Kaminer A J
Occup Med. 1986 Oct-Dec;1(4):541-8.
Occupational medical departments are frequently called upon to deal with the troubled employee. Successful rehabilitation is significantly improved by early identification before significant work-related problems exist. Self-referral or diagnosis by the medical department staff are therefore the preferred means of detection. In that the medical conditions identified tend to be chronic, on-going follow-up of the troubled employee by the medical department is often indicated. In cases in which business-related issues have been identified, the occupational physician is often in a unique position to interact with both the treating physician and management to attempt rehabilitation and, where possible, selective job placement. Ethical dilemmas in handling information can be formidable, particularly when the interests of the troubled employee, management, and fellow workers diverge.
职业医学部门经常需要处理有问题的员工。在重大工作相关问题出现之前尽早识别，能显著提高成功康复的几率。因此，自我转诊或由医学部门工作人员进行诊断是首选的检测方式。鉴于所识别出的健康状况往往是慢性的，医学部门通常需要对有问题的员工进行持续的跟踪随访。在已识别出与工作相关问题的情况下，职业医生通常处于独特的地位，能够与主治医生和管理层进行沟通，尝试促成康复，并在可能的情况下进行选择性的工作安置。在处理信息时，道德困境可能非常棘手，尤其是当有问题的员工、管理层和同事的利益出现分歧时。
