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

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TitreLes difficultés d’un suivi épidémiologique longitudinal dans les services de santé au travail
Type de publicationArticle de revue
AuteurSérazin, Céline , Ha, Catherine , Bidron, Patrick, Gillard, Anne-Claire, Tilliette, Caroline, Tassy, Véronique, Imbernon, Ellen , Roquelaure, Yves
1, 3
EditeurSociété Française de Santé Publique
TypeArticle scientifique dans une revue à comité de lecture
Année2014
Date2014
Numéro26
Pagination33-43
Titre de la revueSanté Publique
ISSN0995-3914
Mots-clésAdult, Female, Follow-Up Studies, France, Humans, Male, Middle Aged, occupational diseases, Occupational Health, Occupational Health Services, Occupational medicine
Résumé en anglais

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.

URL de la noticehttp://okina.univ-angers.fr/publications/ua13849
Identifiant (ID) PubMed24893513