A comparative analysis of health surveillance strategies for administrative video display terminal employees

Autor: Eduardo Giráldez, Saki Gerassis, Alberto Abad, Ángeles Saavedra, Javier Taboada
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Male
Health informatics
lcsh:Medical technology
Biomedical Engineering
Health strategies
3210 Medicina Preventiva
Clinical decision support system
Occupational safety and health
Biomaterials
03 medical and health sciences
0302 clinical medicine
3204 Medicina del Trabajo
Medical Staff
3204.02 Enfermedades Profesionales
Humans
Influence diagram
Public Health Surveillance
Radiology
Nuclear Medicine and imaging
Operations management
030212 general & internal medicine
Medical diagnosis
Protocol (science)
Radiological and Ultrasound Technology
business.industry
Research
030503 health policy & services
Clinical decision support systems
Flexibility (personality)
General Medicine
Test (assessment)
lcsh:R855-855.5
Computer Terminals
Data mining in healthcare
Video display terminals (VDTs)
Female
0305 other medical science
business
Psychology
Occupational health surveillance
Zdroj: BioMedical Engineering OnLine, Vol 18, Iss 1, Pp 1-12 (2019)
Investigo. Repositorio Institucional de la Universidade de Vigo
Universidade de Vigo (UVigo)
BioMedical Engineering
Popis: Background The objective of this study was to develop a strategy to optimize medical health surveillance protocols for administrative employees using video display terminals (VDTs). A total of 2453 medical examinations were analysed for VDT users in various sectors. From these data, using Bayesian statistics we inferred which factors were most relevant to medical diagnosis of the main disorders affecting VDT users. This information was used to build an influence diagram to evaluate the time and monetary costs associated with each diagnostic test and define an optimal protocol strategy based on occupational risks. Results Musculoskeletal and ophthalmological diseases were identified as the most frequent disorders among VDT users. The Bayesian network inferred age, sleep quality, activity level, smoking and the consumption of alcohol as risk factors. The blood count was the most costly test (5.23 USD/employee) and the second most costly test in time terms (4 min/employee), yet is a diagnostic test that has little influence on the medical decision regarding an employee’s capacity to perform their job. Conclusions Current occupational health surveillance protocols for VDT users may lead to expenditure that is 54% greater than necessary. For many employees and employers, failure to perform a wide range of medical tests for occupational health surveillance purposes is subjectively perceived as a threat to health. Awareness needs to be raised of the appropriate role of different health areas, so as to optimize diagnostic efficiency on the basis of greater flexibility.
Databáze: OpenAIRE
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