著者

Go MUTO Rina Ishii NAKAMURA Kazuhito YOKOYAMA Fumihiko KITAMURA Yuki OMORI Masahiko SAITO Motoki ENDO

出版者

National Institute of Occupational Safety and Health

雑誌

Industrial Health (ISSN:00198366)

巻号頁・発行日

pp.2017-0133, (Released:2017-12-19)

被引用文献数

3 5

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The maintenance of a balance between work and disease treatment is an important issue in Japan. This study explored factors that affect collaboration between occupational physicians (OPs) and attending physicians (APs). A questionnaire was mailed to 1,102 OPs. The questionnaire assessed the demographic characteristics of OPs; their opinions and behaviors related to collaboration, including the exchange of medical information with APs; and the occupational health service system at their establishments. In total, 275 OPs completed the questionnaire (25.0% response rate). Over 80% of respondents believed OPs should collaborate with APs. After adjusting for company size, collaboration >10 times/year (with regard to both returning to work following sick leave and annual health check-ups for employees) was significantly associated with environmental factors, such as the presence of occupational health nurses (odds ratio (OR): 5.56 and 5.01, respectively, p<0.05) and the use of prescribed forms for information exchange (OR: 4.21 and 3.63, respectively, p<0.05) but not with the demographic characteristics of the OPs (p>0.05). The majority of OPs believed that collaboration with APs is important for supporting workers with illnesses. Support systems including prescribed forms of information exchange and occupational health nurses, play pivotal roles in promoting this collaboration.

著者

Suguru Okubo Kazuhito Yokoyama Mayo Suzuki Iori Tani Wakaha Ikeda Fumihiko Kitamura

出版者

Japan Society for Occupational Health

雑誌

Journal of Occupational Health (ISSN:13419145)

巻号頁・発行日

vol.54, no.1, pp.51-55, 2012 (Released:2012-03-05)

参考文献数

20

被引用文献数

1

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Objectives: The aim of this study was to elucidate the factors affecting the difficulties in receiving a medical consultation among workers with mental health problems. Methods: The present study was performed using a cross-sectional survey. We requested occupational physicians and nurses who were members of the Japan Society for Occupational Health to distribute self-administered questionnaires to their clients. Results: Ninety-nine workers (68 males and 30 females), aged 40.6 ± 9.1 yr, returned completed questionnaires; 65% of the respondents had been diagnosed with depression. The most common difficulty perceived by them was that there were no intra-office counselors. Multiple regression analysis revealed that the number of months between the onset of mental health problems and the first medical consultation was significantly associated with age and having no sick leave allowance. Conclusions: The implementation and enhancement of sick leave allowance may promote early intervention in regard to workplace mental health problems. Mental health education and regular checkups for older workers is also critical for early detection and intervention of mental health problems.