Indulski J A, Kowalski Z
Med Pr. 1987;38(1):1-25.
Changes in the system of research planning and co-ordination in Poland promoted the development of centrally supervised programs with preferences in financial terms. Of 100 centrally supervised programs, four are related to medical sciences, in this one--to occupational health. The research program, accepted after a profound discussion, has been mainly directed towards: progress in reliable evaluations of work environment in national economy; establishment of interrelationships between work conditions and workers' health in many industrial branches; and development and enforcement of effective preventive measures. Priority is given to the following research trends, the results of which may significantly affect the efficiency of health- and preventive care rendered to workers: development and control of new methods for early diagnosis of health lesions prior to clinical pathology and prior to the occurrence of work disablement, whether temporary or durable; development and enforcement of methods allowing to single out workers susceptible to the effects of particular environmental hazards with the aim of avoiding unforeseeable health effects of occupational exposure. determination and verification of conditions promoting the effectiveness of the primary health care for workers covered by the industrial health service. development and verification, under model conditions, of the principles of organizing and functioning of the primary health care, especially preventive care, for workers of small plants which hitherto have not been covered by the industrial health service. development of a more effective--than the hitherto functioning--system of rehabilitation for disabled people, especially occupational rehabilitation being accomplished at special workplaces. A detailed list of goals planned to be achieved up till 1990 has been attached to the complete version of the paper.
波兰研究规划与协调体系的变革推动了由中央监管且在资金方面具有优先权的项目的发展。在100个中央监管项目中,有4个与医学科学相关,其中一个涉及职业健康。经过深入讨论后获批的研究项目主要针对以下方面:在国民经济中对工作环境进行可靠评估方面取得进展;确定众多工业部门中工作条件与工人健康之间的相互关系;以及制定和实施有效的预防措施。以下研究趋势被列为优先事项,其结果可能会显著影响为工人提供的健康与预防保健的效率:开发和控制在临床病理学出现之前以及工作致残(无论是暂时的还是长期的)发生之前早期诊断健康损害的新方法;开发和实施能够识别易受特定环境危害影响的工人的方法,以避免职业暴露对健康造成不可预见的影响;确定和验证促进工业健康服务所覆盖工人初级卫生保健有效性的条件;在模拟条件下开发和验证针对迄今未纳入工业健康服务的小工厂工人的初级卫生保健(尤其是预防保健)的组织和运作原则;开发一种比目前运行的更为有效的残疾人康复体系,特别是在特殊工作场所进行的职业康复。本文完整版本附有一份计划到1990年实现的目标详细清单。