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Occup Med (Lond). 2017 Jan;67(1):13-19. doi: 10.1093/occmed/kqw149. Epub 2016 Nov 7.

Improving the assessment of occupational diseases by occupational physicians.

Author information

1
Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, 1100 DE Amsterdam, The Netherlands, j.s.boschman@amc.nl.
2
Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Netherlands Center for Occupational Diseases, 1100 DD Amsterdam, The Netherlands.
3
Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, 1100 DE Amsterdam, The Netherlands.

Abstract

BACKGROUND:

The prevention of occupational diseases is limited by a lack of insight into occupational exposure to risk. We developed a six-step approach to improve the diagnosis and reporting of occupational diseases and the selection of subsequent preventive actions by occupational physicians (OPs).

AIMS:

To evaluate the effect of the six-step approach on the transparency and quality of assessing occupational diseases and the usability of the six-step approach according to OPs and their satisfaction with it.

METHODS:

A randomized controlled trial. OPs in the control group used the standard information available. OPs in the intervention group used the six-step approach and accompanying educational materials. The actions and decisions of OPs in both groups were analysed using 17 performance indicators. To address the second issue, OPs used the six-step approach over 6 weeks and rated its usability and their satisfaction in relation to several aspects.

RESULTS:

The average score of the OPs in the intervention group (n = 110) was statistically significantly higher (11/17 performance indicators, 62% of the maximum score) than that of the OPs in the control group (n = 120, 5/17 performance indicators, 30% of the maximum score, P < 0.001). The usability aspects of the six-step approach had mean scores of 7 and 8. Mean satisfaction with the six-step approach was 8.

CONCLUSIONS:

The six-step approach resulted in better evidence-based and transparent decision-making about occupational diseases by OPs. Usability and satisfaction were rated as satisfactory by the OPs.

KEYWORDS:

Decision-making; occupational diseases; randomized controlled trial.

PMID:
27834225
DOI:
10.1093/occmed/kqw149
[Indexed for MEDLINE]

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