The development and use of practice guidelines, if framed as recommendations for best practices in the prevention, diagnosis, treatment, and management of occupationally related health concerns and disability, can improve the quality of occupational medical practice and worker health and well being.
Adherence to guidelines should improve the efficiency and effectivencess of prevention, care, and disability management by reducing the present wide variance in practices and then by moving the mean or median of process and outcome statistics toward recommented levels.
The information developed for guidelines can also be used for patient discussion and expectation management.
Practicing in evidence-based, agreed-upon ways should also make occupational medical practices more defensible.
Guidelines should be explicit, be based on a review of the available evidence and benefits vs risks, have clear medical logic, link findings to diagnosis to treatment to prevention, be time-based, and avoid recommending unproven approaches as a last resort.
If possible, they sould be reviewed and tested for usability.
Guidelines that start with common occupational health concerns are best suited to prevention and outpatient care, because patients present in this way. (...)
Mots-clés Pascal : Exposition professionnelle, Médecine travail, Recommandation, Evaluation, Personnel sanitaire, Prévention, Accident travail, Traitement, Etats Unis, Amérique du Nord, Amérique, Pratique professionnelle, Qualité
Mots-clés Pascal anglais : Occupational exposure, Occupational medicine, Recommendation, Evaluation, Health staff, Prevention, Occupational accident, Treatment, United States, North America, America, Professional practice, Quality
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0177487
Code Inist : 002B30B03. Création : 21/05/1997.