Evans Alan, Thornett Andrew
Spencer Gulf Rural Health School, University of Adelaide.
Aust Fam Physician. 2003 Aug;32(8):645-7.
Workplace drug testing has been in place in Australia since the early 1990s. In some industries it is required by legislation, while in others, employers have introduced it as an apparent cost effective way of improving productivity, safety and the health of its workforce while reducing absenteeism, accident rates and even deaths. There are national standards in place for workplace drug testing regarding specimen collection and testing, and well documented processes to follow in establishing a drug screening program within a workforce.
This article explores the ethics of workplace drug testing and questions the assumed rights and obligations of employer, employee and the clinician involved in occupational medicine.
It is questionable whether most general practitioners have the appropriate training to deal with these ethical issues comprehensively.
自20世纪90年代初以来,澳大利亚就实施了工作场所药物检测。在一些行业,这是法律要求,而在其他行业,雇主将其作为一种明显具有成本效益的方式来提高生产率、安全性以及员工健康,同时减少旷工、事故率甚至死亡人数。在工作场所药物检测方面,有关于样本采集和检测的国家标准,以及在员工群体中建立药物筛查项目时应遵循的详细记录流程。
本文探讨工作场所药物检测的伦理问题,并对参与职业医学的雇主、员工和临床医生所假定的权利和义务提出质疑。
大多数全科医生是否具备全面处理这些伦理问题的适当培训值得怀疑。