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Processes of care for individuals with work related asthma: treatment characteristics and impact of asthma on work.

Authors
Roberts-JL; Janson-L; Gillen-M; Flattery-J; Harrison-R
Source
AAOHN J 2004 Aug; 52(8):327-338
NIOSHTIC No.
20030156
Abstract
The prevalence of asthma among working adults continues to rise each year. The California Department of Health Services conducts surveillance of work related asthma (WRA) to classify each work related exposure using Doctor's First Reports of Occupational Illness and Injury (DFRs). Using a cross-sectional, descriptive, comparative design, additional interviews were conducted and medical records were reviewed to explore workers' and providers' perceptions of follow up care. Two cohorts were compared: workers with WRA who belonged to a large, single HMO (n = 79) and workers with WRA who underwent follow up outside this HMO (n = 76). The interview asked about providers seen, tests ordered, and the impact of asthma on work. The HMO clients were significantly more likely than the non-HMO clients to see occupational medicine specialists (p = .004) and have pulmonary function testing (p = .049) during initial treatment. Twenty-four percent of clients currently working reported missed workdays caused by asthma in the past 6 months. The findings indicate management of WRA varies by health care system in California.
Keywords
Bronchial-asthma; Pulmonary-system-disorders; Respiratory-system-disorders; Statistical-analysis; Epidemiology; Surveillance-programs
Contact
University of California San Francisco, School of Nursing, Department of Community Health, USA
CODEN
AAJOEP
Publication Date
20040801
Document Type
Journal Article
Funding Amount
294947
Funding Type
Cooperative Agreement
Fiscal Year
2004
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U60-CCU-902990
Issue of Publication
8
ISSN
0891-0162
Source Name
AAOHN Journal - American Association of Occupational Health Nurses Journal
State
CA
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