109 lines
3.7 KiB
YAML
109 lines
3.7 KiB
YAML
abstract: 'Introduction Occupational asthma (OA) accounts for one in six cases of
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adult-onset asthma and is associated with a large societal cost. Many
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cases of OA are missed or delayed, leading to ongoing exposure to the
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causative agent and avoidable lung function loss and poor
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employment-related outcomes. Enquiry about work-related symptoms and the
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nature of work by healthcare professionals (HCPs) is limited, evident in
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primary and secondary care. Potential reasons cited for this are time
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pressure, lack of expertise and poor access to specialists. Aim To
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understand organisational factors and beliefs and behaviours among
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primary HCPs that may present barriers to identifying OA. Methods We
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employed a qualitative phenomenological methodology and undertook 20-45
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min interviews with primary HCPs in West Midlands, UK. We used purposive
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and snowball sampling to include general practitioners (GPs) and
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practice nurses with a range of experience, from urban and rural
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settings. Interviews were recorded digitally and transcribed
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professionally for analysis. Data were coded by hand, and thematic
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analysis was undertaken and determined theoretically until themes were
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saturated. Results Eleven HCPs participated (eight GPs, three nurses).
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Four themes were identified that were considered to impact on
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identification of OA: (1) training and experience, (2) perceptions and
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beliefs, (3) systems constraints, and (4) variation in individual
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practice. OA-specific education had been inadequate at every stage of
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training and practice, and clinical exposure to OA had been generally
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limited. OA-specific beliefs varied, as did clinical behaviour with
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working-age individuals with asthma. There was a focus on diagnosis and
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treatment rather than attributing causation. Identified issues regarding
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organisation of asthma care were time constraints, lack of continuity,
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referral pressure, use of guidelines and templates, and external
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targets. Conclusion Organisation and delivery of primary asthma care,
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negative OA-related beliefs, lack of formal education, and exposure to
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OA may all currently inhibit its identification.'
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affiliation: 'Walters, GI (Corresponding Author), Univ Hosp Birmingham NHS Fdn Trust,
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Reg NHS Occupat Lung Dis Serv, Birmingham, W Midlands, England.
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Walters, GI (Corresponding Author), Univ Birmingham, Occupat \& Environm Med, Birmingham,
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W Midlands, England.
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Walters, Gareth, I, Univ Hosp Birmingham NHS Fdn Trust, Reg NHS Occupat Lung Dis
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Serv, Birmingham, W Midlands, England.
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Walters, Gareth, I, Univ Birmingham, Occupat \& Environm Med, Birmingham, W Midlands,
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England.
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Barber, Christopher M., Northern Gen Hosp, Ctr Workplace Hlth, Sheffield, S Yorkshire,
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England.'
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article-number: e000938
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author: Walters I, Gareth and Barber, Christopher M.
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author-email: gareth.walters@heartofengland.nhs.uk
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author_list:
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- family: Walters I
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given: Gareth
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- family: Barber
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given: Christopher M.
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da: '2023-09-28'
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doi: 10.1136/bmjresp-2021-000938
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eissn: 2052-4439
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files: []
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journal: BMJ OPEN RESPIRATORY RESEARCH
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keywords: 'asthma; occupational lung disease; asthma in primary care; asthma
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epidemiology; asthma guidelines'
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keywords-plus: RESPIRATORY-DISEASES
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language: English
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number: '1'
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number-of-cited-references: '28'
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orcid-numbers: Walters, Gareth/0000-0002-7436-2261
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papis_id: fed66a1d37890c21da6b2d4506645db3
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ref: Waltersi2021barriersidentifying
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times-cited: '0'
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title: 'Barriers to identifying occupational asthma among primary healthcare professionals:
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a qualitative study'
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type: article
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unique-id: WOS:000688485600002
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '8'
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web-of-science-categories: Respiratory System
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year: '2021'
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