The perceptions of occupational health in primary care

Elms, J; O’Hara, Rachel; Pickvance, Simon; Fishwick, David; Hazell, Michelle L; Frank, Timothy L; Henson, Mandy; Marlow, Peter Bernard; Evans, Gareth S; Bradshaw, Lisa; Harvey, Paul; Curran, Andrew

doi:10.1093/occmed/kqi123

Cited by 32 publications

(23 citation statements)

References 5 publications

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“…This issue remains currently unresolved in the UK, although it is clear that whilst it is possible to configure such input in primary care, 16 lack of time during the consultation and lack of appropriate training may pose significant problems. 17 Whilst in theory increasing knowledge levels are likely to be the key to successful change, this may be difficult to achieve in practice taking into account the large number of primary care-based health care workers.…”

Section: Discussionmentioning

confidence: 99%

Are we failing workers with symptoms suggestive of occupational asthma?

Fishwick

Bradshaw

Davies

et al. 2007

Primary Care Respiratory Journal

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Aims: To assess the route to secondary care for patients with possible occupational asthma, and to document the duration of workrelated symptoms and referral times.Methods: Consecutive patients with suspected occupational asthma were recruited to a case series from six secondary care clinics with an interest in occupational asthma. Semi-structured interviews were performed and hospital case notes were reviewed to summarise relevant investigations and diagnosis.Results: 97 patients were recruited, with a mean age of 44.2 years (range 24-64), 51 of whom (53%) had occupational asthma confirmed as a diagnosis. Most (96%) had consulted their general practitioner (GP) at least once with work-related respiratory symptoms, although these had been present for a mean of 44.6 months (range 0-320 months) on presentation to secondary care. Patients experienced a mean delay for assessment in secondary care of 4 years (range 1-27 years) following presentation in primary care.Conclusions: Significant diagnostic delay currently occurs for patients with occupational asthma in the UK.

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Section: Discussionmentioning

confidence: 99%

Are we failing workers with symptoms suggestive of occupational asthma?

Fishwick

Bradshaw

Davies

et al. 2007

Primary Care Respiratory Journal

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“…There is little occupational medical training in general medical education, 37,38 and only 4% of UK GPs are estimated to have undergone postgraduate training in occupational health. 39,40 Recent qualitative work identified a consensus among GPs that lack of training in occupational health and certification meant that newly qualified GPs did not believe workrelated ill-health issues were of importance.…”

Section: Implications For Clinical Practice and Future Researchmentioning

confidence: 99%

Work-related sickness absence negotiations: GPs' qualitative perspectives

et al. 2010

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BackgroundGPs can find their role as issuers of sickness certification problematic, particularly in trying to maintain a balance between certifying absence and preserving the doctor-patient relationship. Little research has been published on consultations in which sickness absence has been certified. AimTo explore negotiations between GPs and patients in sickness absence certification, including how occupational health training may affect this process. MethodA qualitative study was undertaken with GPs trained in occupational health who also participate in a UK-wide surveillance scheme studying work-related ill-health. Telephone interviews were conducted with 31 GPs who had reported cases with associated sickness absence.

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“…Only about one in 25 GPs has any special training in occupational health, and most do not have the knowledge required to understand the working lives of all of their patients. 6 There is little published research in this area, and so the study by Money and colleagues in this edition of the BJGP is welcome. 7 These researchers report the findings of telephone interviews with 30 GPs who have a Diploma in Occupational Medicine and who reported a case of work-related ill-health to The Health and Occupation Reporting network in General Practice (THOR-GP).…”

Section: Editorialsmentioning

confidence: 99%