Occupational issues in episodic care populations.
Occupational issues in episodic care populations.
复制标题
间歇性护理人群的职业问题。
DOI：
10.1002/ajim.10175
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
Merz,Brenda
中科院分区：
文献类型：
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作者：
Harber,Philip;Bublik,Michael;Steimberg,Clara;Wallace,Jeanne;Merz,Brenda
背景对非紧急问题的许多护理是在“偶发性护理”环境中提供的（例如，紧急护理和急诊室）。MethodsNine ‐ 4名受试者，没有已知的职业病，谁是寻求治疗的慢性或亚急性问题，在一个偶发性护理位置，进行了采访，以评估职业健康问题的频率和类型。他们被问到工作是否可能“导致”或“加重”他们的疾病，以及他们的疾病是否“使工作变得困难”。结果按等级分类，20%报告了因果关系，15%恶化，15%疾病与工作的干扰。(Each只属于一类）。只有50%的人报告没有工作场所与健康的互动。三分之一的人报告说，工作场所的变化可以改善他们的功能状态。然而，工作场所的因素进行了讨论，只有21%的时间在医生-病人encounters.ConclusionsThis研究表明，职业健康问题是频繁的情景护理设置和职业健康问题的定义应扩大到包括“恶化”和“疾病使工作困难”，以及传统的工作场所因果关系的定义。此外，间歇性护理提供了独特的预防机会。Am. J.Ind.Med.43：221-226，2003。© 2003 Wiley利斯公司
BackgroundMuch care for non‐emergency problems is provided at “episodic care” settings (e.g., urgent care and emergency room).MethodsNinety‐four subjects, without known occupational disease, who were seeking care for a chronic or sub‐acute problem in an episodic care location, were interviewed to assess the frequency and types of occupational health concerns. They were asked whether work probably “caused” or “made worse” their illness and whether their illness “made work difficult.”ResultsCategorized hierarchically, 20% reported causation, 15% worsening, and 15% interference of illness with work. (Each was categorized in one category only). Only 50% reported absence of a workplace‐health interaction. One‐third reported that workplace changes could improve their functional status. Nevertheless, workplace factors were discussed only 21% of the time in physician‐patient encounters.ConclusionsThis study suggests that occupational health issues are frequent in episodic care settings and that the definition of occupational health issues should be broadened to include “made worse” and “illness makes work difficult” as well as the traditional workplace causation definition. Further, episodic care settings present unique opportunities for prevention. Am. J. Ind. Med. 43: 221–226, 2003. © 2003 Wiley‐Liss, Inc.