check program since 2015. This study aimed to compare the activities and encountered difficulties of Japanese part-time OPs in 2008 and 2016, and to investigate the effects of the stress-check program. Questionnaires were sent via mail to 946 part-time OPs in Kyoto prefecture in 2016. Completed questionnaires were returned by 181 OPs who were private practitioners or physicians in hospitals, and served as OPs on a part-time basis. In 2016, OPs utilized long hours for activities related to general health examination and to stress-check. Hours for specific health examination, health and hygiene education, health promotion activity, development of a comfortable workplace, and guidance of workers on sick leave reduced from 2008 to 2016. A total of 62% OPs frequently encountered difficulties in the stress-check-related activities in 2016. Many OPs also reported difficulties in the mental health care and the prevention of health hazard due to overwork both in 2008 and 2016. Enforcement of the stress-check program in 2015 changed the activities of part-time OPs in Japan. OPs should be given opportunities to gain more information in this area.


Assuntos
Médicos do Trabalho/estatística & dados numéricos , Serviços de Saúde do Trabalhador , Carga de Trabalho/estatística & dados numéricos , Adulto , Feminino , Humanos , Japão , Masculino , Saúde Mental , Pessoa de Meia-Idade , Exame Físico/estatística & dados numéricos , Padrões de Prática Médica , Inquéritos e Questionários , Gerenciamento do Tempo
15.
Occup Med (Lond) ; 70(1): 64-67, 2020 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-31644805

RESUMO

BACKGROUND: For all doctors, including occupational physicians (OPs), research and teaching are considered core requirements of medical education and continuing professional development. Academic skills are also vital to evidence-based practice and advancement of occupational health (OH) as a specialty. In recent years, attention has focussed on the declining UK OH academic base and the research- practice gap, and increased practitioner participation in research is encouraged. AIMS: To establish a baseline of research and teaching activity among UK OPs, identify related barriers and inform strategies to overcome them. METHODS: An online survey including specific career profile questions derived from consensus following expert panel discussions. It formed part of a larger Delphi study on UK OH research priorities. RESULTS: We received 213 responses, about 18% of 1207 practising UK OPs. Of these, 162 (76%) undertook research at some career-point, of which 44 (27%) were currently research-active. Similarly, 154 (72%) undertook teaching at some career-point, of which 99 (64%) were currently teaching-active. Of those who had never undertaken research (n = 51) or teaching (n = 59), 40 and 42% were interested in doing so, respectively. Key barriers were lack of time and opportunity, the former particularly for respondents practising in industry, where 'commercial' demands take priority, rather than healthcare. CONCLUSIONS: This study establishes a benchmark of academic activity among UK OPs and identifies related barriers. These 'target' barriers can shape research funding priorities and education to increase participation and develop the UK OH academic base.


Assuntos
Pesquisa Biomédica/estatística & dados numéricos , Médicos do Trabalho/estatística & dados numéricos , Ensino/estatística & dados numéricos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medicina do Trabalho/educação , Inquéritos e Questionários , Reino Unido
16.
J UOEH ; 41(3): 327-333, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31548487

RESUMO

The consultation rate for uterine cervical cancer screening in Japan is markedly low in comparison with other developed countries. The purpose of this study is to investigate the trends in uterine cervical cancer screening during regular company checkups and to identify potential problems. Questionnaires were sent to occupational health physicians through Sansuiken (Alumni Association of the University of Occupational and Environmental Health, Japan). Overall, 127 valid responses showed that Papanicolaou (Pap) tests are conducted in 100 companies (79%). The detailed information from 50 of the 100 responses was analyzed. Mandatory cervical cancer screenings are performed at just 6 companies (12%). Pap test are started at 30 years of age at 9 of 49 companies, and only 18 of 49 companies (37%) start Pap tests for employees at 20 years old. Of the 86,695 women, 31,294 (36%) received cervical cancer screening. Abnormal Pap test results were detected in 3.0%. Although cervical cancer screening rates have slightly increased compared to our previous studies (17% in 2004, 23% in 2008), it remains at a low level. Complete examinations with colposcopy and punch biopsy were carried out in 70% (61 of 87 women) of those with an abnormal Pap test. Twelve of 26 companies had no information about detailed examination results. It is important to note that cervical cancer incidence and mortality are increasing among young women in Japan. Occupational physicians and health nurses should manage female health education and care at the workplace, by including uterine cervical cancer screening in the growing female working population.


Assuntos
Saúde do Trabalhador , Exame Físico/tendências , Neoplasias do Colo do Útero/diagnóstico , Neoplasias do Colo do Útero/prevenção & controle , Feminino , Humanos , Japão , Médicos do Trabalho , Teste de Papanicolaou/estatística & dados numéricos , Teste de Papanicolaou/tendências , Inquéritos e Questionários
17.
Artigo em Inglês | MEDLINE | ID: mdl-30999612

RESUMO

The rising burden of common mental disorders (CMDs) in employees requires strategies for prevention. No systematic data exist about how those involved perceive their roles, responsibilities, and interactions with other professional groups. Therefore, we performed a multi-professional standardized survey with health professionals in Germany. A self-administered questionnaire was completed by 133 occupational health physicians (OHPs), 136 primary care physicians (PCPs), 186 psychotherapists (PTs), and 172 human resource managers (HRMs). Inter alia, they were asked which health professionals working in the company health service and in the outpatient care or in the sector of statutory insurance agents should play a key role in the primary, secondary, and tertiary prevention of CMDs in employees. The McNemar test was used in order to compare the attributed roles among the professionals involved. With regard to CMDs, all the professional groups involved in this study declared OHPs as the most relevant pillar in the field of prevention. In primary prevention, HRMs regarded themselves, OHPs, and health insurance agents as equally relevant in terms of prevention. PTs indicated an important role for employee representatives in this field. In secondary prevention, PCPs were regarded as important as OHPs. HRMs indicated themselves as equally important as OHPs and PCPs. In tertiary prevention, only OHPs identified themselves as main protagonists. The other groups marked a variety of several professions. There is a common acceptance from the parties involved that might help the first steps be taken toward overcoming barriers, e.g., by developing a common framework for quality-assured intersectional cooperation in the field of CMD prevention in employees.


Assuntos
Transtornos Mentais/prevenção & controle , Médicos do Trabalho , Médicos de Atenção Primária , Papel Profissional , Psicoterapia , Local de Trabalho , Feminino , Alemanha , Humanos , Masculino , Inquéritos e Questionários , Recursos Humanos
18.
J Korean Med Sci ; 34(11): e98, 2019 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-30914908

RESUMO

Background: This study was conducted from an occupational health perspective to document cancer survivors' ability to return to work, the role of clinical care, and the current status of effective return-to-work. Methods: This cross-sectional study was conducted to evaluate the experiences and opinions of occupational health physicians (OHPs) regarding cancer survivors' return-to-work. A self-reported survey was conducted from December 30, 2015, to January 30, 2016, targeting 337 OHPs. Questions included: 1) treatment experiences of survivors in the words of OHPs, 2) current status of the assessments of fitness for work of cancer survivors, 3) experiences associated with workplace and treatment, and 4) problems of returning to work and overcoming system. Results: Only 25% of the respondents said that they had experience treating cancer survivors, and the average number of patients was 12.6 per annum, which indicated that few cancer survivors were treated. Eleven cases included conducting assessment of fitness for work. There were 17 respondents who did not treat cancer survivors. Both those who had and did not have experience in treating survivors showed higher musculoskeletal system disorders (53.8 vs. 63.5) than cancer (15.5 vs. 11.2) in terms of frequency of the diseases in the assessment of fitness for work. Most respondents said that OHPs evaluate the current role appropriately and preferred OHPs in the future. They responded that OHPs found it difficult to treat cancer survivors, and it was psychologically tough to communicate with them (61.4%). Regarding the association of patient rehabilitation with workplaces, 48.9% said that workplaces provide inadequate support. Conclusion: As a preliminary study, we found that OHPs were found to have little experience in treating cancer survivors and undergo difficulties owing to poor collaboration with workplaces and communication with patients. This study will provide basic data for future studies to promote cancer survivors' return to workplaces.


Assuntos
Sobreviventes de Câncer/estatística & dados numéricos , Médicos do Trabalho/psicologia , Adulto , Estudos Transversais , Feminino , Hospitais Gerais , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/patologia , Neoplasias/terapia , República da Coreia , Retorno ao Trabalho/estatística & dados numéricos , Autorrelato , Apoio Social , Inquéritos e Questionários , Local de Trabalho
19.
Sangyo Eiseigaku Zasshi ; 61(5): 141-158, 2019 Sep 25.
Artigo em Japonês | MEDLINE | ID: mdl-30905919

RESUMO

OBJECTIVE: The topic of occupational health physicians' specific interventions for deciding on corporate health measures has not been researched. Such interventions are necessary in corporate decision-making and for considering the needs of the company and its employees. We examined the aspects and methods of occupational health services that facilitate corporate decision-making regarding health measures. METHODS: We conducted semi-structured interviews with 11 certified occupational health physicians involved in the planning of health measures at 10 companies. Data were analyzed qualitatively and inductively using Berelson's content analysis method. RESULTS: We divided 144 items corresponding to the research theme into three categories: organizational decision-making process in health measures, occupational health physician interventions, and complementary factors concerning interventions. The interventions were further categorized as follows: building relationships, promoting mutual understanding; consensus-building process, coordination; visualization company needs based on hypotheses; and integrated planning and proposals. The study identified specific intervention methods of each category. DISCUSSIONS: Aspects and methods that facilitate decision-making in occupational health services were as follows: 1) understanding the scope of consensus formation and its impact based on the characteristics of corporate decision-making regarding health measures and premises of decision maker; 2) improving awareness about occupational health by consistently presenting information on occupational health, translating it to be necessary for corporate management. Occupational health professionals, mainly occupational health physicians, are expected to contribute to health policy decisions while utilizing the method clarified in this study.


Assuntos
Tomada de Decisões Gerenciais , Emprego , Política de Saúde , Necessidades e Demandas de Serviços de Saúde , Determinação de Necessidades de Cuidados de Saúde , Médicos do Trabalho , Serviços de Saúde do Trabalhador/organização & administração , Saúde do Trabalhador , Papel do Médico , Humanos , Entrevistas como Assunto
20.
Artigo em Japonês | MEDLINE | ID: mdl-30787257

RESUMO

OBJECTIVES: In this study, we aimed to categorize the actions of occupational physicians in health committees leading to solutions of occupational health problems. METHODS: We conducted two focus group discussions among experienced occupational physicians. The discussions addressed the following question: what had they and others said and done that had led to the development of solutions to occupational health problems. We used a qualitative content analysis approach developed by Berelson, and created a draft of the categories of actions. Subsequently, an online questionnaire survey was then used to evaluate the external validity of the draft. The questionnaire asked physicians whether they had experience of each item in the draft. They were also asked whether they had experienced any other items not included in the draft. If so, they were asked to provide a description of their experience. These descriptions were discussed by three researchers. Any suggested new items considered to fall under any of the original items in the draft were excluded, and any new items proposed by two or more participants were added as additional items. Finally, we corrected words and phrases and reviewed the items to ensure that they clearly conveyed the required meaning, and described actions leading to solutions to occupational health problems. RESULTS: The content analysis revealed six basic actions, and 32 items were categorized in the draft. The six basic actions were "participate", "gather information", "make a place that allows communication with key people and health committee members", "make arrangements", "speak at a health committee", and "pay attention". In total, 67 physicians responded to the questionnaire survey. At least 40% of participants answered that they had experience of the draft items. All items in the draft had also been experienced by groups of occupational physicians other than those involved in the focus groups. Three additional items proposed by two or more participants were added. "Pay attention" was deleted following the final review. CONCLUSIONS: We categorized the actions of occupational physicians in health committees into five basic actions, and 32 items. Being aware of types of actions used in groups may encourage occupational physicians to be more involved in workplace health committees and contribute to the promotion of occupational health activities in the workplace.


Assuntos
Atitude do Pessoal de Saúde , Membro de Comitê , Promoção da Saúde , Médicos do Trabalho , Saúde do Trabalhador , Local de Trabalho/organização & administração , Feminino , Humanos , Masculino , Inquéritos e Questionários
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