How to Define the Content of a Job-Specific Worker's Health Surveillance for Hospital Physicians?

Background: A job-specific Worker's Health Surveillance (WHS) for hospital physicians is a preventive occupational health strategy aiming at early detection of their diminished work-related health in order to improve or maintain physician's health and quality of care. This study addresses...

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Main Authors: Martijn M. Ruitenburg, Monique H.W. Frings-Dresen, Judith K. Sluiter
Format: Article
Language:English
Published: Elsevier 2016-03-01
Series:Safety and Health at Work
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2093791115000724
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author Martijn M. Ruitenburg
Monique H.W. Frings-Dresen
Judith K. Sluiter
author_facet Martijn M. Ruitenburg
Monique H.W. Frings-Dresen
Judith K. Sluiter
author_sort Martijn M. Ruitenburg
collection DOAJ
description Background: A job-specific Worker's Health Surveillance (WHS) for hospital physicians is a preventive occupational health strategy aiming at early detection of their diminished work-related health in order to improve or maintain physician's health and quality of care. This study addresses what steps should be taken to determine the content of a job-specific WHS for hospital physicians and outlines that content. Methods: Based on four questions, decision trees were developed for physical and psychological job demands and for biological, chemical, and physical exposures to decide whether or not to include work-related health effects related to occupational exposures or aspects of health reflecting insufficient job requirements. Information was gathered locally through self-reporting and systematic observations at the workplace and from evidence in international publications. Results: Information from the decision trees on the prevalence and impact of the health- or work-functioning effect led to inclusion of occupational exposures (e.g., biological agents, emotionally demanding situations), job requirements (e.g., sufficient vision, judging ability), or health effects (e.g., depressive symptoms, neck complaints). Additionally, following the Dutch guideline for occupational physicians and based on specific job demands, screening for cardiovascular diseases, work ability, drug use, and alcohol consumption was included. Targeted interventions were selected when a health or work functioning problem existed and were chosen based on evidence for effectiveness. Conclusion: The process of developing a job-specific WHS for hospital physicians was described and the content presented, which might serve as an example for other jobs. Before implementation, it must first be tested for feasibility and acceptability.
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spelling doaj.art-c4461d6ed9d04a99a79e8b4d5f39afd92023-09-03T06:08:09ZengElsevierSafety and Health at Work2093-79112016-03-0171183110.1016/j.shaw.2015.08.004How to Define the Content of a Job-Specific Worker's Health Surveillance for Hospital Physicians?Martijn M. RuitenburgMonique H.W. Frings-DresenJudith K. SluiterBackground: A job-specific Worker's Health Surveillance (WHS) for hospital physicians is a preventive occupational health strategy aiming at early detection of their diminished work-related health in order to improve or maintain physician's health and quality of care. This study addresses what steps should be taken to determine the content of a job-specific WHS for hospital physicians and outlines that content. Methods: Based on four questions, decision trees were developed for physical and psychological job demands and for biological, chemical, and physical exposures to decide whether or not to include work-related health effects related to occupational exposures or aspects of health reflecting insufficient job requirements. Information was gathered locally through self-reporting and systematic observations at the workplace and from evidence in international publications. Results: Information from the decision trees on the prevalence and impact of the health- or work-functioning effect led to inclusion of occupational exposures (e.g., biological agents, emotionally demanding situations), job requirements (e.g., sufficient vision, judging ability), or health effects (e.g., depressive symptoms, neck complaints). Additionally, following the Dutch guideline for occupational physicians and based on specific job demands, screening for cardiovascular diseases, work ability, drug use, and alcohol consumption was included. Targeted interventions were selected when a health or work functioning problem existed and were chosen based on evidence for effectiveness. Conclusion: The process of developing a job-specific WHS for hospital physicians was described and the content presented, which might serve as an example for other jobs. Before implementation, it must first be tested for feasibility and acceptability.http://www.sciencedirect.com/science/article/pii/S2093791115000724hospital physiciansoccupational health strategypatient safetypreventionworker's health surveillance
spellingShingle Martijn M. Ruitenburg
Monique H.W. Frings-Dresen
Judith K. Sluiter
How to Define the Content of a Job-Specific Worker's Health Surveillance for Hospital Physicians?
Safety and Health at Work
hospital physicians
occupational health strategy
patient safety
prevention
worker's health surveillance
title How to Define the Content of a Job-Specific Worker's Health Surveillance for Hospital Physicians?
title_full How to Define the Content of a Job-Specific Worker's Health Surveillance for Hospital Physicians?
title_fullStr How to Define the Content of a Job-Specific Worker's Health Surveillance for Hospital Physicians?
title_full_unstemmed How to Define the Content of a Job-Specific Worker's Health Surveillance for Hospital Physicians?
title_short How to Define the Content of a Job-Specific Worker's Health Surveillance for Hospital Physicians?
title_sort how to define the content of a job specific worker s health surveillance for hospital physicians
topic hospital physicians
occupational health strategy
patient safety
prevention
worker's health surveillance
url http://www.sciencedirect.com/science/article/pii/S2093791115000724
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