Guthier W E
J Occup Med. 1986 Aug;28(8):765-7. doi: 10.1097/00043764-198608000-00042.
Medical screening and monitoring have a long and varied history as part of the insurance industry's safety and health relations with its policyholders. Many workers' compensation insurance carriers have assisted policyholder management in understanding the requirements of cost-effective health programs, in planning and undertaking steps necessary to comply with state-of-the-art medical practices, and in locating knowledgeable physicians to supervise employee health systems. Managing employees' health and associated records has become, for many employers, a complex operational and regulatory problem because of the amount and type of health information being collected. Administration of group health and accident insurance plans, workers' compensation, treatment for the ill and injured employees, voluntary health screening and counseling programs, preplacement and periodic physical examinations, and control mechanisms for health hazard exposures all contribute to this huge pool of acquired and stored health information.
作为保险业与其投保人安全健康关系的一部分，医学筛查与监测有着悠久而多样的历史。许多工伤赔偿保险公司协助投保人管理部门了解具有成本效益的健康计划的要求，规划并采取必要措施以符合最新的医疗实践，并寻找知识渊博的医生来监督员工健康系统。对于许多雇主而言，由于所收集的健康信息的数量和类型，管理员工健康及相关记录已成为一个复杂的运营和监管问题。团体健康和意外保险计划的管理、工伤赔偿、患病和受伤员工的治疗、自愿健康筛查与咨询计划、入职前和定期体检，以及健康危害暴露控制机制，所有这些都促成了这一庞大的已获取和存储的健康信息库。
