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Related Experiment Videos

Occupational issues in episodic care populations.

Philip Harber1, Michael Bublik, Clara Steimberg

  • 1UCLA Occupational and Environmental Medicine, Department of Family Medicine, Los Angeles, CA 90024, USA. pharber@mednet.ucla.edu

American Journal of Industrial Medicine
|January 24, 2003
PubMed
Summary

Occupational health concerns are common in urgent care settings, impacting many patients. Broadening definitions to include work-related illness worsening and difficulty is key for better patient care and prevention opportunities.

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Area of Science:

  • Occupational Health
  • Primary Care
  • Public Health

Background:

  • Episodic care settings, such as urgent care and emergency rooms, frequently manage non-emergency health issues.
  • Patients with chronic or sub-acute problems often seek care in these settings.

Purpose of the Study:

  • To assess the prevalence and types of occupational health concerns among patients in episodic care settings.
  • To evaluate the discussion of workplace factors during physician-patient encounters.

Main Methods:

  • Interviewed 94 subjects without known occupational diseases seeking care for chronic/sub-acute problems.
  • Assessed if work caused/worsened illness or if illness impacted work.
  • Recorded physician-patient discussion of workplace factors.

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Main Results:

  • 20% reported work causation, 15% work worsening, 15% illness-work interference.
  • Only 50% reported no workplace-health interaction.
  • Workplace factors discussed in only 21% of encounters; one-third believed workplace changes could improve function.

Conclusions:

  • Occupational health issues are prevalent in episodic care.
  • The definition of occupational health should expand beyond causation to include worsening and interference.
  • Episodic care offers opportunities for occupational health prevention.