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Recognition of the Relationship between Patients' Work and Health: A Qualitative Evaluation of the Need for Clinical Decision Support (CDS) for Worker Health in Five Primary Care Practices.

Baron, Sherry MD, MPH; Filios, Margaret S. MSc, RN; Marovich, Stacey MS, MHI; Chase, Dian PhD, FNP-C, MBA, MSN, RN; Ash, Joan S. PhD, MLS, MBA
Journal of Occupational & Environmental Medicine: Post Acceptance: October 3, 2017
doi: 10.1097/JOM.0000000000001183
Fast Track Article: PDF Only

Objective: To determine the perceived value and feasibility of increased access to information about workers' health for primary care providers (PCPs) by evaluating the need for clinical decision support (CDS) related to worker health in primary care settings.

Methods: Qualitative methods, including semi-structured interviews and observations, were used to evaluate the value and feasibility of three examples of CDS relating work and health in five primary care settings.

Results: and team members wanted help addressing patients' health in relation to their jobs; the proposed CDS examples were perceived as valuable because they provided useful information, promoted standardization of care, and were considered technically feasible. Barriers included time constraints and a perceived inability to act on the findings.

Conclusion: PCPs recognize the importance and impact of work on their patients' health but often lack accessible knowledge at the right time. Occupational health providers can play an important role through contributions to the development of CDS that assists PCPs in recognizing and addressing patients' health, as well as through the provision of referral guidelines.

Copyright (C) 2017 by the American College of Occupational and Environmental Medicine