Patients’ workplace factors and their impact on

Slides:



Advertisements
Similar presentations
Computerization of the practice Grzegorz Margas, M.D., Ph.D. Department of Family Medicine Jagiellonian University Medical College.
Advertisements

HIT: Replacing the Missing Link Between Community Health Care and Public Health Neil S. Calman, MD The Institute for Urban Family Health New York City.
Why care about workflow when planning, implementing, and using health IT?
The REAppropriate Study Perception of Inappropriateness of CPR Multicenter international cross-sectional survey.
® Introduction Low Back Pain Remedies and Procedures: Helpful or Harmful? Lauren Lyons, Terrell Benold, MD, Sandra Burge, PhD The University of Texas Health.
Characteristics of Patients Using Extreme Opioid Dosages in the Treatment of Chronic Low Back Pain In this sample of 204 participants, 70% were female,
Basma Y. Kentab MSc.. 1. Define ambulatory care 2. Describe the value of ambulatory care practices 3. Explore pharmacy services in some ambulatory care.
Electronic Health Records and Clinical Decision Support Systems Impact on National Ambulatory Care Quality Max J. Romano, BA; Randall S. Stafford, MD,
The Cal Lutheran Family and FERPA New Student Orientation 2008.
Introduction: Medical Psychology and Border Areas
® Introduction Changes in Opioid Use for Chronic Low Back Pain: One-Year Followup Roy X. Luo, Tamara Armstrong, PsyD, Sandra K. Burge, PhD The University.
Emotions in the workplace
Health 2012 Mr. Vecchio.  Health- combination of physical, mental/emotional, and social well being  Dynamic  Best you can at any given time  Wellness-
CIS 170 MART Teaching Effectively/cis170mart.com FOR MORE CLASSES VISIT HCA 250 MART Inspiring Minds/hca250mart.com FOR MORE CLASSES.
T Relationships do matter: Understanding how nurse-physician relationships can impact patient care outcomes Sandra L. Siedlecki PhD RN CNS.
Printed by Missed Opportunities to Immunize: Systematic Changes To Boost Immunization Rates Rob Hays, MD, Tim Barker, MD, and Sally.
The Impact of Smoking Cessation Interventions by Multiple Health Professionals Lawrence An, MD 1 ; Steven Foldes, PhD 2 ; Nina Alesci, PhD 1 ; Patricia.
OPTIMIZES PHYSICAL AND MENTAL HEALTH AND WELL-BEING Community promotes and provides access to necessary and preventive health services Figs
©2015 MFMER | slide-1 The Effect of an Automated Point of Care Tool on Diagnosis and Management of Childhood Obesity in Primary Care Natalie Gentile, MD.
Syed Gillani DO, Kaitlin Leckie PhD, Jodi Hasenack, RN, Kristine Miller DO, and Leslie Dempsey MD Southern Colorado Family Medicine Residency Program,
Patient’s Knowledge and Attitudes of Medical Students and Residents Wyman Gilmore, MS; Melanie T. Tucker, PhD; Daniel Avery, MD; John C. Higginbotham,
Perceptions of a pharmacist in an ambulatory care setting
Aka STEEL VALLEY SENIORS SURVEY (SVSS)
IMO Survey on Gender Issues in Irish Medicine
OPTIMIZES PHYSICAL AND MENTAL HEALTH AND WELL-BEING
David Geffen School of Medicine at UCLA
ACT with Mindfulness: Piloting
Physician Wellbeing Resources
Patrick Martin, MD. , Sally P. Weaver, PhD, MD. , Adam Flowers, MD
Medicare and Medicaid EHR Incentive Programs
Disparities in process and outcome measures among adults with persistent asthma David M. Mosen, PhD, MPH; Michael Schatz, MD, MS; Rachel Gold, PhD; Winston.
Research Questions Does integration of behavioral health and primary care services, compared to simple co-location, improve patient-centered outcomes in.
At the end of this talk, the resident will be able to:
PATIENT ACTIVATION IN INFLAMMATORY BOWEL DISEASE PATIENTS
Overview for Placement
THE RELATIONSHIP BETWEEN SOCIAL SUPPORT, ACES, AND CHRONIC PAIN
Clinical Outcome and Healthcare Improvement Effects of Serving as a Manager in a Student-Run Free Clinic in the Student’s Knowledge, Skills, Attitudes.
PCI related in-hospital mortality based on race and gender in the USA
Health & Wellness.
Maternal Demographics
ACCOUNTABILITY AND DELEGATION PATIENT SPECIFIC DIRECTION (PSD)
Patti Olusola, M.D. Kathryn Wortz, Ph.D. Robert B. Tompkins, M.D.
Lisa Weiss, M.D. Brian F. Pendleton, Ph.D. Susan Labuda Schrop, M.S.
 Checking In on Check-Out: Perceptions and Expectations of Residents during the Continuity Clinic Check-Out Process Yvonne Covin, M.D., Shannon Scielzo,
Health Care Policy What does it have to do with me?
Jessica A. Lanerie, MD1 and Teresa K. Duryea, MD2
The Healthy Workplace Cristina G. Banks, PhD Haas School of Business &
Believed discrimination occurred because of their:
Jaclyn Shor Jeffrey Greenhaus Katrina Graham
amount of tobacco users in each group
What is InSight? $17 million five-year SAMHSA grant
What is Wellness? Wellness is the condition of being in maximum physical and behavioral health. Wellness is the condition of being in maximum physical.
The Influence of Protective Factors on Perceived Impact of Adverse Childhood Experiences Laura Kenny, MPHc Thomas Jefferson University Background Results.
Patient-Centered Clinical Method
Family Processes and Chronic Illness
2010 Audubon Pediatric Practice Quality Improvement Project
Missed Visits and Reduction in ED utilization
Primary Care Milestone 15
Patient Survey Results
Table 1: Analyses of predictors of health care hassles
HQCA & Primary Care Measurement
Burnout as a Quality Metric
Health TechNet Meeting February 22, 2019
Whole-Person Care for the Seriously Mentally Ill Patient in a
Lesson Six Health History, Preventative Services
Service Learning at Cleveland Clinic
Patient-reported Outcome Measures
Provider Counseling for Immunizations in Primary Care Settings
Registered Nurse’s Use of HIT, 2006: Findings from a National Survey
Influenza Vaccine Delay From the Primary Care Physician’s Perspective
Presentation transcript:

Patients’ workplace factors and their impact on primary healthcare utilization Sally P. Weaver, PhD, MD*, Dawn Carlson, PhD**, Merideth Ferguson, PhD*** *Family Medicine Residency Program, Waco, TX; **Baylor University School of Business, Waco, TX; ***Utah State University, Logan, UT Background Subjects who have uncivil coworkers (puts down employee/pays little attention, makes derogatory remarks, etc) are: More likely to have answered YES to a CAGE alcohol abuse screen More likely to have had a recent lipid panel More likely to have had a doctor visit Coworker support (having coworkers who listen/back them or who are helpful): Lower likelihood of: Having an ultrasound, metabolic panel, hepatitis screen or a doctor’s visit. Asked the participant’s perceptions with respect to: Work-family conflict: I have to miss family activities due to work responsibilities Emotionally drained after work- prevents me contributing to my family Behaviors that make me effective at work do not help be a better parent/spouse Work – family enrichment: My job helps me be a better family member My job makes me happy and a better family member My job helps me feel personally fulfilled and helps me be a better family member Work – family balance: I successfully balance my work and family life I do a good job meeting role expectations in my work and family life --There is little published research documenting health care utilization associated with workplace factors. --Most studies rely solely on self-report data rather than physician diagnoses and other documented health outcome data. --One exception is a study by Butler et. al. (2009) that investigated health outcomes related to perceived flexibility at work and found that workplace flexibility relates to better health. Health Behaviors and Job Stress Also asked the participant’s perceptions with respect to: Abusive supervision, coworker incivility, work demands Schedule control, psychological distress Coworker support, supervisor support Demographic questions related to gender, age, race, and other work, family characteristics and some health behaviors (sleep, alcohol use, tobacco use and exercise). Objective --To investigate health care outcomes related to workplace factors such as interactions with supervisors and coworkers, job characteristics, and the interface between work and family/non work life. Results Methods Conclusions/Discussion If you have an abusive supervisor (who ridicules/puts down employee, etc.): You are less likely to get a flu vaccine (p<0.05) More likely to get a urine drug test (p<0.05) More likely to be admitted to the hospital (p<0.01) More likely to smoke (p<0.01) Greater supervisor support (cares, values employee, etc.) is correlated with: a lower likelihood of having a doctor visit (p<0.001) fewer sleep problems (p<0.001) and a greater chance of exercising (p=0.01) Setting: Community Health Center in Central Texas. Participants: Clinic patients >18yo, working at least part-time, with a supervisor & coworkers, and who did not live alone. N= 343 This study is one of the first to report on whether job issues relate to employees’ healthcare utilization. Workplace stressors such as abusive supervisor/feeling burnout had a detrimental effect on a participant’s health. Workplace resources (supervisor /coworker support) had a beneficial health effect. Healthcare providers should ask patients about workplace stressors that may be triggers for poor health outcomes. --Surveys were distributed in paper form in patient waiting rooms (and online survey for employee patients) --Participants gave permission for access to some of their electronic health records (EHR) for 12 months before and 12 months after the survey. --EHR data included number of visits, some labs, diagnoses and prescriptions. References Butler, A. B., Grzywacz, J. G., Ettner, S. L., & Liu, B. (2009). Workplace flexibility, self-reported health, and health care utilization. Work & Stress, 23(1), 45-59.