Enhancing evidence-based advice of occupational health physicians

Occupational physicians’ perceived value of evidence-based medicine intervention in enhancing their professional performance

“…The occupational physicians' perceived usefulness of intervention with the use of evidence-based medicine is consistent with the outcome of the parallel randomized controlled trial that has shown that the intervention improved evidencebased recommendations by occupational physicians in sickness absence episodes (30). Shuval et al (17) found similar results in their qualitative study on the impact of an educational intervention using evidence-based medicine for primary care physicians.…”

“…It was conducted within the context of a randomized controlled trial on the effectiveness of the intervention in enhancing the evidence-based practice of occupational physicians (30). Study participants were occupational physicians (some of whom were in training) who were working in the Netherlands.…”

Return to work and occupational physicians’ management of common mental health problems – process evaluation of a randomized controlled trial

“…In this study, guideline adherence was assessed by an audit of medical files, which is an indirect method to measure clinical performance (30). This has the advantage that the OP were unaware that their notes would be used for research purposes.…”

“…The changing work environment in the last decades has created a difficult position for OP, as the varying interests of patients, employers, and the management of occupational health services put pressure on the OP. The training's lack of effect on guideline adherence compared to usual care may be due to these work conditions and perceived behavioral control (19,30). The guideline promotes an intensive form of treatment, for instance in prescribing regular consultation with the general practitioner, which is not applicable in current Dutch practice (3,18,20).…”

Can Workers Answer Their Questions about Occupational Safety and Health: Challenges and Solutions

“…To gain insight into workers' informationseeking difficulties and solutions, it can be useful to study how health professionals deal with the problem of formulating and solving health-related questions. Formulating a good, "answerable" clinical question is one of the most important and difficult elements health professionals face when practicing evidence-based medicine 17,19,24,25) . In evidence-based practice, answerable clinical questions are often created by specifying and narrowing down the question with the population, intervention, control and outcome (PICO) search terms strategy to perform an adequate literature search 19) .…”