Occupational health within the bounds of primary care: Factors shaping the health of Latina/o immigrant workers in federally qualified health centers
Background Many workers seek care for work‐related medical conditions in primary care settings. Additionally, occupational medicine training is not consistently addressed in primary care professional training. These patterns raise concerns about the health outcomes of low‐wage Latina/o immigrant wor...
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Veröffentlicht in: | American journal of industrial medicine 2022-06, Vol.65 (6), p.468-482 |
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creator | Torres, Ivy R. Shklanko, Sarah Haq, Cynthia LeBrón, Alana M.W. |
description | Background
Many workers seek care for work‐related medical conditions in primary care settings. Additionally, occupational medicine training is not consistently addressed in primary care professional training. These patterns raise concerns about the health outcomes of low‐wage Latina/o immigrant workers who make use of primary care settings to obtain care for work‐related injuries and illnesses. The objective of this qualitative study was to investigate how primary care clinicians assessed and addressed the role of occupational exposures on the health and well‐being of Latina/o immigrant workers.
Methods
We conducted semistructured in‐depth interviews with 17 primary care clinicians (physicians, resident physicians, and nurse practitioners) employed in an urban federally qualified health center (FQHC) with two sites located in Orange County, CA.
Results
Using a constructivist grounded theory approach, we determined that primary care clinicians had a general understanding that employment influenced the health and well‐being of their Latina/o immigrant patients. Clinicians delivered care to Latina/o immigrant workers who feared reporting their injury to their employer and to Latina/o immigrants whose workers' compensation claim was terminated before making a full recovery. Clinicians were responsive to patients' work‐related concerns and leveraged the resources available within the FQHC. Although some clinicians offered suggestions to improve occupational health in the FQHC, a few clinicians raised concerns about the feasibility of additional health screenings and clinic‐based interventions, and pointed to the importance of interventions outside of the healthcare system.
Conclusion
This study underscores the complexities of addressing occupational health concerns in urban FQHCs. |
doi_str_mv | 10.1002/ajim.23356 |
format | Article |
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Many workers seek care for work‐related medical conditions in primary care settings. Additionally, occupational medicine training is not consistently addressed in primary care professional training. These patterns raise concerns about the health outcomes of low‐wage Latina/o immigrant workers who make use of primary care settings to obtain care for work‐related injuries and illnesses. The objective of this qualitative study was to investigate how primary care clinicians assessed and addressed the role of occupational exposures on the health and well‐being of Latina/o immigrant workers.
Methods
We conducted semistructured in‐depth interviews with 17 primary care clinicians (physicians, resident physicians, and nurse practitioners) employed in an urban federally qualified health center (FQHC) with two sites located in Orange County, CA.
Results
Using a constructivist grounded theory approach, we determined that primary care clinicians had a general understanding that employment influenced the health and well‐being of their Latina/o immigrant patients. Clinicians delivered care to Latina/o immigrant workers who feared reporting their injury to their employer and to Latina/o immigrants whose workers' compensation claim was terminated before making a full recovery. Clinicians were responsive to patients' work‐related concerns and leveraged the resources available within the FQHC. Although some clinicians offered suggestions to improve occupational health in the FQHC, a few clinicians raised concerns about the feasibility of additional health screenings and clinic‐based interventions, and pointed to the importance of interventions outside of the healthcare system.
Conclusion
This study underscores the complexities of addressing occupational health concerns in urban FQHCs.</description><identifier>ISSN: 0271-3586</identifier><identifier>EISSN: 1097-0274</identifier><identifier>DOI: 10.1002/ajim.23356</identifier><identifier>PMID: 35426145</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Emigrants and Immigrants ; Exposure ; Health care ; Health care facilities ; Hispanic or Latino ; Humans ; Immigrants ; Latina/o immigrants ; low‐wage workers ; Medical personnel ; Occupational exposure ; Occupational Health ; occupational medicine ; Patients ; Physicians ; Primary care ; Primary Health Care ; Training ; Workers' Compensation</subject><ispartof>American journal of industrial medicine, 2022-06, Vol.65 (6), p.468-482</ispartof><rights>2022 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3526-8c36eb3e26e79ecf459b36d192e6a9eb560ffb1906ba98868f897710e73777d53</cites><orcidid>0000-0001-8350-9475</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fajim.23356$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fajim.23356$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27926,27927,45576,45577</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35426145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Torres, Ivy R.</creatorcontrib><creatorcontrib>Shklanko, Sarah</creatorcontrib><creatorcontrib>Haq, Cynthia</creatorcontrib><creatorcontrib>LeBrón, Alana M.W.</creatorcontrib><title>Occupational health within the bounds of primary care: Factors shaping the health of Latina/o immigrant workers in federally qualified health centers</title><title>American journal of industrial medicine</title><addtitle>Am J Ind Med</addtitle><description>Background
Many workers seek care for work‐related medical conditions in primary care settings. Additionally, occupational medicine training is not consistently addressed in primary care professional training. These patterns raise concerns about the health outcomes of low‐wage Latina/o immigrant workers who make use of primary care settings to obtain care for work‐related injuries and illnesses. The objective of this qualitative study was to investigate how primary care clinicians assessed and addressed the role of occupational exposures on the health and well‐being of Latina/o immigrant workers.
Methods
We conducted semistructured in‐depth interviews with 17 primary care clinicians (physicians, resident physicians, and nurse practitioners) employed in an urban federally qualified health center (FQHC) with two sites located in Orange County, CA.
Results
Using a constructivist grounded theory approach, we determined that primary care clinicians had a general understanding that employment influenced the health and well‐being of their Latina/o immigrant patients. Clinicians delivered care to Latina/o immigrant workers who feared reporting their injury to their employer and to Latina/o immigrants whose workers' compensation claim was terminated before making a full recovery. Clinicians were responsive to patients' work‐related concerns and leveraged the resources available within the FQHC. Although some clinicians offered suggestions to improve occupational health in the FQHC, a few clinicians raised concerns about the feasibility of additional health screenings and clinic‐based interventions, and pointed to the importance of interventions outside of the healthcare system.
Conclusion
This study underscores the complexities of addressing occupational health concerns in urban FQHCs.</description><subject>Emigrants and Immigrants</subject><subject>Exposure</subject><subject>Health care</subject><subject>Health care facilities</subject><subject>Hispanic or Latino</subject><subject>Humans</subject><subject>Immigrants</subject><subject>Latina/o immigrants</subject><subject>low‐wage workers</subject><subject>Medical personnel</subject><subject>Occupational exposure</subject><subject>Occupational Health</subject><subject>occupational medicine</subject><subject>Patients</subject><subject>Physicians</subject><subject>Primary care</subject><subject>Primary Health Care</subject><subject>Training</subject><subject>Workers' Compensation</subject><issn>0271-3586</issn><issn>1097-0274</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90cFO3DAUBVCralWmlA0fgCx1U1UK2HFsx90hVFrQVGzKOnKcZ-KpEw92otF8SP-3HmZgwYLV25x7F-8idErJOSWkvNArN5yXjHHxDi0oUbIgpazeo0U-tGC8FkfoU0orQiitRPURHTFelYJWfIH-3Rkzr_Xkwqg97kH7qccbN_VuxFMPuA3z2CUcLF5HN-i4xUZH-I6vtZlCTDj1eu3Ghyd7SGe7zIWjvgjYDYN7iHqc8CbEv5ADuddCB1F7v8WPs_bOOuieswbGKavP6IPVPsHJ4R6j--sff65-Fcu7nzdXl8vCMF6KojZMQMugFCAVGFtx1TLRUVWC0ApaLoi1LVVEtFrVtahtraSkBCSTUnacHaOv-951DI8zpKkZXDLgvR4hzKkpBadCMapopl9e0VWYY37aTgmaG7lUWX3bKxNDShFsc3hbQ0mzG6vZjdU8jZXx2aFybgfoXujzOhnQPdg4D9s3qprL25vf-9L_weagwQ</recordid><startdate>202206</startdate><enddate>202206</enddate><creator>Torres, Ivy R.</creator><creator>Shklanko, Sarah</creator><creator>Haq, Cynthia</creator><creator>LeBrón, Alana M.W.</creator><general>Wiley Subscription Services, Inc</general><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>C1K</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8350-9475</orcidid></search><sort><creationdate>202206</creationdate><title>Occupational health within the bounds of primary care: Factors shaping the health of Latina/o immigrant workers in federally qualified health centers</title><author>Torres, Ivy R. ; Shklanko, Sarah ; Haq, Cynthia ; LeBrón, Alana M.W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3526-8c36eb3e26e79ecf459b36d192e6a9eb560ffb1906ba98868f897710e73777d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Emigrants and Immigrants</topic><topic>Exposure</topic><topic>Health care</topic><topic>Health care facilities</topic><topic>Hispanic or Latino</topic><topic>Humans</topic><topic>Immigrants</topic><topic>Latina/o immigrants</topic><topic>low‐wage workers</topic><topic>Medical personnel</topic><topic>Occupational exposure</topic><topic>Occupational Health</topic><topic>occupational medicine</topic><topic>Patients</topic><topic>Physicians</topic><topic>Primary care</topic><topic>Primary Health Care</topic><topic>Training</topic><topic>Workers' Compensation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Torres, Ivy R.</creatorcontrib><creatorcontrib>Shklanko, Sarah</creatorcontrib><creatorcontrib>Haq, Cynthia</creatorcontrib><creatorcontrib>LeBrón, Alana M.W.</creatorcontrib><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>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of industrial medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Torres, Ivy R.</au><au>Shklanko, Sarah</au><au>Haq, Cynthia</au><au>LeBrón, Alana M.W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Occupational health within the bounds of primary care: Factors shaping the health of Latina/o immigrant workers in federally qualified health centers</atitle><jtitle>American journal of industrial medicine</jtitle><addtitle>Am J Ind Med</addtitle><date>2022-06</date><risdate>2022</risdate><volume>65</volume><issue>6</issue><spage>468</spage><epage>482</epage><pages>468-482</pages><issn>0271-3586</issn><eissn>1097-0274</eissn><abstract>Background
Many workers seek care for work‐related medical conditions in primary care settings. Additionally, occupational medicine training is not consistently addressed in primary care professional training. These patterns raise concerns about the health outcomes of low‐wage Latina/o immigrant workers who make use of primary care settings to obtain care for work‐related injuries and illnesses. The objective of this qualitative study was to investigate how primary care clinicians assessed and addressed the role of occupational exposures on the health and well‐being of Latina/o immigrant workers.
Methods
We conducted semistructured in‐depth interviews with 17 primary care clinicians (physicians, resident physicians, and nurse practitioners) employed in an urban federally qualified health center (FQHC) with two sites located in Orange County, CA.
Results
Using a constructivist grounded theory approach, we determined that primary care clinicians had a general understanding that employment influenced the health and well‐being of their Latina/o immigrant patients. Clinicians delivered care to Latina/o immigrant workers who feared reporting their injury to their employer and to Latina/o immigrants whose workers' compensation claim was terminated before making a full recovery. Clinicians were responsive to patients' work‐related concerns and leveraged the resources available within the FQHC. Although some clinicians offered suggestions to improve occupational health in the FQHC, a few clinicians raised concerns about the feasibility of additional health screenings and clinic‐based interventions, and pointed to the importance of interventions outside of the healthcare system.
Conclusion
This study underscores the complexities of addressing occupational health concerns in urban FQHCs.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>35426145</pmid><doi>10.1002/ajim.23356</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0001-8350-9475</orcidid><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Wiley Blackwell Journals |
subjects | Emigrants and Immigrants Exposure Health care Health care facilities Hispanic or Latino Humans Immigrants Latina/o immigrants low‐wage workers Medical personnel Occupational exposure Occupational Health occupational medicine Patients Physicians Primary care Primary Health Care Training Workers' Compensation |
title | Occupational health within the bounds of primary care: Factors shaping the health of Latina/o immigrant workers in federally qualified health centers |
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