scholarly journals A Review of the French Occupational Health System —From the Viewpoint of International Comparison between France and Japan—

2014 ◽  
Vol 6 (2) ◽  
pp. 45-49 ◽  
Author(s):  
Shinya Matsuda
Keyword(s):  
Occupational Health ◽  
Health System ◽  
International Comparison

scholarly journals Periodic Medical Examinations in the Russian Federation: Challenges of Data Recording in the National Occupational Health System (Experience of the Sverdlovsk Region)

2020 ◽  
pp. 43-49
Author(s):  
AS Shastin ◽  
VB Gurvich ◽  
VG Gazimova ◽  
VM Baratov ◽  
TS Ustyugova ◽  
...  
Keyword(s):  
Information System ◽  
Occupational Health ◽  
Health System ◽  
Health Information ◽  
Russian Federation ◽  
Health Information System ◽  
Data Recording ◽  
State Health ◽  
The Russian Federation ◽  
Medical Examinations

Background: As of today, there is no unified health information system that registers and systematizes the results of periodic medical examinations of workers exposed to occupational hazards in the Russian Federation. Our objective was to examine the results of periodic medical examinations in the Sverdlovsk Region over a five-year period. Materials and methods: We reviewed medical reports and conclusions issued by regional health facilities in 2015–2019 and submitted to the Regional Occupational Health Center of the Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers, and analyzed completeness and timeliness of their submission. Results: We established that occupational health assessment based on the results of periodic medical examinations is complicated by late and incomplete data reporting by healthcare facilities of the Sverdlovsk Region. Conclusions: Our findings prove the importance of creating a “Periodic Medical Examination” subsystem of the unified state health information system. Providing access to standardised results of periodic medical examinations based on a single digital platform to all professional participants of the national occupational health system will enable data recording, analysis and assessment at the interregional and intersectoral levels, as well as at the level of business entities, and facilitate their use for the purposes of workers’ health risk management. Timeliness of reporting and completeness of date entry in the “Periodic Medical Examination” subsystem (or a Federal Registry of Periodic Medical Examinations) may be monitored and verified by local Rospotrebnadzor bodies to be connected to the unified state health information systems of constituent entities of the Russian Federation.

Cognitive impairment in aging physicians

2020 ◽  
pp. 10.1212/CPJ.0000000000000829
Author(s):  
Gayatri Devi ◽  
Darren R. Gitelman ◽  
Daniel Press ◽  
Kirk R. Daffner
Keyword(s):  
Patient Safety ◽  
Cognitive Impairment ◽  
Occupational Health ◽  
Health System ◽  
Cognitive Disorders ◽  
Cognitively Impaired ◽  
Occupational Health Physicians ◽  
Risks And Benefits ◽  
Health System Policy ◽  
Practicing Physicians

Aging physicians are at a higher risk of cognitive impairment, undermining patient safety and unraveling physicians' careers. Neurologists, occupational health physicians, and psychiatrists will participate in both health system policy decisions and individual patient evaluations. We address cognitive impairment in aging physicians and attendant risks and benefits. If significant cognitive impairment is found after an appropriate evaluation, precautions to confidentially support physicians' practicing safely for as long as possible should be instituted. Understanding that there is heterogeneity and variability in the course of cognitive disorders is crucial to supporting cognitively impaired, practicing physicians. Physicians who are no longer able to practice clinically have other meaningful options.

scholarly journals Current Guidelines for Protecting Health Workers from Occupational Tuberculosis Are Necessary, but Not Sufficient: Towards a Comprehensive Occupational Health Approach

2020 ◽  
Vol 17 (11) ◽  
pp. 3957 ◽  
Author(s):  
Rodney Ehrlich ◽  
Jerry M. Spiegel ◽  
Prince Adu ◽  
Annalee Yassi
Keyword(s):  
Occupational Health ◽  
Health System ◽  
Health Workers ◽  
Infection Prevention And Control ◽  
Occupational Health Services ◽  
Ethical Implications ◽  
And Control ◽  
Statutory Regulation ◽  
Current Guidelines ◽  
Health System Framework

Health workers globally are at elevated occupational risk of tuberculosis infection and disease. While a raft of guidelines have been published over the past 25 years on infection prevention and control (IPC) in healthcare, studies in different settings continue to show inadequate implementation and persistence of risk. The aim of this commentary is to argue, based on the literature and our own research, that a comprehensive occupational health approach is an essential complement to IPC guidelines. Such an approach includes a health system framework focusing on upstream or mediating components, such as a statutory regulation, leadership, an information system, and staff trained in protective disciplines. Within the classical prevention framework, primary prevention needs to be complemented by occupational health services (secondary prevention) and worker’s compensation (tertiary prevention). A worker-centric approach recognises the ethical implications of screening health workers, as well as the stigma perceived by those diagnosed with tuberculosis. It also provides for the voiced experience of health workers and their participation in decision-making. We argue that such a comprehensive approach will contribute to both the prevention of occupational tuberculosis and to the ability of a health system to withstand other crises of infectious hazards to its workforce.

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