Fox Jordan L, Gurney Tiana, Kondalsamy-Chennakesavan Srinivas, Pols Thomas A H, Tuffaha Haitham, Pak Anton, McGrail Matthew
Rural Clinical School, The University of Queensland, Rockhampton 4700, Australia.
Rural Clinical School, The University of Queensland, Toowoomba 4350, Australia.
Healthcare (Basel). 2023 Nov 2;11(21):2888. doi: 10.3390/healthcare11212888.
Workers in the oil and gas industry are exposed to numerous health risks, ranging from poor health behaviours to the possibility of life-threatening injuries. Determining the most appropriate models of healthcare for the oil and gas industry is difficult, as strategies must be acceptable to multiple stakeholders, including employees, employers, and local communities. The purpose of this review was to broadly explore the health status and needs of workers in the oil and gas industry and healthcare delivery models relating to primary care and emergency responses. Database searches of PubMed, EMBASE, CINAHL, PsycINFO, and Scopus were conducted, as well as grey literature searches of Google, Google Scholar, and the International Association of Oil and Gas Producers website. Resource-sector workers, particularly those in 'fly-in fly-out' roles, are susceptible to poor health behaviours and a higher prevalence of mental health concerns than the general population. Evidence is generally supportive of organisation-led behaviour change and mental health-related interventions. Deficiencies in primary care received while on-site may lead workers to inappropriately use local health services. For the provision of emergency medical care, telehealth and telemedicine lead to favourable outcomes by improving patient health status and satisfaction and reducing the frequency of medical evacuations.
石油和天然气行业的工人面临众多健康风险，从不良健康行为到危及生命的伤害都有可能。确定石油和天然气行业最合适的医疗保健模式很困难，因为相关策略必须为包括员工、雇主和当地社区在内的多个利益相关者所接受。本综述的目的是广泛探讨石油和天然气行业工人的健康状况和需求，以及与初级保健和应急响应相关的医疗服务提供模式。我们对PubMed、EMBASE、CINAHL、PsycINFO和Scopus进行了数据库检索，还对谷歌、谷歌学术和国际石油和天然气生产商协会网站进行了灰色文献检索。资源部门的工人，尤其是那些从事“飞来飞去”工作的工人，比一般人群更容易出现不良健康行为，心理健康问题的患病率也更高。证据总体上支持由组织主导的行为改变和与心理健康相关的干预措施。在现场接受的初级保健不足可能会导致工人不适当地使用当地医疗服务。对于提供紧急医疗护理，远程医疗通过改善患者健康状况和满意度以及减少医疗后送频率而产生良好效果。
