Abstract
BackgroundLittle work has been done to assess the quality of health care and the use of evidence-based methods by occupational physicians in Belgium. Therefore, the main objective is to describe one aspect of occupational health assessments, namely the common use of dipstick urinalysis, and to compare the current practice with international guidelines.MethodsA self-administered questionnaire was mailed to 211 members of the Scientific Association of Occupational Medicine in the Dutch speaking part of Belgium.ResultsA total of 120 occupational physicians responded, giving a response rate of 57%. Dipstick urinalysis was a routine investigation for the vast majority of physicians (69%). All test strips screened for protein and in 90% also for blood. Occupational health services offered clinical tests to satisfy customer wants as international guidelines do not recommend screening for haematuria and proteinuria in asymptomatic adults. A lack of knowledge concerning positive testing and referral criteria was demonstrated in almost half of the study participants.ConclusionsBelgian occupational physicians still routinely perform dipstick testing although there is no evidence to support this screening in healthy workers. To practice evidence-based medicine, occupational physicians need more instruction and training. Development and implementation of more guidelines is not only of use for the individual practitioner, it may also enhance professionalization and efficiency of occupational health care.
Highlights
Little work has been done to assess the quality of health care and the use of evidence-based methods by occupational physicians in Belgium
The development and appropriate use of evidence-based guidelines seem more problematic in the field of occupational medicine [1,3]
To fulfil the objectives of our study, a questionnaire was developed on the basis of a comprehensive literature review of evidence-based occupational medicine and existing guidelines on urinalysis [15,17,18,20,21]
Summary
Little work has been done to assess the quality of health care and the use of evidence-based methods by occupational physicians in Belgium. The main objective is to describe one aspect of occupational health assessments, namely the common use of dipstick urinalysis, and to compare the current practice with international guidelines. Evidence-based methods have been successfully applied in many areas of health care and prevention [1,2]. The development and appropriate use of evidence-based guidelines seem more problematic in the field of occupational medicine [1,3]. A few studies have assessed the attitudes and perceptions of occupational physicians (OPs) towards evidence-based medicine (EBM) and the majority appears to have a positive attitude [3,4,5,6,7].
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