英国国家医疗服务体系（NHS）医生和牙医向职业健康部门转诊的趋势。

Trends in NHS doctor and dentist referrals to occupational health.

作者信息

Lalloo D, Demou E, Macdonald E B

机构信息

Healthy Working Lives Group, Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G12 8RZ, UK,

Healthy Working Lives Group, Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G12 8RZ, UK, MRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G2 3QB, UK.

出版信息

Occup Med (Lond). 2016 Jun;66(4):316-9. doi: 10.1093/occmed/kqw016. Epub 2016 Feb 28.

DOI:10.1093/occmed/kqw016

PMID:26928858

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4861137/

Abstract

BACKGROUND

Ill-health in doctors can affect performance and fitness to practice, and consequently patient care and safety, placing an important responsibility on National Health Service (NHS) occupational health (OH) services. Anecdotal discussions amongst NHS occupational physicians suggest an increase in the number of doctor attendances over time, with continuing focus on mental illness.

AIMS

To analyse OH referrals in doctors and dentists over 3 years.

METHODS

A retrospective evaluation of all doctor and dentist referrals to the OH service in one Scottish NHS board from April 2011 to March 2014, comparing this to management-reported sickness absence (SA) data held by the organization.

RESULTS

We found no significant change in overall OH referrals for doctors and dentists during the evaluation period. Mental illness was the commonest referral reason in all 3 years at 32, 38 and 30%, respectively, but no significant change in mental health referrals was demonstrated within the study period. SA events significantly increased during the three study years (356, 426 and 469, respectively; P < 0.05). OH referrals for those absent from work increased significantly between Years 1 and 3 (16 and 30, respectively; P < 0.05).

CONCLUSIONS

SA events and OH referrals for those absent from work significantly increased between April 2011 and March 2014, but there was no commensurate (statistically significant) increase in overall OH referrals. These findings do not support anecdotal suggestions of increasing OH (or mental ill-health) attendances but can be used as a benchmark for other NHS organizations and for future trend comparisons.

摘要

背景

医生的健康不佳会影响其工作表现和执业能力，进而影响患者护理和安全，这使英国国家医疗服务体系（NHS）的职业健康（OH）服务承担着重要责任。NHS职业医生之间的传闻性讨论表明，随着时间的推移，医生就诊人数有所增加，且仍持续关注精神疾病。

目的

分析三年来医生和牙医的职业健康转诊情况。

方法

对2011年4月至2014年3月期间向苏格兰一个NHS委员会的职业健康服务部门转诊的所有医生和牙医进行回顾性评估，并将其与该组织管理报告的病假（SA）数据进行比较。

结果

我们发现，在评估期间，医生和牙医的总体职业健康转诊情况没有显著变化。精神疾病是所有三年中最常见的转诊原因，分别为32%、38%和30%，但在研究期间，精神健康转诊情况没有显著变化。在三个研究年度中，病假事件显著增加（分别为356、426和469；P<0.05）。第1年和第3年期间，因病缺勤者的职业健康转诊显著增加（分别为16和30；P<0.05）。