How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios

Despite no evidence in favour, routine workers' health examinations, mostly pre-employment and periodic, are extensively performed worldwide with important allocation of resources. In Spain they are performed within a theoretical job-specific health surveillance system. Our objective was to asc...

ver descrição completa

Detalhes bibliográficos
Autores: Rodríguez Jareño, Mari Cruz, Molinero, Emilia, Montserrat i Nonó, Jaume de, Vallés Segalés, Antoni, Aymerich, Marta
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2015
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10256/16522
Acesso em linha:http://hdl.handle.net/10256/16522
Access Level:acceso abierto
Palavra-chave:Salut en el treball
Industrial hygiene
Medicina del treball
Medicine, Industrial
id ES_c0d0fa394b56e72f5c08d3ff8600aade
oai_identifier_str oai:recercat.cat:10256/16522
network_acronym_str ES
network_name_str España
repository_id_str
spelling How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinariosRodríguez Jareño, Mari CruzMolinero, EmiliaMontserrat i Nonó, Jaume deVallés Segalés, AntoniAymerich, MartaSalut en el treballIndustrial hygieneMedicina del treballMedicine, IndustrialDespite no evidence in favour, routine workers' health examinations, mostly pre-employment and periodic, are extensively performed worldwide with important allocation of resources. In Spain they are performed within a theoretical job-specific health surveillance system. Our objective was to ascertain their occupational preventive usefulness from the perspective of occupational health professionals. Methods: Cross sectional study. Online survey addressed to all physicians and nurses members of the Catalan Society of Safety and Occupational Medicine (n=539) in 2011. Univariate and bivariate analyses of prevalence and prevalence differences of answers. Results: Response rate 53% (n=285). According to more than 70% of respondents the health surveillance system isn't cost-effective, doesn't meet the goal of early detection of health damage related to work, and doesn't contribute to improve the occupational risk prevention system. Further deficiencies were identified regarding specificity and scientific basis for health examinations, quality of collective health surveillance and referral of suspected cases to mutual insurance companies for diagnosis and treatment. Bivariate analysis showed a significantly more negative opinion for several items amongst physicians (versus nurses) and amongst professionals working in external prevention services (versus internal services). Conclusions: This study raises serious concerns about how health examinations are performed within our workers' health surveillance system, which should be reviewed to ensure the fulfilment of its occupational preventive objective. Our results might encourage other countries with similar practices to assess them in order to assure their fitness for purposeElsevier2015info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionpeer-reviewedapplication/pdfhttp://hdl.handle.net/10256/16522http://hdl.handle.net/10256/16522Gaceta Sanitaria, 2015, vol. 29, núm. 4, p. 266-273Articles publicats (D-CM)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)Inglésinfo:eu-repo/semantics/altIdentifier/doi/10.1016/j.gaceta.2014.11.001info:eu-repo/semantics/altIdentifier/issn/0213-9111info:eu-repo/semantics/altIdentifier/eissn/1578-1283Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10256/165222026-05-29T05:05:01Z
dc.title.none.fl_str_mv How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios
title How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios
spellingShingle How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios
Rodríguez Jareño, Mari Cruz
Salut en el treball
Industrial hygiene
Medicina del treball
Medicine, Industrial
title_short How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios
title_full How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios
title_fullStr How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios
title_full_unstemmed How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios
title_sort How much do workers' health examinations add to health and safety at the workplace? Occupational preventive usefulness of routine health examinations = ¿Qué aportan los exámenes de salud a la seguridad y salud en el trabajo? Utilidad preventiva ocupacional de los exámenes de salud rutinarios
dc.creator.none.fl_str_mv Rodríguez Jareño, Mari Cruz
Molinero, Emilia
Montserrat i Nonó, Jaume de
Vallés Segalés, Antoni
Aymerich, Marta
author Rodríguez Jareño, Mari Cruz
author_facet Rodríguez Jareño, Mari Cruz
Molinero, Emilia
Montserrat i Nonó, Jaume de
Vallés Segalés, Antoni
Aymerich, Marta
author_role author
author2 Molinero, Emilia
Montserrat i Nonó, Jaume de
Vallés Segalés, Antoni
Aymerich, Marta
author2_role author
author
author
author
dc.subject.none.fl_str_mv Salut en el treball
Industrial hygiene
Medicina del treball
Medicine, Industrial
topic Salut en el treball
Industrial hygiene
Medicina del treball
Medicine, Industrial
description Despite no evidence in favour, routine workers' health examinations, mostly pre-employment and periodic, are extensively performed worldwide with important allocation of resources. In Spain they are performed within a theoretical job-specific health surveillance system. Our objective was to ascertain their occupational preventive usefulness from the perspective of occupational health professionals. Methods: Cross sectional study. Online survey addressed to all physicians and nurses members of the Catalan Society of Safety and Occupational Medicine (n=539) in 2011. Univariate and bivariate analyses of prevalence and prevalence differences of answers. Results: Response rate 53% (n=285). According to more than 70% of respondents the health surveillance system isn't cost-effective, doesn't meet the goal of early detection of health damage related to work, and doesn't contribute to improve the occupational risk prevention system. Further deficiencies were identified regarding specificity and scientific basis for health examinations, quality of collective health surveillance and referral of suspected cases to mutual insurance companies for diagnosis and treatment. Bivariate analysis showed a significantly more negative opinion for several items amongst physicians (versus nurses) and amongst professionals working in external prevention services (versus internal services). Conclusions: This study raises serious concerns about how health examinations are performed within our workers' health surveillance system, which should be reviewed to ensure the fulfilment of its occupational preventive objective. Our results might encourage other countries with similar practices to assess them in order to assure their fitness for purpose
publishDate 2015
dc.date.none.fl_str_mv 2015
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
peer-reviewed
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10256/16522
http://hdl.handle.net/10256/16522
url http://hdl.handle.net/10256/16522
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1016/j.gaceta.2014.11.001
info:eu-repo/semantics/altIdentifier/issn/0213-9111
info:eu-repo/semantics/altIdentifier/eissn/1578-1283
dc.rights.none.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv Gaceta Sanitaria, 2015, vol. 29, núm. 4, p. 266-273
Articles publicats (D-CM)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869418509345226752
score 15.81155

Registos relacionados