Jedrychowski W, Maugeri U, Jedrychowska I
Department of Epidemiology and Preventive Medicine, University Medical School, Cracow, Poland.
G Ital Med Lav. 1991 Jan-Nov;13(1-6):3-7.
In order to assess the health status of workers at the national or regional level there are necessary expensive studies on the morbidity of various occupational groups. The papers turns the attention to ambulatory care data that may be used successfully to measure directly through ambulatory medical encounters the health status of working population and its subgroups. To overcome a major weaknesses in primary health statistics a special form for survey of occupational morbidity in primary health center has been worked out. The form is very simply to fill in and most of the informations to be needed are in precoded form and it helps greatly in processing the items of information necessary for calculation of morbidity rates generated from health primary activities. This ambulatory care record should be filled in by a selected general practitioner at each visit in district ambulatories, chosen randomly from all ambulatories in the whole country or in the whole region, i.e., in Lombardy. In the statistical analysis the data collected through the survey continuously can be related to the population characteristics, such as sex, age distribution and minor or major occupational groups. The authors believe that this simple approach may be used sensible for monitoring the health status of the population in relation to occupational hazards and for the planning and management of primary health services.
为了在国家或地区层面评估工人的健康状况，有必要对各类职业群体的发病率进行昂贵的研究。本文将注意力转向门诊护理数据，这些数据可成功用于通过门诊医疗接触直接衡量劳动人口及其亚群体的健康状况。为克服初级卫生统计中的一个主要弱点，已制定了一种在初级卫生中心调查职业发病率的特殊表格。该表格填写非常简单，所需的大部分信息都采用预编码形式，这极大地有助于处理计算初级卫生活动产生的发病率所需的信息项目。这份门诊护理记录应由从全国或整个地区（即伦巴第地区）所有门诊部中随机挑选的地区门诊部的指定全科医生在每次就诊时填写。在统计分析中，通过该调查持续收集的数据可与人口特征相关联，如性别、年龄分布以及主要或次要职业群体。作者认为，这种简单方法可合理用于监测与职业危害相关的人群健康状况以及初级卫生服务的规划和管理。
