Husman K, Notkola V, Virolainen R, Nuutinen J, Tupi K, Penttinen J, Heikkonen J
Kuopio Regional Institute of Occupational Health, Finland.
Am J Ind Med. 1990;18(4):379-84. doi: 10.1002/ajim.4700180405.
The Kuopio Regional Institute of Occupational Health, in collaboration with the Social Insurance Institution and the National Board of Health, conducted and evaluated a national model for the farmers' occupational health services. In January 1985 the National Board of Health instructed the Finnish municipal health centers to start the provision of farmers' occupational health services based on the recommendation given by the research group. The service was evaluated by experiments carried out during 1982, 1985, and 1986. The main problem in function of the services was that the health hazards (exposures) were difficult to observe and evaluate. The system of how the occupational health nurse evaluates the working conditions should be further developed. The efficiency of the services was studied by postal inquiries in 1982 and 1986. Farmers' knowledge about the appropriate means of reducing hazardous exposures had increased significantly due to the occupational health services. At the local level, the main problem in providing services for occupational farmers is that health centers do not have the resources to offer services for all farmers at the same time. Altogether by the end of 1986, about 30% of all active farmers in Finland (45,000 farmers) were willing to have occupational health services, which is voluntary for self-employed farmers.
库奥皮奥地区职业健康研究所与社会保险机构和国家卫生委员会合作，开展并评估了一项农民职业健康服务的全国性模式。1985年1月，国家卫生委员会指示芬兰各市政卫生中心根据研究小组的建议，开始提供农民职业健康服务。该服务通过1982年、1985年和1986年进行的实验进行评估。这些服务在运行中的主要问题是健康危害（暴露情况）难以观察和评估。职业健康护士评估工作条件的体系应进一步完善。1982年和1986年通过邮政调查研究了这些服务的效率。由于职业健康服务，农民对减少有害暴露的适当方法的了解有了显著增加。在地方层面，为职业农民提供服务的主要问题是卫生中心没有资源同时为所有农民提供服务。到1986年底，芬兰所有在职农民中约30%（45000名农民）愿意接受职业健康服务，这对个体经营农民来说是自愿的。
