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意大利职业医师与国家卫生系统及全科医生的合作。

Collaboration of occupational physicians with national health system and general practitioners in Italy.

作者信息

Persechino Benedetta, Fontana Luca, Buresti Giuliana, Rondinone Bruna Maria, Laurano Patrizia, Fortuna Grazia, Valenti Antonio, Iavicoli Sergio

机构信息

INAIL, Italian Workers' Compensation Authority, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italy.

出版信息

Ind Health. 2017 Apr 7;55(2):180-191. doi: 10.2486/indhealth.2016-0101. Epub 2016 Oct 12.

DOI:10.2486/indhealth.2016-0101
PMID:27733729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5383415/
Abstract

A good cooperation between occupational physicians and other healthcare professionals is essential in order to achieve an overall improvement of workers/patients' well-being. Unfortunately, collaboration between occupational physicians and other physicians is often lacking or very poor. In this context, using a self-administered questionnaire, we investigated the cooperation of Italian occupational physicians with the National Health System (NHS) facilities and with the general practitioners in order to identify any potential critical issues that may hinder an effective and collaborative relationships between these professionals. The survey was conducted from October 2013 to January 2014. Nearly all of the interviewed occupational physicians have had contacts with colleagues of the Departments for Prevention and Occupational Health and Safety of the NHS. Regarding the relationship between occupational physicians and general practitioners findings showed that their cooperation is quite difficult and it would not seem a two-way collaboration. Cooperation between occupational physicians and NHS would benefit from the development of communication strategies and tools enhancing the support and assistance functions of the NHS facilities. The elaboration and subsequent application of operational guidelines and standardized procedures of communication would also improve collaboration between occupational physicians and general practitioners that is currently considered rather insufficient and incomplete.

摘要

职业医生与其他医疗保健专业人员之间的良好合作对于全面改善工人/患者的健康状况至关重要。不幸的是,职业医生与其他医生之间的合作往往欠缺或非常糟糕。在此背景下,我们通过一份自填式问卷,调查了意大利职业医生与国家卫生系统(NHS)机构以及全科医生之间的合作情况,以确定可能阻碍这些专业人员之间建立有效合作关系的任何潜在关键问题。该调查于2013年10月至2014年1月进行。几乎所有接受采访的职业医生都与NHS预防及职业健康与安全部门的同事有过接触。关于职业医生与全科医生之间的关系,调查结果显示他们的合作相当困难,而且似乎并非双向合作。职业医生与NHS之间的合作将受益于沟通策略和工具的开发,这些策略和工具可增强NHS机构的支持和协助功能。制定并随后应用沟通操作指南和标准化程序也将改善职业医生与全科医生之间的合作,目前这种合作被认为相当不足且不完整。

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