Carel R, Scheiner E
Dept. of Occupational Medicine, Kupat Holim, Negev Region, Beer Sheba.
Harefuah. 1999 Oct;137(7-8):336-40, 350.
Findings in occupational health examinations of a regional service are analyzed. The service provides pre-employment, surveillance and work-capacity evaluations for about 150,000 workers from many types of work-sites and occupations. The average number of pre-employment examinations (during 1993-97) was 4,800/year, and there were relevant pathological findings in about 6.6%. Most findings involved the respiratory (11%) and cardiovascular systems (10%) or eyes (10%). The average annual number of surveillance system examinations was 10,750. There were relevant findings in about 16%, mainly of the respiratory system (17%) and noise-induced hearing damage (about 80%). Work-capacity examinations constituted about 35% of the work-load (9,250 examinees/year). In 53% a significant health problem affecting an individual's job performance was identified. Pathological findings were found in the musculoskeletal (21%), cardiovascular (7.5%), respiratory (3%), and neurological systems (2%). Occupational health examinations can identify areas in which prevention and intervention or cooperation with other medical specialties are indicated, as well as specific topics requiring further training of occupational physicians.
对某地区职业健康检查结果进行了分析。该服务机构为来自多种工作场所和职业的约150,000名工人提供入职前、健康监测和工作能力评估。入职前检查的年均数量（1993 - 1997年期间）为每年4,800例，其中约6.6%有相关病理检查结果。多数检查结果涉及呼吸系统（11%）、心血管系统（10%）或眼睛（10%）。健康监测系统检查的年均数量为10,750例。约16%有相关检查结果，主要是呼吸系统（17%）和噪声性听力损伤（约80%）。工作能力评估约占工作量的35%（每年9,250名受检者）。在53%的受检者中发现了影响个人工作表现的重大健康问题。在肌肉骨骼系统（21%）、心血管系统（7.5%）、呼吸系统（3%）和神经系统（2%）发现了病理检查结果。职业健康检查能够确定需要进行预防、干预或与其他医学专业协作的领域，以及需要对职业医师进行进一步培训的具体课题。
