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Clinical Case Complexity in Occupational Health: Contributing Factors and a Proposed Conceptual Framework Model
Drushca Lalloo1, John Gallagher, Ewan Macdonald
1Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G12 8RZ, UK (Dr Lalloo and Dr Macdonald); School of Public Health, University College Cork, Cork T12 YN60, Ireland (Dr Gallagher); Mid-West Region, Limerick V94 7X9, Ireland (Dr McDonnell).
Objectives:
Clinical case complexity is an inherent factor in occupational health (OH), yet it is poorly defined and understood. Our aim was to identify the multiple sources of complexity in OH and propose a conceptual complexity framework model for clinical OH practice.
Methods:
Through a scoping review, expert panel consensus, and content analysis of OH clinical case reports, we identified relevant complexity-contributing factors (CCFs) specifically tailored to the OH setting, which we defined and validated.
Results:
The proposed model consists of three primary domains (PDs); health factors, workplace factors and biopsychosocial factors. Twenty-seven CCFs are described and defined within these PDs.
Conclusions:
This work lays the foundation for improved understanding, identification, and assessment of complexity in OH. This is imperative for ensuring high quality clinical practice standards, identifying training needs and appropriate triaging/resource allocation.
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