|Title||Physician occupational disease practice survey|
|Year||2002 – 2003|
|Investigators||Linn Holness, Susan Tarlo Gary Liss, Frances Silverman|
|CREOD Research Program||Occupational Skin Disease|
|Research Theme||Health Services, Early Recognition|
|Product Type||Research study|
|Background||Work-related contact dermatitis (WRCD) is common, and many workers with WRCD suffer poor clinical and functional outcomes. Early medical intervention is critical – the longer the duration of WRCD symptoms before diagnosis, the poorer the outcome.|
|Study Focus (Research Question/Goals/
|Our objective was to understand practice patterns, barriers to early recognition, and educational needs for family practitioners and dermatologists in Ontario.
We developed a survey (based on the literature and interviews with dermatologists and family practitioners), and then used it to survey all dermatologists (57% response rate) and a random sample of 600 family practitioners (26% response rate) in Ontario.
|Key Findings||Frequency of WRCD cases:
Taking workplace exposure history:
Referral to specialists for diagnosis:
Preferred Sources of Information about WRCD (both groups):
What would make recognition and treatment of WRCD easier (both groups)?
|Implications for Health/Labour Policy and Practice||Although the reported patient volumes are low relative to the overall volume of patients in participants’ practices, they still suggest that there are more patients with WRCD than are reported to WSIB. For example, in 2005, even this small sample of dermatologists and family practitioners would have seen more patients with WRCD than the 1100 workers who filed worker’s compensation claims for WRCD. This indicates that there are important gaps in the WRCD recognition and reporting system – some workers who are eligible for compensation and would benefit from targeted programs are slipping through the cracks.
Outcomes for workers with WRCD would likely improve with the introduction of:
|Publication & Presentation Information||Publications