How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios
Despite no evidence in favour, routine workers' health examinations, mostly pre-employment and periodic, are extensively performed worldwide with important allocation of resources. In Spain they are performed within a theoretical job-specific health surveillance system. Our objective was to ascertai...
| Autores: | ; ; ; ; |
|---|---|
| Tipo de documento: | Artigo |
| Estado: | Published version |
| Data de publicação: | 2015 |
| País: | España |
| Recursos: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositório: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:10256/16522 |
| Acesso em linha: | http://hdl.handle.net/10256/16522 |
| Nível de acesso: | Acesso aberto |
| Palavra-chave: | Salut en el treball Industrial hygiene Medicina del treball Medicine, Industrial |
| _version_ | 1878739402632462336 |
|---|---|
| author | Rodríguez Jareño, Mari Cruz |
| author2 | Molinero, Emilia Montserrat i Nonó, Jaume de Vallés Segalés, Antoni Aymerich, Marta |
| author2_role | author author author author |
| author_browse | Aymerich, Marta Molinero, Emilia Montserrat i Nonó, Jaume de Rodríguez Jareño, Mari Cruz Vallés Segalés, Antoni |
| author_facet | Rodríguez Jareño, Mari Cruz Molinero, Emilia Montserrat i Nonó, Jaume de Vallés Segalés, Antoni Aymerich, Marta |
| author_role | author |
| collection | Recercat. Dipósit de la Recerca de Catalunya |
| description | Despite no evidence in favour, routine workers' health examinations, mostly pre-employment and periodic, are extensively performed worldwide with important allocation of resources. In Spain they are performed within a theoretical job-specific health surveillance system. Our objective was to ascertain their occupational preventive usefulness from the perspective of occupational health professionals. Methods: Cross sectional study. Online survey addressed to all physicians and nurses members of the Catalan Society of Safety and Occupational Medicine (n=539) in 2011. Univariate and bivariate analyses of prevalence and prevalence differences of answers. Results: Response rate 53% (n=285). According to more than 70% of respondents the health surveillance system isn't cost-effective, doesn't meet the goal of early detection of health damage related to work, and doesn't contribute to improve the occupational risk prevention system. Further deficiencies were identified regarding specificity and scientific basis for health examinations, quality of collective health surveillance and referral of suspected cases to mutual insurance companies for diagnosis and treatment. Bivariate analysis showed a significantly more negative opinion for several items amongst physicians (versus nurses) and amongst professionals working in external prevention services (versus internal services). Conclusions: This study raises serious concerns about how health examinations are performed within our workers' health surveillance system, which should be reviewed to ensure the fulfilment of its occupational preventive objective. Our results might encourage other countries with similar practices to assess them in order to assure their fitness for purpose |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_c0d0fa394b56e72f5c08d3ff8600aade |
| institution | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| instname_str | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:recercat.cat:10256/16522 |
| publishDate | 2015 |
| publishDateSort | 2015 |
| publisher | Elsevier |
| publisherStr | Elsevier |
| reponame_str | Recercat. Dipósit de la Recerca de Catalunya |
| spelling | How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios Rodríguez Jareño, Mari Cruz Molinero, Emilia Montserrat i Nonó, Jaume de Vallés Segalés, Antoni Aymerich, Marta Salut en el treball Industrial hygiene Medicina del treball Medicine, Industrial Despite no evidence in favour, routine workers' health examinations, mostly pre-employment and periodic, are extensively performed worldwide with important allocation of resources. In Spain they are performed within a theoretical job-specific health surveillance system. Our objective was to ascertain their occupational preventive usefulness from the perspective of occupational health professionals. Methods: Cross sectional study. Online survey addressed to all physicians and nurses members of the Catalan Society of Safety and Occupational Medicine (n=539) in 2011. Univariate and bivariate analyses of prevalence and prevalence differences of answers. Results: Response rate 53% (n=285). According to more than 70% of respondents the health surveillance system isn't cost-effective, doesn't meet the goal of early detection of health damage related to work, and doesn't contribute to improve the occupational risk prevention system. Further deficiencies were identified regarding specificity and scientific basis for health examinations, quality of collective health surveillance and referral of suspected cases to mutual insurance companies for diagnosis and treatment. Bivariate analysis showed a significantly more negative opinion for several items amongst physicians (versus nurses) and amongst professionals working in external prevention services (versus internal services). Conclusions: This study raises serious concerns about how health examinations are performed within our workers' health surveillance system, which should be reviewed to ensure the fulfilment of its occupational preventive objective. Our results might encourage other countries with similar practices to assess them in order to assure their fitness for purpose Elsevier http://hdl.handle.net/10256/16522 |
| spellingShingle | How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios Rodríguez Jareño, Mari Cruz Salut en el treball Industrial hygiene Medicina del treball Medicine, Industrial |
| status_str | publishedVersion |
| title | How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios |
| title_full | How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios |
| title_fullStr | How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios |
| title_full_unstemmed | How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios |
| title_short | How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios |
| title_sort | How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios |
| topic | Salut en el treball Industrial hygiene Medicina del treball Medicine, Industrial |
| topic_facet | Salut en el treball Industrial hygiene Medicina del treball Medicine, Industrial |
| url | http://hdl.handle.net/10256/16522 |