Suppr超能文献

医患之间关于职业性哮喘的沟通:我们所知道和不知道的情况。

Patient-physician communication about work-related asthma: what we do and do not know.

作者信息

Mazurek Jacek M, White Gretchen E, Moorman Jeanne E, Storey Eileen

机构信息

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.

出版信息

Ann Allergy Asthma Immunol. 2015 Feb;114(2):97-102. doi: 10.1016/j.anai.2014.10.022. Epub 2014 Dec 6.

Abstract

BACKGROUND

Effective patient-physician communication is the key component of the patient-physician relationship.

OBJECTIVE

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.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

背景

有效的医患沟通是医患关系的关键组成部分。

目的

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。

方法

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。

结果

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。

结论

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。

相似文献

1
Patient-physician communication about work-related asthma: what we do and do not know.
Ann Allergy Asthma Immunol. 2015 Feb;114(2):97-102. doi: 10.1016/j.anai.2014.10.022. Epub 2014 Dec 6.
2
Physician-patient communication regarding asthma and work.
Am J Prev Med. 2012 Jul;43(1):72-5. doi: 10.1016/j.amepre.2012.03.021.
3
Health-related quality of life among adults with work-related asthma in the United States.
Qual Life Res. 2013 May;22(4):771-80. doi: 10.1007/s11136-012-0206-7. Epub 2012 Jun 4.
4
Pneumococcal Vaccination Among Adults With Work-related Asthma.
Am J Prev Med. 2017 Dec;53(6):799-809. doi: 10.1016/j.amepre.2017.07.022. Epub 2017 Sep 27.
5
Work-related asthma and employment status--38 states and District of Columbia, 2006-2009.
J Asthma. 2013 Nov;50(9):954-9. doi: 10.3109/02770903.2013.829491. Epub 2013 Aug 21.
8
Prevalence of COPD among workers with work-related asthma.
J Asthma. 2020 Nov;57(11):1179-1187. doi: 10.1080/02770903.2019.1640733. Epub 2019 Jul 15.
10
Agreement between current and active asthma classification methods, Asthma Call-back Survey, 2011-2012.
J Asthma. 2016 Oct;53(8):808-15. doi: 10.3109/02770903.2016.1155221. Epub 2016 Apr 6.

引用本文的文献

1
Occupational Contributions to Respiratory Health Disparities.
Clin Chest Med. 2023 Sep;44(3):635-649. doi: 10.1016/j.ccm.2023.03.016. Epub 2023 May 9.
2
Clinical Decision Support for Worker Health: A Five-Site Qualitative Needs Assessment in Primary Care Settings.
Appl Clin Inform. 2020 Aug;11(4):635-643. doi: 10.1055/s-0040-1715895. Epub 2020 Sep 30.
3
Improving detection of work-related asthma: a review of gaps in awareness, reporting and knowledge translation.
Allergy Asthma Clin Immunol. 2020 Aug 6;16:73. doi: 10.1186/s13223-020-00470-w. eCollection 2020.
4
Update on the Management of Occupational Asthma and Work-Exacerbated Asthma.
Allergy Asthma Immunol Res. 2019 Mar;11(2):188-200. doi: 10.4168/aair.2019.11.2.188.
5
Use of population data for assessing trends in work-related asthma mortality.
Curr Opin Allergy Clin Immunol. 2019 Apr;19(2):98-104. doi: 10.1097/ACI.0000000000000508.
6
Recommendations for a Clinical Decision Support System for Work-Related Asthma in Primary Care Settings.
J Occup Environ Med. 2017 Nov;59(11):e231-e235. doi: 10.1097/JOM.0000000000001182.
8
National weighting of data from the Behavioral Risk Factor Surveillance System (BRFSS).
BMC Med Res Methodol. 2016 Nov 15;16(1):155. doi: 10.1186/s12874-016-0255-7.

本文引用的文献

1
Distribution of asthma by occupation: Washington State behavioral risk factor surveillance system data, 2006-2009.
J Asthma. 2014 Dec;51(10):1035-42. doi: 10.3109/02770903.2014.939282. Epub 2014 Jul 15.
2
Getting control of uncontrolled asthma.
Am J Med. 2014 Nov;127(11):1049-1059. doi: 10.1016/j.amjmed.2014.05.006. Epub 2014 May 17.
3
National surveillance of asthma: United States, 2001-2010.
Vital Health Stat 3. 2012 Nov(35):1-58.
4
Asthma in the workplace: a case-based discussion and review of current evidence.
Prim Care Respir J. 2013 Jun;22(2):244-8. doi: 10.4104/pcrj.2013.00038.
5
Asthma symptoms among adults with work-related asthma.
J Asthma. 2013 Mar;50(2):166-73. doi: 10.3109/02770903.2012.754029. Epub 2012 Dec 21.
6
Physician-patient communication regarding asthma and work.
Am J Prev Med. 2012 Jul;43(1):72-5. doi: 10.1016/j.amepre.2012.03.021.
7
Health-related quality of life among adults with work-related asthma in the United States.
Qual Life Res. 2013 May;22(4):771-80. doi: 10.1007/s11136-012-0206-7. Epub 2012 Jun 4.
10
Work-related asthma: a case-based approach to management.
Immunol Allergy Clin North Am. 2011 Nov;31(4):729-46, vi. doi: 10.1016/j.iac.2011.07.006.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验