Workplace Medicine Practices and Referral of the Employees to the Secondary and Tertiary Level Health Institutions

Hande Bahadir, Arif Hikmet Cimrin, Osman Bölükbaş
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Abstract

Employees may need to be referred to health institutions for different indications, such as illness and rehabilitation. In Turkey, the procedure for referring cases from the workplace to health institutions is not fully defined. Learning the approaches of workplace physicians on employee referrals will determine the direction and content of future studies on this matter. This study aims to obtain information about the characteristics of workplace physicians working in ................ province and their attitudes towards case referral to health institutions. The population of the descriptive study consisted of workplace physicians registered in ................ Medical Chamber e-mail information network. The subjects were contacted through the information network of the Chamber, and an online questionnaire was sent. 58% of the participants stated that they participated in risk assessment studies and conducted field surveillance. 69.3% of the participants stated that they were able to conduct a pre-employment examination for all employees, and 78.4% stated that they were able to conduct periodic examinations on a regular basis. 52.3% of the participants stated that they referred patients with a preliminary occupational disease diagnosis one or more times. One-fourth of the participants stated that they could not act freely in terms of referring cases from the workplace. The examinations performed at the workplace and referral of the necessary cases to advanced healthcare centers are vital steps in protecting and improving employee health. It is crucial for the workplace physician to feel free to refer suspicious cases and to have job security against all possible consequences.
工作场所医疗实践及员工转诊至二级和三级医疗机构的情况
雇员可能因疾病和康复等不同原因需要转诊到医疗机构。在土耳其,工作场所向医疗机构转诊的程序尚未完全确定。了解工作场所的医生在员工转诊方面的做法,将决定今后相关研究的方向和内容。本研究旨在了解在 ................ 省工作的职场医生的特点及其对向医疗机构转诊病例的态度。描述性研究的对象包括在 ................ 医疗商会电子邮件信息网络中注册的工作场所医生。医疗商会电子邮件信息网络注册的职场医生。研究人员通过医疗商会的信息网络与受试者取得了联系,并发送了一份在线问卷。58%的参与者表示他们参与了风险评估研究并进行了实地监测。69.3% 的参与者表示,他们能够对所有员工进行就业前检查,78.4% 的参与者表示,他们能够定期进行定期检查。52.3% 的参与者表示,他们曾将初步诊断为职业病的患者转诊过一次或多次。四分之一的参与者表示,他们不能自由转诊工作场所的病例。在工作场所进行检查,并将必要的病例转诊到先进的医疗保健中心,是保护和改善员工健康的重要步骤。工作场所的医生必须能够自由转诊可疑病例,并确保工作安全,避免一切可能的后果。
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