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Worker expectations of occupational health consultations.
Occup Med (Lond). 2014 Apr; 64(3):177-80.OM

Abstract

BACKGROUND

Worker beliefs and expectations influence their health and rehabilitation. However, little is known about worker expectations of occupational health (OH) consultations and if these are associated with their perceptions of health and work.

AIMS

To examine worker expectations of OH consultations, and whether the variability of worker expectations is associated with their perception of health and work and personal characteristics.

METHODS

A questionnaire on OH physicians' professional standards was developed from national guidance and validated by a survey of OH physicians. We explored 81 workers' expectations of professional standards along with their perception of health and work. Worker expectations were compared with the OH physician validation score. Associations of worker characteristics, their health and work perceptions and their expectations of professional standards were analysed by linear regression.

RESULTS

Worker expectations of professional standards were lower when compared with the OH physician validation score (E = 3.9 versus 4.3, ΔE = 0.48, 95% confidence interval [CI] 0.30-0.66). Perceived manager support and work apprehension were associated with worker expectations (ΔE = 0.58, 95% CI: 0.29-0.86 for least versus most support; ΔE = 0.89, 95% CI: 0.41-1.36 for least versus highest apprehension). Job title, previous OH consultations and recovery expectations were not associated with worker expectations.

CONCLUSIONS

Worker expectations of OH physicians' professional standards were lower than the standards set by national guidance as validated by the sampled OH physicians. Workers who felt more supported by their manager, and workers who were more apprehensive about the health impact of work had higher expectations of OH physicians' standards.

Authors+Show Affiliations

Occupational Health Services, York Road, Guy's and St Thomas' NHS Foundation Trust, Westminster Bridge Road, London SE1 7EH, UK.No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24514573

Citation

Stilz, R, and I Madan. "Worker Expectations of Occupational Health Consultations." Occupational Medicine (Oxford, England), vol. 64, no. 3, 2014, pp. 177-80.
Stilz R, Madan I. Worker expectations of occupational health consultations. Occup Med (Lond). 2014;64(3):177-80.
Stilz, R., & Madan, I. (2014). Worker expectations of occupational health consultations. Occupational Medicine (Oxford, England), 64(3), 177-80. https://doi.org/10.1093/occmed/kqt171
Stilz R, Madan I. Worker Expectations of Occupational Health Consultations. Occup Med (Lond). 2014;64(3):177-80. PubMed PMID: 24514573.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Worker expectations of occupational health consultations. AU - Stilz,R, AU - Madan,I, Y1 - 2014/02/10/ PY - 2014/2/12/entrez PY - 2014/2/12/pubmed PY - 2015/4/10/medline KW - Beliefs KW - expectations KW - manager support KW - occupational health KW - trust KW - vocational rehabilitation. SP - 177 EP - 80 JF - Occupational medicine (Oxford, England) JO - Occup Med (Lond) VL - 64 IS - 3 N2 - BACKGROUND: Worker beliefs and expectations influence their health and rehabilitation. However, little is known about worker expectations of occupational health (OH) consultations and if these are associated with their perceptions of health and work. AIMS: To examine worker expectations of OH consultations, and whether the variability of worker expectations is associated with their perception of health and work and personal characteristics. METHODS: A questionnaire on OH physicians' professional standards was developed from national guidance and validated by a survey of OH physicians. We explored 81 workers' expectations of professional standards along with their perception of health and work. Worker expectations were compared with the OH physician validation score. Associations of worker characteristics, their health and work perceptions and their expectations of professional standards were analysed by linear regression. RESULTS: Worker expectations of professional standards were lower when compared with the OH physician validation score (E = 3.9 versus 4.3, ΔE = 0.48, 95% confidence interval [CI] 0.30-0.66). Perceived manager support and work apprehension were associated with worker expectations (ΔE = 0.58, 95% CI: 0.29-0.86 for least versus most support; ΔE = 0.89, 95% CI: 0.41-1.36 for least versus highest apprehension). Job title, previous OH consultations and recovery expectations were not associated with worker expectations. CONCLUSIONS: Worker expectations of OH physicians' professional standards were lower than the standards set by national guidance as validated by the sampled OH physicians. Workers who felt more supported by their manager, and workers who were more apprehensive about the health impact of work had higher expectations of OH physicians' standards. SN - 1471-8405 UR - https://www.unboundmedicine.com/medline/citation/24514573/Worker_expectations_of_occupational_health_consultations_ L2 - https://academic.oup.com/occmed/article-lookup/doi/10.1093/occmed/kqt171 DB - PRIME DP - Unbound Medicine ER -