Seixas N S, Rosenman K D
Public Health Rep. 1986 May-Jun;101(3):278-82.
For 18 months (1983-84), a pilot program was set up to promote the reporting of occupational disease by physicians to a local health agency. The objectives of the program were to increase the awareness among physicians of occupational disease in their practice, assist physicians in the diagnosis and management of the cases, and to provide a mechanism for public health intervention in hazardous working conditions. After discussions with leaders in the medical community, the program was initiated by a letter from the State Health Commissioner to physicians in the pilot county. A single-page reporting form was included with the letter. A bimonthly newsletter to primary care physicians was also begun. Additional educational activity included presentation of grand rounds and a one-day medical conference on the recognition of occupational disease at the single hospital in the county. All physicians reporting occupational disease received copies of all industrial hygiene reports as well as relevant medical literature from the industrial hygienist assigned to investigate all reports by physicians. Only six reports of occupational disease were received. However, three of the six reports resulted in significant intervention. A questionnaire evaluation of the program indicated that there was resistance to involvement in reporting occupational disease, although physicians do recognize occupational disease in their practices regularly.
在18个月（1983 - 1984年）期间，设立了一个试点项目，以促进医生向当地卫生机构报告职业病情况。该项目的目标是提高医生在日常工作中对职业病的认识，协助医生诊断和处理病例，并提供一种机制以便在危险工作环境中进行公共卫生干预。在与医学界领导人讨论后，该项目由州卫生专员给试点县的医生发信启动。信件中包含一份单页报告表格。还开始为基层医疗医生发行双月刊时事通讯。额外的教育活动包括举办专题学术讲座以及在该县唯一的医院举办为期一天的关于职业病识别的医学会议。所有报告职业病的医生都会收到所有工业卫生报告的副本以及被指派调查医生所有报告的工业卫生学家提供的相关医学文献。仅收到了6份职业病报告。然而，这6份报告中有3份促成了重大干预。对该项目的问卷调查评估表明，尽管医生在日常工作中确实能识别职业病，但他们对参与报告职业病存在抵触情绪。
