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Article dans une revue

Les difficultés d’un suivi épidémiologique longitudinal dans les services de santé au travail

Abstract :

INTRODUCTION: This study was designed to describe the difficulties of epidemiological follow-up of employees by occupational health services.

METHODS: This study was based on two transverse studies conducted by the Pays de la Loire musculoskeletal disorders (MSD) surveillance network. Eighty-three occupational health physicians included 3,710 employees between 2002 and 2005 and had to review them between 2007 and 2009. Thirteen of these physicians changed jobs and 7 changed geographical sector in the same occupational health service.

RESULTS: Another 94 physicians were contacted and 85 agreed to participate in the network. The follow-up rate was 43%: 1,044 employees were reviewed by the physician who saw them on inclusion and 567 employees were reviewed by another physician of the network. The other employees were distributed as follows: 25% were lost to follow-up and their occupational status remained unknown; 23% were still employed with an identified occupational health physician but had not attended a medical visit during the follow-up study; 5% had left the occupational health surveillance system. Only 23 employees refused to participate in the follow-up and 105 employees had a physician who refused to participate.

DISCUSSION: There is therefore a considerable mobility of occupational health physicians, which interfered with follow-up despite their good mobilization and a high percentage of employee are lost to follow-up after having left their jobs. More appropriate systems must be set up to follow populations of employees, such as new collaborations with general practitioners.

Type de document :
Article dans une revue
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https://hal.univ-angers.fr/hal-03391119
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Soumis le : jeudi 21 octobre 2021 - 15:36:39
Dernière modification le : samedi 26 mars 2022 - 03:50:26
Archivage à long terme le : : samedi 22 janvier 2022 - 19:32:04

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  • HAL Id : hal-03391119, version 1
  • OKINA : ua13849

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Céline Sérazin, Catherine Ha, Patrick Bidron, Anne-Claire Gillard, Caroline Tilliette, et al.. Les difficultés d’un suivi épidémiologique longitudinal dans les services de santé au travail. Santé Publique, Société Française de Santé Publique, 2014, pp.33-43. ⟨hal-03391119⟩

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