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[菲英岛综合诊疗中与职业相关的投诉——发生率、报告模式。1989年9月1日至1989年11月30日为期3个月的登记期]

[Occupation-related complaints in general practice on Fyn--occurrence, pattern of notification. A 3-month registration period, 1 September 1989-30 November 1989].

作者信息

Haastrup B

机构信息

Institut for Sygdomsforebyggelse, Odense Universitet.

出版信息

Ugeskr Laeger. 1993 Feb 8;155(6):373-9.

PMID:8447012
Abstract

The object of this investigation was to illustrate the occurrence of occupational injuries in general practice and the pattern of notification of occupationally-conditioned complaints. Thirty-three general practitioners in Funen attempted to register all the consultations during day working hours during the period September-November 1989 on account of presumed occupational injuries by means of a multiple-choice form. A total of 393 consultations concerning 213 occupationally-conditioned complaints and 99 occupational accidents were registered, implying that 1.1% of all consultations during day working hours during the period af registration were concerned with occupational accidents and 0.7% with occupationally-conditioned complaints. 37% of the presumed occupationally-conditioned complaints were notified. The fraction of notifications was greatest among female patients and among the more severe, chronic and obviously occupationally-related cases. 63% were not notified. The commonest reasons for this were triviality, unproved causal connection or that further developments were awaited. In 15% of the non-notified cases, it was stated that notification was not anticipated to result in any consequences. It is concluded that occupational injuries constitute both quantitative and qualitative problems of considerable extent in general practice. Only a minority of the presumed occupationally-conditioned complaints were notified. Awareness of the objects of notification must be increased and motivation for notification must be increased by emphasizing the consequences of notification.

摘要

本次调查的目的是阐明全科医疗中职业损伤的发生情况以及职业性疾病投诉的报告模式。1989年9月至11月期间,菲英岛的33名全科医生试图通过一份多项选择表格,登记日间工作时间内所有因疑似职业损伤而进行的会诊。共登记了393次会诊,涉及213起职业性疾病投诉和99起职业事故,这意味着在登记期间日间工作时间内所有会诊中,有1.1%与职业事故有关,0.7%与职业性疾病投诉有关。37%的疑似职业性疾病投诉进行了报告。报告比例在女性患者以及病情较重、慢性且明显与职业相关的病例中最高。63%未报告。最常见的原因是问题轻微、因果关系未得到证实或等待进一步发展。在15%的未报告病例中,表明预计报告不会产生任何后果。结论是,在全科医疗中,职业损伤在数量和质量上都构成了相当大的问题。只有少数疑似职业性疾病投诉进行了报告。必须提高对报告目的的认识,并通过强调报告的后果来增强报告的积极性。

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