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
Hauptverfasser: Torres, Ivy R., Shklanko, Sarah, Haq, Cynthia, LeBrón, Alana M.W.
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container_end_page 482
container_issue 6
container_start_page 468
container_title American journal of industrial medicine
container_volume 65
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
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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. 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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. 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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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