ArticleInternational archives of occupational and environmental health2008
Evaluation of medical decisions' effectiveness: a 4-year evidence-based study in a health care setting.
Article in International archives of occupational and environmental health, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- Article
- Integrated evidence-based medical policy for seafarers: a novel risk stratification framework for high-risk and circumpolar zones.International journal of circumpolar health · 2025Article
- Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators.International archives of occupational and environmental health · 2017Article
- Nullius in verba: a call for the incorporation of evidence-based practice into the discipline of exercise science.Sports medicine (Auckland, N.Z.) · 2010Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSpecific studies evaluating the effectiveness of the judgement of fitness for work formulated by occupational physicians (OP) are needed. The evaluation consists in investigating OPs' decisions by measuring their impact on health with specific indicators. This specific study aims at assessing, through outcome indicators, the effectiveness of medical decisions in 61 cases leading to preventive interventions.
methodsA 3-step pre-post observational study was carried out in a 4-year period. About 61 clinical cases of health care workers were studied according to the following steps: (1) a medical examination resulting in an evidence-based judgement of fitness for work including prescriptions for an appropriate intervention, (2) the application of the preventive intervention, (3) a second medical examination and completion of a questionnaire by the workers. Two outcome measures were chosen to investigate changes occurred after the intervention: the first measured the perceived and the objective health condition, the second measured satisfaction and working capacity.
resultsResults show a statistically significant increase in subjects presenting a perceived (36/61; chi 2 = 44.099, P < 0.001) and an objective (28/61; chi 2 = 12.190, P < 0.01) improvement of health conditions after the intervention, together with an increased satisfaction in working conditions. An overall improvement of health condition was shown in 44/61 workers (72%).
conclusionsDecisions made on the basis of a comprehensive process founded on scientific evidence, searched and appraised according to the paradigm of Evidence Based Occupational Health, result in effective outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.