A Qualitative Analysis of New York City Based Primary Care and Specialty Providers’ Knowledge of 9/11-Related Health Conditions and Health Care Services

Details

• Personal Author:
  Caramanica K ; Cone, James E. ; Petrsoric LJ ; Welch AE ; Yip J
• Description:
  Introduction: More than 10 years after 9/11, thousands of directly exposed persons have myriad disaster-related physical and mental health conditions. Previous studies suggest affected persons may not be utilizing any of the health programs that were created expressly to address 9/11-related health conditions due, in part, to a lack of referrals from primary care physicians. Aim: To understand providers' knowledge of 9/11-related medical conditions, views on and referrals to 9/11 health programs, and how best to provide educational resources to providers and patients. Methods: We conducted semi-structured in-depth individual telephone interviews with 20 New York City based primary care and relevant specialty providers. The interviews were recorded, transcribed and inductively opencoded for thematic analysis. Results: Providers were fairly knowledgeable about psychiatric and respiratory conditions commonly associated with 9/11, but less so regarding conditions whose relationships to 9/11 are still under investigation. Most providers considered 9/11 exposure an important part of patients' medical histories, but did not typically screen for exposure, believing patients would self-report exposure or that exposure was no longer relevant. The majority of providers had positive perceptions of the 9/11 programs, though only some had referred their patients. Providers expressed interest in learning more about 9/11-related health programs and conditions. Conclusion: NYC based medical providers are an under-utilized source of referrals to the 9/11 health programs. Furnishing providers with detailed information on program locations, eligibility requirements, services, and advantages along with summaries of 9/11 research and patient educational materials may increase provider referrals to the programs. [Description provided by NIOSH]
• Subjects:
  Education Health Personnel Lung Diseases Men Mental Disorders Mental Health Occupational Health Respiratory Tract Diseases Safety September 11 Terrorist Attacks Women

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• Keywords:
  Author Keywords: 9/11 Disaster Health Disaster Preparedness Health Care Humans Medical Providers Mental Disorders Physical Reactions Physicians Physiological Effects Physiology Psychological Disorders Psychological Effects Psychology Pulmonary System Disorders Qualitative Interviews Respiratory System Disorders World Trade Center World Trade Center Health Program

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• ISSN:
  2380-0879
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  2
• Issue:
  5
• NIOSHTIC Number:
  nn:20050897
• Citation:
  Austin J Emerg Crit Care Med 2015 Sep; (5):1029
• Contact Point Address:
  Alice Welch, Division of Epidemiology, NYC Department of Health and Mental Hygiene, 42-09 28th Street, 07-24, Queens, NY 11101
• Federal Fiscal Year:
  2015
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  Austin Journal of Emergency and Critical Care Medicine
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:69fa3acdb083bc38b82c9832b357048b2e954d3ed9baf6a6fe3cb5d313a992510794911706f8e72de7249647437c87220bfe5e9a4e67b3ec5655064f8f58f6f0
• Download URL:
  https://stacks.cdc.gov/view/cdc/211087/cdc_211087_DS1.pdf
• File Type:
  [PDF - 1.79 MB ]