José María Ramada

Responsiveness of the Work Role Functioning Questionnaire ( Spanish Version) in a General Working Population

Objective: To examine the responsiveness of the Work Role Functioning Questionnaire (Spanish version) (WRFQ-SpV) so that it could be used in evaluative studies. Methods: A longitudinal survey was performed. Combinations of distribution- and anchor-based approaches were used. Five hypotheses were tested, examining validity of change scores. The consensus-based standards for the selection of health status measurement instruments (COSMIN) guided the study design. Results: One hundred two participants (mean age, 47.3 years; SD = 10.3 years) completed the WRFQ-SpV twice, within a mean interval of 3.7 (SD = 1.8) months. Four hypotheses were confirmed and one was rejected. It was verified that the WRFQ-SpV was able to detect (true) changes over time. Conclusion: Suggestive evidence about the possible use of the WRFQ-SpV with evaluative purposes was provided. More research is needed to examine the instrument responsiveness for groups whose health is stable or deteriorates.

0154 Occupational diseases attended at parc de salut mar (barcelona): care costs in a series of confirmed cases (2010–2014)

Background The Spanish National Health System (NHS) covers non-work-related diseases. The Social Security system, mainly through collaborating insurance companies, covers both medical and wage-related costs of occupational diseases; however, the actual exchange of resources has not been well studied until now. The objective of this study was to evaluate the economic cost of medical care generated by a series of confirmed cases of occupational disease (OD) treated at Parc Salut Mar (PSMAR) in Barcelona, an NHS health system. Methods Economic study of 40 cases of suspected OD by the PSMAR Occupational Disease Unit (ODU). Between 2010 and 2014, information on the care received (stays, visits, emergencies, diagnostic tests, medical and surgical treatments, etc.) was independently reviewed by three experts, and discrepancies resolved by one of them. The economic value of the care received in relation to the underlying suspected OD was expressed in terms of actual cost and billing rate, according to age, sex, diagnostic group and type of care received. Results The total cost of the 40 cases was 181,072.3€ and the average cost per case was 4,526.8€. Cancer accounted for 84% of all cases. Men accounted for 93% of the total cost and those over 65 years were 76% of the total. The amount billed for the 40 cases was 146,964.6€. Conclusions This study provides precise economic information that must be considered in the coordination needed between the NHS and the Social Security, which should significantly contribute to the reporting of ODs and their prevention.

Dietary Assesment of Free-Living Elderly Spanish People with Disabilities

ABSTRACT Nutritional research in elderly disabled is difficult in noninstitutionalized people. The dietary intake of a noninstitutionalized disabled population of the eastern region of Spain was evaluated to detect possible nutritional deviations. A total of 329 participants aged 65 and over were recruited. Most participants were overweight. Carbohydrates did not reach 50% of total Kcal/day. Insufficient micronutrient intakes and high consumption of simple carbohydrates and saturated fats (SFA) were found. A decreasing trend of water intake (p < .05) as well as an increasing trend of alcohol consumption (p < .05) with increasing age was found. The area of residence had a relevant impact on nutritional, dietary, and anthropometric characteristics of our population.

O39-6 Burden of occupational diseases treated in the spanish national health system: the occupational disease unit at parc de salut mar/university pompeu fabra

Objectives The identification and recognition of occupational diseases (OD) has important and longstanding limitations in Spain. The creation of an Occupational Disease Unit (ODU) at the Parc de Salut Mar health system (PSMAR) in 2010 is among the latest innovative initiatives to address these restraints. Its aims are to identify, evaluate and report suspected cases of OD among PSMAR patients, based on the collaboration of clinical and occupational health services, and patients. Methods Prospective clinical study of a series of suspected cases of OD identified at PSMAR between 2010 and 2014, referred to the ODU for an in-depth protocol-driven confirmatory clinical evaluation, leading to a standardised causation report. Confirmed cases were followed up to provide continued support. The official OD recognition process was tracked to determine whether it had been initiated and followed to final administrative closure. Results A total of 115 potential cases were referred to ODU by PSMAR health system physicians, of which 46 (40%) were confirmed as cases of suspected OD. The majority of confirmed cases were men (80%), with diagnoses of hearing loss (43%), musculoskeletal disorders (24%), cancer (22%) and dermatoses (11%). The positive predictive value was 39% (95% CI = 27.39–50.99). With respect to final administrative decision, 14 of 31 patients who initiated the official recognition process were rejected, 4 remained open, and 13 had been recognised as OD. Of these, 11 were recognised by the administrative route and two through litigation. The mean time to recognition was 295 days. Conclusions The results obtained from this experience have shown the ODU to be useful and effective. The challenge now is to expand this approach for identification and management of OD to other hospitals of the Spanish National Health Service. Fondo de Investigaciones Sanitarias (FIS: PI12/02556), Instituto de Salud Carlos III, Subdireccion General de Evaluacion y Fomento de la Investigacion, Ministerio de Ciencia e Innovacion, Spanish Government