Chest
Original ResearchASTHMAPractice Patterns of Pulmonologists and Family Physicians for Occupational Asthma
Section snippets
Materials and Methods
The study was reviewed and approved by the Research Ethics Board of St. Michael's Hospital, as part of a larger study26 that also examined dermatologist and family physician practice related to occupational contact dermatitis. To inform the content of the survey instrument, phase 1 consisted of interviews with pulmonologists and family physicians. The interviews were conducted by a consultant in medical education with much experience in interviewing physicians. Four pulmonologists and two
Results
Demographic information is presented in Table 1. The majority of respondents practiced in large urban or metropolitan areas, were men, and were < 50 years old. Fewer than 10% of pulmonologists and family physicians reported seeing > 20 patients per year with occupational lung disease (OLD). There were no significant differences between the two groups with respect to age, gender, or year of graduation, but there was a significant difference in practice setting, with family physicians being more
Discussion
Although response rates were low in this survey, they were in keeping with, or better than, that reported in a similar study of members of the American College of Chest Physicians by Harber et al25 (response rate, 25.5%). Our response rate from pulmonologists was 49%, and 26% for family physicians. The demographics of the respondents to the survey are similar to those of the total respective groups of Ontario physicians. The Canadian Medical Association reported that 25% of pulmonologists were
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Occupational Contributions to Respiratory Health Disparities
2023, Clinics in Chest MedicineUnderstanding health beliefs and behaviour in workers with suspected occupational asthma
2015, Respiratory MedicineCitation Excerpt :This is supported by data that shows GPs, who have an important role in screening for occupational asthma, fail to enquire about occupational exposure and the effect of work on asthma symptoms [32] despite recent guidance [15]. In cross-sectional studies, GPs have cited insufficient time, lack of expertise and poor access to specialist services as barriers to diagnosis [8,33,34]. Proactive workers negotiated ineffective encounters by questioning poor explanations; however, passive workers repeatedly accepted poor explanations, even when their understanding of the work-symptom relationship was accurate.
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2011, ChestCitation Excerpt :Balancing risks and benefits of anticoagulation or thrombolytic therapy, given the evolving state of the art,23,24 frequently precipitates medically necessary consultations. Similarly, reasonable consultations often require the expertise of a pulmonary specialist in diagnosis and management of occupational asthma.25 In contrast, many common clinical situations do not necessarily require routine consultative services, such as the preoperative medical evaluation of patients scheduled for cataract surgery.
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2010, Journal of Occupational and Environmental MedicineCurrent practices, needs, and expectations of discussing work with a medical specialist from a patient’s perspective: a qualitative study
2024, Disability and RehabilitationClinical inertia in asthma
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This work as performed at Gage Occupational and Environmental Health Unit, St. Michael's Hospital, University of Toronto.
This project was funded by a research grant from the Ontario Workplace Safety and Insurance Board, project 02036.
Drs. Holness, Tarlo, Liss, and Silverman receive research grant support from the Ontario Workplace Safety and Insurance Board. Ms. Tabassum and Mr. Manno have no conflicts of interest to disclose.