Mazurek Jacek M, White Gretchen E, Moorman Jeanne E, Storey Eileen
National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia.
National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia.
Ann Allergy Asthma Immunol. 2015 Feb;114(2):97-102. doi: 10.1016/j.anai.2014.10.022. Epub 2014 Dec 6.
Effective patient-physician communication is the key component of the patient-physician relationship.
To assess the proportion of ever-employed adults with current asthma who talked about asthma associated with work with their physician or other health professional and to identify factors associated with this communication.
The 2006 to 2010 Behavioral Risk Factor Surveillance System Asthma Call-Back Survey data from 40 states and the District of Columbia for ever-employed adults (≥18 years old) with current asthma (N = 50,433) were examined. Multivariable logistic regression analyses were conducted to identify factors associated with communication with a health professional about asthma and work.
Among ever-employed adults with current asthma, 9.1% were ever told by a physician that their asthma was related to any job they ever had and 11.7% ever told a physician or other health professional that this was the case. When responses to the 2 questions were combined, the proportion of those who communicated with a health professional about asthma and work was 14.7%. Communication with a health professional about asthma and work was associated with age, race or ethnicity, employment, education, income, insurance, and urgent treatment for worsening asthma.
A small proportion of patients with asthma might communicate with a health professional about asthma associated with work. Future studies should examine whether patients with asthma ever discussed with a health professional the possibility that their asthma might be related to work to provide information on the frequency of patient-clinician communication about asthma related to work.
有效的医患沟通是医患关系的关键组成部分。
评估曾经就业的成年哮喘患者与医生或其他卫生专业人员谈论与工作相关哮喘的比例,并确定与这种沟通相关的因素。
对来自40个州和哥伦比亚特区的2006年至2010年行为危险因素监测系统哮喘回访调查数据进行分析,这些数据涉及曾经就业的成年哮喘患者(≥18岁)(N = 50,433)。进行多变量逻辑回归分析,以确定与与卫生专业人员就哮喘和工作进行沟通相关的因素。
在曾经就业的成年哮喘患者中,9.1%曾被医生告知其哮喘与他们曾经从事的任何工作有关,11.7%曾告知医生或其他卫生专业人员情况属实。当将对这两个问题的回答结合起来时,与卫生专业人员就哮喘和工作进行沟通的比例为14.7%。与卫生专业人员就哮喘和工作进行沟通与年龄、种族或族裔、就业、教育、收入、保险以及哮喘恶化时的紧急治疗有关。
一小部分哮喘患者可能会与卫生专业人员谈论与工作相关的哮喘。未来的研究应检查哮喘患者是否曾与卫生专业人员讨论过他们的哮喘可能与工作有关的可能性,以便提供关于患者与临床医生就与工作相关哮喘进行沟通频率的信息。