Strader C H, Petersen G R
Hanford Environmental Health Foundation, Richland, Washington.
J Occup Med. 1992 Jan;34(1):45-52.
The US Department of Energy's Health Surveillance System is a pilot project to design, implement, and evaluate a system of routine morbidity surveillance based on routinely collected occupational medical data at participating Department of Energy facilities. At the Hanford Site, most health events have been ascertained using a 21-day threshold-of-absence criterion. This provisional threshold, established under the assumption that it would capture all important morbidity, has been criticized as potentially omitting morbidity of interest. A review of all health-event absences occurring over a 1-year period revealed that the efficacy of the 21-day threshold varies widely by diagnosis and that absence based eligibility criteria are not useful for all morbidity of interest. Future development will require supplementation of health-event ascertainment by other, diagnosis-based criteria to ensure completeness of ascertainment.
美国能源部健康监测系统是一个试点项目，旨在设计、实施和评估一个基于参与能源部设施定期收集的职业医学数据的常规发病率监测系统。在汉福德基地，大多数健康事件是使用21天缺勤阈值标准确定的。这个临时阈值是在假设它能捕捉所有重要发病率的情况下建立的，但已被批评可能遗漏了感兴趣的发病率。对1年期间发生的所有健康事件缺勤情况进行的审查表明，21天阈值的有效性因诊断而异，基于缺勤的资格标准对所有感兴趣的发病率并不适用。未来的发展将需要通过其他基于诊断的标准补充健康事件的确定，以确保确定的完整性。
