Work-Related Primary Care in Occupational Health Physician’s Practice
- 30 July 2011
- journal article
- Published by Springer Science and Business Media LLC in Journal of Occupational Rehabilitation
- Vol. 22 (1), 88-96
- https://doi.org/10.1007/s10926-011-9325-1
Abstract
Introduction Primary care is frequently integrated in Finnish occupational health services (OHS). This study examines the frequency of work-related health problems in occupational health (OH) physicians’ consultations for primary care and associations between health problems and interventions carried out by OH physicians. Methods OH physicians assessed the health problems of 651 consecutive visits in a private OHS unit. The health problem was regarded as work-related if it was caused or aggravated by work, or involved impaired work ability. Interventions carried out by OH physicians were analysed by logistic regression analysis. Results The main health problem was caused either partially or mainly by work or symptoms were worsened by work (27%), or symptoms impaired work ability (52%). Musculoskeletal and mental disorders were the main work-related reasons for visits. In two-thirds of the cases of mental health problems, work caused or worsened symptoms, and the majority of long sickness absences were issued due to these problems. OH physicians carried out interventions concerning work or workplace in 21% of visits. Mental disorders were associated most strongly (OR 7.23, 95% CI 3.93–13.32) with interventions. The strongest association (OR 16.09, 95% CI 9.29–27.87) with work-related visits was, when the health problem was both work-induced and impaired work ability. Conclusions Work-related health problems comprise a considerable part of Finnish OH physicians’ work. OH physicians play an important role in early treatment, in the prevention of disability, and in interventions aimed at workplaces based on the knowledge they get through primary care in OHS.Keywords
This publication has 34 references indexed in Scilit:
- Activities of occupational physicians for occupational health services in small-scale enterprises in Japan and in the NetherlandsInternationales Archiv für Arbeitsmedizin, 2010
- Recurrence of Medically Certified Sickness Absence According to Diagnosis: A Sickness Absence Register StudyJournal of Occupational Rehabilitation, 2010
- The French Musculoskeletal Disorders Surveillance Program: Pays de la Loire networkOccupational and Environmental Medicine, 2009
- Determinants of work ability and its predictive value for disabilityOccupational Medicine, 2009
- Work-related ill health in general practice, as reported to a UK-wide surveillance schemeBritish Journal of General Practice, 2008
- How common is repetitive strain injury?Occupational and Environmental Medicine, 2008
- Structured Early Consultation with the Occupational Physician Reduces Sickness Absence Among Office Workers at High Risk for Long-Term Sickness Absence: a Randomized Controlled TrialJournal of Occupational Rehabilitation, 2008
- Diagnosis-specific sick leave as a risk marker for disability pension in a Swedish populationJournal of Epidemiology and Community Health, 2007
- Services Provided by Family Physicians for Patients With Occupational Injuries and IllnessesAnnals of Family Medicine, 2006
- Interventions to reduce work-related musculoskeletal disordersJournal of Electromyography and Kinesiology, 2004