Cooperation between general practitioners and occupational health physicians in Germany: how can it be optimised? A qualitative study

Moßhammer, Dirk; Natanzon, Iris; Manske, Ira; Grutschkowski, Philipp

doi:10.1007/s00420-013-0845-1

Cited by 25 publications

(52 citation statements)

References 18 publications

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“…About 16% of surveyed physicians besides working as OPs are also general practitioners suggesting that there is a fruitful collaboration between these 2 professional profiles. Nevertheless, the results of our survey (data not shown) have demonstrated the need to achieve a better cooperation between general practitioners and OPs [31][32][33]. Currently, the Italian CME program is not considered to be sufficiently adequate to ensure effective updating of OPs.…”

Section: Discussionmentioning

confidence: 99%

“…The degree of involvement of the OPs by the ERs in various activities related to the protection enter the specialty after they have worked in other specialties [29,30]. General practitioners and OPs have several overlapping work fields (preventive medicine, health promotion, rehabilitation) and consequently it is obvious that better cooperation is in the workers' interest in terms of shortening illness-associated absenteeism, improving reintegration into the workplace and preserving employability [31]. About 16% of surveyed physicians besides working as OPs are also general practitioners suggesting that there is a fruitful collaboration between these 2 professional profiles.…”

Section: Discussionmentioning

confidence: 99%

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Professional activity, information demands, training and updating needs of occupational medicine physicians in Italy: National survey

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Buresti

et al. 2016

Int J Occup Med Environ Health

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Objectives: Occupational medicine is a discipline continually evolving in response to technological advances, changes in workplaces and production processes, emergence of new occupational risks and diseases and modifications in regulatory framework for occupational health and safety. Therefore, the recurrent revaluation of professional activity, information demands and education and training needs of occupational physicians is essential in order to identify methodologies and tools that may contribute to improvement of their professional knowledge and competency. In this regard, we conducted the first large-scale national survey of Italian occupational medicine physicians to define their demographic and professional activity and to assess their information demands, training and updating needs. Material and Methods: A random sample of occupational physicians, listed in the national register of the Italian Ministry of Health, was selected to complete a voluntary survey. Subjects recruited in this study were asked to complete 3 different sections (personal and professional information, training and updating needs, professional activity and practice characteristics) of a questionnaire for a total of 35 questions. Results: Most of participants were specialized in occupational medicine, worked for a large number of companies and carried out health surveillance on a total number of workers that exceeds 1500. Occupational physicians would like to have a higher training offer towards practical aspects of health surveillance, risks assessment, manual handling of loads, chemical substances and upper limb biomechanical overload. Interestingly, statistically significant differences were observed subdividing the sample into different groups according to the legal requirements to perform the professional activity of occupational physicians in Italy or according to particular aspects of their professional activity. Conclusions: This study has provided interesting findings that may help to guide future discussion on alternative and additional instruments and/or methodologies that may be adopted to implement the quality and effectiveness of occupational medicine practice. and professional certification processes [11], to address learning outcomes for higher specialist training within the framework of the OM [6], to influence the organization and structure of service delivery [16], to inform policy decisions and then, ultimately, to fill the gap between "what the OM is" and "what it should be" [11,16]. In this context, using a self-administered questionnaire, we conducted the first large-scale national survey of Italian OPs to gather data regarding their professional activity, information demands and training and updating needs. The aim of this study, highlighting the current problems of Italian OPs, has been to gain helpful information to define, develop and implement management methodologies, operative procedures and training programs that are useful and timely in improving the quality and effectiveness of the OM practice...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Professional activity, information demands, training and updating needs of occupational medicine physicians in Italy: National survey

Persechino

Fontana

Buresti

et al. 2016

Int J Occup Med Environ Health

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“…In Italy, as an example, after 60 days of continuous sickness absence from work, EEs have to undergo a medical examination, namely the “pre-return to work visit”. Therefore, it is evident that a good cooperation between OPs and GPs would lead to a shortening of illness-related absenteeism from work, an improving of reintegration into the workplaces and finally to a preservation of employability9 ) .…”

Section: Introductionmentioning

confidence: 99%

Collaboration of occupational physicians with national health system and general practitioners in Italy

et al. 2017

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A good cooperation between occupational physicians and other healthcare professionals is essential in order to achieve an overall improvement of workers/patients’ well-being. Unfortunately, collaboration between occupational physicians and other physicians is often lacking or very poor. In this context, using a self-administered questionnaire, we investigated the cooperation of Italian occupational physicians with the National Health System (NHS) facilities and with the general practitioners in order to identify any potential critical issues that may hinder an effective and collaborative relationships between these professionals. The survey was conducted from October 2013 to January 2014. Nearly all of the interviewed occupational physicians have had contacts with colleagues of the Departments for Prevention and Occupational Health and Safety of the NHS. Regarding the relationship between occupational physicians and general practitioners findings showed that their cooperation is quite difficult and it would not seem a two-way collaboration. Cooperation between occupational physicians and NHS would benefit from the development of communication strategies and tools enhancing the support and assistance functions of the NHS facilities. The elaboration and subsequent application of operational guidelines and standardized procedures of communication would also improve collaboration between occupational physicians and general practitioners that is currently considered rather insufficient and incomplete.

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“…In addition, the public healthcare providers can also be seen as interface stakeholders (see e.g. [41]). …”

Section: Classiication Of Various Stakeholdersmentioning

confidence: 99%

“…Understanding the potential and services of public health care can also focus on the occupational health services more efectively. Unfortunately, according to some studies, the cooperation between general practitioners and occupational health physicians is often lacking or sub-optimal [41].…”

Section: Intermediate Stakeholdersmentioning

confidence: 99%

Understanding the Stakeholders as a Success Factor for Effective Occupational Health Care

Auvinen¹

2017

Occupational Health

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Efective occupational health care at the workplace requires collaboration, partnerships and alliances with internal, interface and external stakeholders. Essential steps for solid work with various stakeholders are identiication of key stakeholders, systematic analysis of their views and positions, and development of stakeholder participation and involvement. Stakeholder analysis aims to evaluate and understand stakeholders from the perspective of an organization. Stakeholder analysis starts with identifying and classifying the key stakeholders. After their identiication, questions are asked about their position, interest, inluence, inter-relations, networks and other characteristics of stakeholders, with reference to their past and present positions, and future potential. The results are presented as stakeholder maps as well as by the power-interest matrix of the stakeholders. Stakeholder analysis serves an organization and its various actors as a guideline in identifying, planning and implementing strategies for managing stakeholder relationships and utilizing the full potential of various stakeholders in developing occupational health care.

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Cooperation between general practitioners and occupational health physicians in Germany: how can it be optimised? A qualitative study

Cited by 25 publications

References 18 publications

Professional activity, information demands, training and updating needs of occupational medicine physicians in Italy: National survey

Professional activity, information demands, training and updating needs of occupational medicine physicians in Italy: National survey

Collaboration of occupational physicians with national health system and general practitioners in Italy

Understanding the Stakeholders as a Success Factor for Effective Occupational Health Care

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