alexa Identification and selection of diseases of possible occupational origin managed through the National Health System


Occupational Medicine & Health Affairs

Author(s): Fernando G Benavides, Jordi Delcls Clanchet, Consol Serra Pujades, Lourdes Camp Casals, LOSEP Lluis de Peray Baiges

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OBJECTIVE: To identify and select common diseases of possible occupational origin, managed through the Spanish National Health System.

DESIGN: Cross-sectional study.

SETTING: Catalonia (Spain).

PARTICIPANTS: Data were collected on people over 15 years of age who were seen for the first time in a primary care clinic or were admitted to a hospital or had an episode of non-occupational sickness absence in catalonia in 2008 or died in this region in 2007.

MAIN MEASUREMENTS: A total of 407 diagnostic codes for possible occupationally-related diseases were selected from a modified version of the european union ICD-10 list of diagnostic codes, from which 34 were selected and assessed by an expert panel. RESULTS: The initial 34 diagnoses represented 6.7% of all new outpatient visits, 13.8% of the sickness absence episodes, 13.6% of acute admissions and 15.8% of all annual deaths. Asthma appeared prominently in all four databases. The list was pared down to a final list of 26 four-digit icd-10 codes, that accounted for 3.3% of the first visits, 8.9% of lost work time episodes and 2.7% of acute admissions.

CONCLUSIONS: The implementation of a "red flag" into the electronic medical record each time one of these 26 diagnostic codes is entered, could help to improve the reporting of occupational diseases.

This article was published in Atención Primaria and referenced in Occupational Medicine & Health Affairs

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