Processes of Care for Individuals with Work Related Asthma: Treatment Characteristics and Impact of Asthma on Work

Details

• Personal Author:
  Flattery J ; Gillen, Matthew ; Harrison, Robert ; Janson L ; Roberts JL
• Description:
  The prevalence of asthma among working adults continues to rise each year. The California Department of Health Services conducts surveillance of work related asthma (WRA) to classify each work related exposure using Doctor's First Reports of Occupational Illness and Injury (DFRs). Using a cross-sectional, descriptive, comparative design, additional interviews were conducted and medical records were reviewed to explore workers' and providers' perceptions of follow up care. Two cohorts were compared: workers with WRA who belonged to a large, single HMO (n = 79) and workers with WRA who underwent follow up outside this HMO (n = 76). The interview asked about providers seen, tests ordered, and the impact of asthma on work. The HMO clients were significantly more likely than the non-HMO clients to see occupational medicine specialists (p = .004) and have pulmonary function testing (p = .049) during initial treatment. Twenty-four percent of clients currently working reported missed workdays caused by asthma in the past 6 months. The findings indicate management of WRA varies by health care system in California. [Description provided by NIOSH]
• Subjects:
  Asthma Asthma, Occupational Epidemiology Occupational Health Respiratory Tract Diseases Safety
• Keywords:
  Bronchial-asthma Pulmonary-system-disorders Respiratory-system-disorders Statistical-analysis Surveillance-programs
• ISSN:
  0891-0162
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  327-337
• Volume:
  52
• Issue:
  8
• NIOSHTIC Number:
  nn:20030156
• Citation:
  AAOHN J 2004 Aug; 52(8):327-337
• Contact Point Address:
  University of California San Francisco, School of Nursing, Department of Community Health, USA
• Federal Fiscal Year:
  2004
• Performing Organization:
  California Department of Health Services, Berkeley, California
• Peer Reviewed:
  True
• Start Date:
  19870930
• Source Full Name:
  AAOHN Journal - American Association of Occupational Health Nurses Journal
• End Date:
  20050929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:0a4bbd7c8fee20464db42d44bcb2fa0d6b78e00efb1d84b75894d752cde2366bdc525edd7a72834300639a244196ffe3ee093d7a8dae93426c6223514a6ca7e0
• Download URL:
  https://stacks.cdc.gov/view/cdc/190957/cdc_190957_DS1.pdf
• File Type:
  [PDF - 1.23 MB ]