Different reporting patterns for occupational diseases among physicians: a study of French general practitioners, pulmonologists and rheumatologists.
OBJECTIVE
Physicians can play an important role in the reporting of occupational diseases (ODs), which are still under-reported in many countries. We aimed to identify physicians' difficulties in recognizing and reporting ODs and to study the characteristics of the physicians that do report ODs.


METHODS
We conducted a telephone study in 2006-2007 among general practitioners (GPs), pulmonologists and rheumatologists in south-eastern France, concerning their knowledge, attitudes and practice in occupational health. Simple and multiple logistic regressions were performed to study factors associated with the issue of medical certificates for the claim process.


RESULTS
Three hundred and ninety-one GPs, 95 pulmonologists and 96 rheumatologists participated. GPs reported significantly less often than specialists that they questioned their patients on past occupational exposure. They more frequently reported difficulties in identifying the occupational origin of diseases, and lack of knowledge on the OD reporting system. Issue of medical certificates for OD reporting was significantly more frequent among specialists than among GPs, among physicians considering that ODs are a public health problem, among those acquainted with the forms required to establish certificates, using internet to obtain information, having trade union activities, or having contact with occupational physicians (OPs).


CONCLUSIONS
Initial and continuing training should be developed to encourage physicians, in particular GPs, to question patients on their working conditions and to become better acquainted with claim procedures. Physicians should also be provided with tools for identification of ODs that are suited to their practices, and collaboration with OPs should be fostered.
Arnaud
Sandrine
S
INSERM, U912 (SE4S), Marseille, France. sandrine.arnaud@inserm.fr
Cabut
S
S
Viau
A
A
Souville
M
M
Verger
P
P
D000704:Analysis of Variance; D003430:Cross-Sectional Studies; D005260:Female; D005602:France / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D019221:Mandatory Reporting; D009784:Occupational Diseases / Q000175:diagnosis* / Q000453:epidemiology; D010821:Physicians, Family; D015272:Pulmonary Medicine; D012219:Rheumatology; D011795:Surveys and Questionnaires