Bresnitz E A, Rest K M, Leventhal E K
Department of Community and Preventive Medicine, Medical College of Pennsylvania, Philadelphia 19129.
Am J Prev Med. 1987 Nov-Dec;3(6):327-31.
We surveyed American and Canadian medical schools to assess the extent to which occupational health professionals provided services to their own institutions. Ninety-two of 155 schools (60 percent) responded to a mailed questionnaire. Forty-six (51 percent) of the respondents had an occupational health service distinct from an employee health service. Two thirds of the respondents provided occupational health services to business and industry. Such professionals based in nonclinical departments were more likely to provide educational and epidemiologic services for hospital employees than were professionals based in clinical departments. In those institutions with risk management, biohazards, or health and safety committees, less than one half of the occupational health professionals in those institutions were members of those committees. Five respondents felt that there were financial disincentives to providing occupational health services to their institution's employees. We conclude that academic-based occupational health professionals have inadequate input into the provision of such services at their own institutions.
我们对美国和加拿大的医学院校进行了调查，以评估职业健康专业人员为其所在机构提供服务的程度。155所学校中有92所（60%）回复了邮寄的调查问卷。46名（51%）受访者设有独立于员工健康服务的职业健康服务。三分之二的受访者为企业和行业提供职业健康服务。与临床科室的专业人员相比，非临床科室的此类专业人员更有可能为医院员工提供教育和流行病学服务。在设有风险管理、生物危害或健康与安全委员会的机构中，这些机构中不到一半的职业健康专业人员是这些委员会的成员。五名受访者认为，为所在机构的员工提供职业健康服务存在经济上的阻碍因素。我们得出结论，以学术为基础的职业健康专业人员在为其所在机构提供此类服务方面的投入不足。
