Needs and barriers of medical personnel in Catalonian occupational health services Necesidades y dificultades de los/las profesionales sanitarios/as de los servicios de prevención de riesgos laborales de Cataluña
Vargas Leguás, H. (Agència de Salut Pública de Catalunya. Xarxa de Unitats de Salut Laboral de Cataluny)
Porcel Pérez, E. (Unitat de Salut Laboral de la Cataluña Central. Althaia Xarxa Assistencial Universitària de Manresa)
Cortès-Franch, Imma (Institut d'Investigació Biomèdica Sant Pau)

Data:	2021
Resum:	OBJECTIVE: to identify the difficulties and needs of medical professionals in occupational health services in Catalonia with respect to carrying out their functions, as prescribed by law. METHODS: Delphi study in three rounds. The selection of participants was carried out sepa - rately for in-house versus outsourced occupational health services. The first round included two open-ended questions: What difficulties do you encounter when performing your duties in your occupational health service? And, what are your needs in terms of being able to per - form your duties in your occupational health service? In the second and third rounds, partic - ipants ranked the categories identified in the first round according to their importance and relevance. We calculated an inter-rater agreement index (ICC) and an "index of concern (IP)". RESULTS: Among in-house occupational health services, the most highly ranked difficulties were case management of workers with limitations and the low quality of medical sur - veillance systems. Among outsourced occupational health services, the most notable dif - ficulties were the lack of communication with other organizations and the prioritization of economic and profitability criteria associated with the high work volume. For both types of services, there was a clear need to establish communication channels with other institu - tions or organizations such as primary care, mutual insurance companies, public medical evaluation units and public occupational health units. CONCLUSIONS: The different type of occupational health services reflects important differ - ences in the types of difficulties encountered, but not in needs, where there are more points in common.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Castellà
Document:	Article ; recerca ; Versió publicada
Matèria:	Communication ; Health Personnel ; Humans ; Occupational Health ; Occupational Health Services ; Occupational Health Physicians ; Spain
Publicat a:	Archivos de prevencion de riesgos laborales, Vol. 24 Núm. 2 (15 2021) , p. 46-66, ISSN 1578-2549

DOI: 10.12961/aprl.2021.24.02.05
PMID: 34015202

21 p, 271.1 KB

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