Patient Referral As a Quality Outcome of Occupational Health Practice At The Workplace in Turkey

Year 2020, , 68 - 71, 01.03.2020

Arif Hikmet Çımrın Esra Aydın Özgür Nur Şafak Alıcı

https://doi.org/10.30621/jbachs.2020.826

Cited By: 1

Abstract

Objective: In the determination of the Workplace Health and Safety management system effectiveness, the rates of the occupational diseases, accidents or work-related diseases are the most commonly used outcome indicators. Occupational physicians OP may decide on consultation with various indications including diagnosis of occupational disease. Aims: The content of the referral from the workplace affects the accuracy of the consultation to be done. Methods: This study evaluates the contents of the referral documents of the patients who applied to our clinic and analyzes the approach of the OP to the referral process and health surveillance in the workplace. Results: 412 32% cases referred by OP from 1288 patients who applied were evaluated. The most common reasons for the referral were abnormal diagnostic test results 43% and evaluation for the possible occupational disease diagnosis 35% . The preliminary diagnosis of the occupational disease was present in the 55.3% of the referral documents. Most of the referrals 82.5% did not contain the information about the complaints, medical and occupational history, physical examination findings and resume of the patients. There was no workplace environment measurements 93.4% and no explanation regarding the hazards which patients were exposed in the workplace 74% in most of the referral documents. Conclusion: Our findings suggest that OP have deficiencies in collecting and evaluating data during the health surveillance of the employees, and workplace health and safety management system should improve the function of enhancing its effectiveness

Keywords

occupational health, referral, workplace

References

• International Labour Office (2014) Safety and Health at Work: A Vision for Sustainable Prevention. International Labour Office: XX World Congress on Safety and Health at Work, Frankfurt, Germany. https://www.ilo.org/wcmsp5/groups/public/---ed_protect/--- protrav/---safework/documents/publication/wcms_301214.pdf
• Good Practice in Occupational Health Services: A Contribution to Workplace Health. WHO Regional Office for Europe. EUR/02/5041181 2002. http://www.euro.who.int
• de Bono AM. Communication between an occupational physician and other medical practitioners-an audit. Occup Med 1997;47:349– 356. [CrossRef]
• Ikonen A, Rasanen K, Manninen P, et al. Work-Related Primary Care in Occupational Health Physician’s Practice. J Occup Rehabil 2012;22:88–96. [CrossRef]
• İşyeri Hekimi ve Diğer Sağlık Personelinin Görev, Yetki, Sorumluluk ve Eğitimleri Hakkında Yönetmelik. https://www.mevzuat.gov.tr/Metin. Aspx?MevzuatKod=7.5.18615&MevzuatIliski=0&sourceXmlSearch
• De Buck PDM, Van Amstel RJ, Buijs PC, et al. Communication between Dutch rheumatologists and occupational physicians in the occupational rehabilitation of patients with rheumatic diseases. Ann Rheum Dis 2002;61:62–65. [CrossRef]
• BMA. The occupational physician; 2018. https://www.bma.org. uk/advice/employment/occupational-health/the-occupational- physician
• University of Leicester. Division of Human Resources, Occupational Health Service. Managers’ Guide to making an Occupational Health Referral; 2018. https://www2.le.ac.uk/offices/hr/docs/policies/oh- mg.pdf
• Persechino B, Fontana L, Burest G, et al. Collaboration of occupational physicians with national health system and general practitioners in Italy. Ind Health 2017;55:180–191. [CrossRef]
• Thorsen O, Hartveit M, Baerheim A. The consultants’ role in the referring process with general practitioners: partners or adjudicators? a qualitative study. BMC Fam Pract 2013;14:153. [CrossRef]