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Occupational medical history taking: how are today's physicians doing? A cross-sectional investigation of the frequency of occupational history taking by physicians in a major US teaching center.
Politi-BJ; Arena-VC; Schwerha-J; Sussman-N
J Occup Environ Med 2004 Jun; 46(6):550-555
Occupational illness plays a prominent role in the health of society, yet physicians frequently neglect occupational history-taking both in clinical practice and in medical education. This study sought to examine the trends as well as related factors that influence the taking of occupationally related histories. A total of 2050 charts were reviewed for occupational information as well as several patient demographics. Physicians obtained gender and age histories in approximately 99% of their patients; however; they only completed an occupational history in 27.8%. Characteristics such as smoking, mate gender, family cancer history, middle age, and medical (vs. surgical) admission were all correlated with obtaining an occupational history. Physicians continue to do a poor job of occupational history-taking and medical education must correct the situation.
Medical-examinations; Health-care; Surveillance-programs; Questionnaires; Demographic-characteristics
Joseph J. Schwerha, MD, MPH, University of Pittsburgh, Room A716 De Soto St. Pittsburgh, PA 15261
Issue of Publication
Journal of Occupational and Environmental Medicine
University of Pittsburgh
Page last reviewed: April 12, 2019
Content source: National Institute for Occupational Safety and Health Education and Information Division