Recognition of the Relationship Between Patients’ Work and Health: A Qualitative Evaluation of the Need for Clinical Decision Support (CDS) for Worker Health in Five Primary Care Practices

Details

• Personal Author:
  Ash JS ; Baron, Sherry L. ; Chase D ; Filios, Margaret S. ; Marovich S
• Description:
  Objective: The aim of this study was to determine the perceived value and feasibility of increased access to information about workers' health for primary care providers (PCPs) by evaluating the need for clinical decision support (CDS) related to worker health in primary care settings. Methods: Qualitative methods, including semi-structured interviews and observations, were used to evaluate the value and feasibility of three examples of CDS relating work and health in five primary care settings. Results: PCPs and team members wanted help addressing patients' health in relation to their jobs; the proposed CDS examples were perceived as valuable because they provided useful information, promoted standardization of care, and were considered technically feasible. Barriers included time constraints and a perceived inability to act on the findings. Conclusion: PCPs recognize the importance and impact of work on their patients' health but often lack accessible knowledge at the right time. Occupational health providers can play an important role through contributions to the development of CDS that assists PCPs in recognizing and addressing patients' health, as well as through the provision of referral guidelines. [Description provided by NIOSH]
• Subjects:
  Decision Making Occupational Health Safety
• Keywords:
  Decision Making Electronic Health Records Health Care Surveillance Worker Health
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Contract
• Genre:
  Journal Article
• Place as Subject:
  New York ; Oregon ; OSHA Region 10 ; OSHA Region 2 ; OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  RHD - Respiratory Health Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  59
• Issue:
  11
• NIOSHTIC Number:
  nn:20050622
• Citation:
  J Occup Environ Med 2017 Nov; 59(11):e245-e250
• Contact Point Address:
  Sherry Baron, MD, MPH, Barry Commoner Center for Health and the Environment, Queens College, City University of New York, Queens, NY 11367
• Email:
  Sherry.Baron@qc.cuny.edu
• Federal Fiscal Year:
  2018
• Peer Reviewed:
  True
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:6f3c0881bfaf2ca9bd5ecc95644a8286f30171932b94d11d2d61ce4ba8494dbaac825b1afde5e5c5106e9b17e62bf40d4d3158fe7b246066b49efdffe1c449ab
• Download URL:
  https://stacks.cdc.gov/view/cdc/210895/cdc_210895_DS1.pdf
• File Type:
  [PDF - 176.18 KB ]