Occupational Health in Community Health Centers: Practitioner Challenges and Recommendations
| Autor: | Amy K. Liebman, Juliana Simmons, Rosemary K. Sokas |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Inservice Training Time Factors Referral Social Determinants of Health Occupational Health Services Workers' compensation Occupational safety and health Occupational medicine 03 medical and health sciences 0302 clinical medicine Health care medicine Humans 030212 general & internal medicine Social determinants of health Referral and Consultation Occupational Health Primary Health Care business.industry Community Health Centers General Medicine 030210 environmental & occupational health Focus group Family medicine Community health Workers' Compensation business Psychology |
| Zdroj: | NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy. 28:110-130 |
| ISSN: | 1541-3772 1048-2911 |
| DOI: | 10.1177/1048291117749937 |
| Popis: | Primary care clinicians may be the only source of occupational healthcare for many low-wage, high-risk workers who experience disproportionate occupational hazards. The authors explored barriers to providing occupational healthcare and recommendations for overcoming these challenges. The team conducted six focus groups and eleven key-informant interviews in two community health centers and among clinicians, community health workers, and other personnel from similar settings. Clinicians reported not utilizing occupational information during clinical encounters and identified competing priorities, limited appointment time, and lack of training as key barriers. They cited workers’ compensation as a source of confusion and frustration. However, most participants recognized occupation as an important social determinant of health and expressed interest in additional training and resources. Participants agreed that referral mechanisms for occupational medicine specialists and worker centers and changes in quality performance measures and electronic health records would be useful and that workers’ compensation and immigration policies need reform. |
| Databáze: | OpenAIRE |
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