Use of a Questionnaire to Improve Occupational and Environmental History Taking in Primary Care Physicians
New patient charts were reviewed before and after the introduction of a self-administered questionnaire, designed to elicit occupational and environmental (OE) information from patients. The Occupational Health Risk Assessment questionnaire (OHRA) was expected to prompt primary care physicians to ma...
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| Veröffentlicht in: | Journal of occupational and environmental medicine 2000-12, Vol.42 (12), p.1188-1194 |
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| container_issue | 12 |
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| container_title | Journal of occupational and environmental medicine |
| container_volume | 42 |
| creator | Thompson, Jeffery N. Brodkin, Carl A. Kyes, Kelly Neighbor, William Evanoff, Bradley |
| description | New patient charts were reviewed before and after the introduction of a self-administered questionnaire, designed to elicit occupational and environmental (OE) information from patients. The Occupational Health Risk Assessment questionnaire (OHRA) was expected to prompt primary care physicians to make further inquiries into OE health issues. Chart reviews determined the amount and type of information detailed in the primary care physicians' notes. Twenty-three percent of completed OHRAs indicated a job-related health problem. Despite a high prevalence of self-reported work-related symptoms and exposures, the mea number of notations regarding OE exposures was less than one item per patient chart. A comparison of mean OE notations per chart before versus after introduction of the OHRA indicated a decline in notations after introduction of the OHRA (1.03 vs 0.72, P = 0.02). We detail the type of OE issues that patients presented to a primary care practice and the resulting information contained in primary care providers' notes. Suggestions are made to improve a self-administered patient questionnaire to better diagnose, prioritize, and formulate treatment plans related to OE issues. |
| doi_str_mv | 10.1097/00043764-200012000-00014 |
| format | Article |
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The Occupational Health Risk Assessment questionnaire (OHRA) was expected to prompt primary care physicians to make further inquiries into OE health issues. Chart reviews determined the amount and type of information detailed in the primary care physicians' notes. Twenty-three percent of completed OHRAs indicated a job-related health problem. Despite a high prevalence of self-reported work-related symptoms and exposures, the mea number of notations regarding OE exposures was less than one item per patient chart. A comparison of mean OE notations per chart before versus after introduction of the OHRA indicated a decline in notations after introduction of the OHRA (1.03 vs 0.72, P = 0.02). We detail the type of OE issues that patients presented to a primary care practice and the resulting information contained in primary care providers' notes. Suggestions are made to improve a self-administered patient questionnaire to better diagnose, prioritize, and formulate treatment plans related to OE issues.</description><identifier>ISSN: 1076-2752</identifier><identifier>EISSN: 1536-5948</identifier><identifier>DOI: 10.1097/00043764-200012000-00014</identifier><identifier>PMID: 11125682</identifier><identifier>CODEN: JOEMFM</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Biological and medical sciences ; Cohort Studies ; Environmental Exposure ; Female ; Humans ; Male ; Medical History Taking ; Medical procedures ; Medical sciences ; Miscellaneous ; Occupational Exposure ; Occupational medicine ; ORIGINAL ARTICLES ; Physicians ; Primary care ; Primary Health Care ; Public health. 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The Occupational Health Risk Assessment questionnaire (OHRA) was expected to prompt primary care physicians to make further inquiries into OE health issues. Chart reviews determined the amount and type of information detailed in the primary care physicians' notes. Twenty-three percent of completed OHRAs indicated a job-related health problem. Despite a high prevalence of self-reported work-related symptoms and exposures, the mea number of notations regarding OE exposures was less than one item per patient chart. A comparison of mean OE notations per chart before versus after introduction of the OHRA indicated a decline in notations after introduction of the OHRA (1.03 vs 0.72, P = 0.02). We detail the type of OE issues that patients presented to a primary care practice and the resulting information contained in primary care providers' notes. Suggestions are made to improve a self-administered patient questionnaire to better diagnose, prioritize, and formulate treatment plans related to OE issues.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Environmental Exposure</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical History Taking</subject><subject>Medical procedures</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Occupational Exposure</subject><subject>Occupational medicine</subject><subject>ORIGINAL ARTICLES</subject><subject>Physicians</subject><subject>Primary care</subject><subject>Primary Health Care</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Questionnaires</subject><subject>Risk Assessment</subject><subject>Self-Assessment</subject><subject>Surveys and Questionnaires - standards</subject><issn>1076-2752</issn><issn>1536-5948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU9P3DAQxa0KVCjtR2hl0XOK_zs-ohUFJCSoBGdr8DpdL1l7sRMQ3x6n2W5Pvdij8e89zTwjhCn5QYnRZ4QQwbUSDasVnY5mKsQHdEwlV400oj2oNdGqYVqyI_SplHUlJCXyIzqilDKpWnaM1g_F49RhwL9GX4aQYoSQPR4Svt5sc3rx-Na5cQvTE_QY4hJfxJeQU9z4ONTOVShDym_4Hp5C_I1DxHc5bKB2FlCN7lZvJbgAsXxGhx30xX_Z3Sfo4efF_eKqubm9vF6c3zROcC4azonsWkEcBcYUMCNcJxkzUnsGVBjeikcnlW4dAy9BK1P3cqRdMqgSx_kJOp196_jP01J2ncZchy-WUaaIMkxXqJ0hl1Mp2Xd2O09tKbFTxvZvxnafsf2TcZV-2_mPjxu__CfchVqB7zsAioO-yxBdKHuu1fVHJkrM1GvqB5_LUz---mxXHvphZf_3w1X2dZatp9j3pkIYowjX_B3_IJus</recordid><startdate>200012</startdate><enddate>200012</enddate><creator>Thompson, Jeffery N.</creator><creator>Brodkin, Carl A.</creator><creator>Kyes, Kelly</creator><creator>Neighbor, William</creator><creator>Evanoff, Bradley</creator><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope></search><sort><creationdate>200012</creationdate><title>Use of a Questionnaire to Improve Occupational and Environmental History Taking in Primary Care Physicians</title><author>Thompson, Jeffery N. ; Brodkin, Carl A. ; Kyes, Kelly ; Neighbor, William ; Evanoff, Bradley</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4334-3305f840c1a226a294cf522957e2a149384bc5678c2ae5a769001c08d2ac1ac33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Environmental Exposure</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical History Taking</topic><topic>Medical procedures</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Occupational Exposure</topic><topic>Occupational medicine</topic><topic>ORIGINAL ARTICLES</topic><topic>Physicians</topic><topic>Primary care</topic><topic>Primary Health Care</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Questionnaires</topic><topic>Risk Assessment</topic><topic>Self-Assessment</topic><topic>Surveys and Questionnaires - standards</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thompson, Jeffery N.</creatorcontrib><creatorcontrib>Brodkin, Carl A.</creatorcontrib><creatorcontrib>Kyes, Kelly</creatorcontrib><creatorcontrib>Neighbor, William</creatorcontrib><creatorcontrib>Evanoff, Bradley</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Journal of occupational and environmental medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thompson, Jeffery N.</au><au>Brodkin, Carl A.</au><au>Kyes, Kelly</au><au>Neighbor, William</au><au>Evanoff, Bradley</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of a Questionnaire to Improve Occupational and Environmental History Taking in Primary Care Physicians</atitle><jtitle>Journal of occupational and environmental medicine</jtitle><addtitle>J Occup Environ Med</addtitle><date>2000-12</date><risdate>2000</risdate><volume>42</volume><issue>12</issue><spage>1188</spage><epage>1194</epage><pages>1188-1194</pages><issn>1076-2752</issn><eissn>1536-5948</eissn><coden>JOEMFM</coden><abstract>New patient charts were reviewed before and after the introduction of a self-administered questionnaire, designed to elicit occupational and environmental (OE) information from patients. The Occupational Health Risk Assessment questionnaire (OHRA) was expected to prompt primary care physicians to make further inquiries into OE health issues. Chart reviews determined the amount and type of information detailed in the primary care physicians' notes. Twenty-three percent of completed OHRAs indicated a job-related health problem. Despite a high prevalence of self-reported work-related symptoms and exposures, the mea number of notations regarding OE exposures was less than one item per patient chart. A comparison of mean OE notations per chart before versus after introduction of the OHRA indicated a decline in notations after introduction of the OHRA (1.03 vs 0.72, P = 0.02). We detail the type of OE issues that patients presented to a primary care practice and the resulting information contained in primary care providers' notes. Suggestions are made to improve a self-administered patient questionnaire to better diagnose, prioritize, and formulate treatment plans related to OE issues.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>11125682</pmid><doi>10.1097/00043764-200012000-00014</doi><tpages>7</tpages></addata></record> |
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| ispartof | Journal of occupational and environmental medicine, 2000-12, Vol.42 (12), p.1188-1194 |
| issn | 1076-2752 1536-5948 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete; JSTOR Archive Collection A-Z Listing |
| subjects | Adult Biological and medical sciences Cohort Studies Environmental Exposure Female Humans Male Medical History Taking Medical procedures Medical sciences Miscellaneous Occupational Exposure Occupational medicine ORIGINAL ARTICLES Physicians Primary care Primary Health Care Public health. Hygiene-occupational medicine Questionnaires Risk Assessment Self-Assessment Surveys and Questionnaires - standards |
| title | Use of a Questionnaire to Improve Occupational and Environmental History Taking in Primary Care Physicians |
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