Parkinson D K, Grennan M J
J Occup Med. 1986 Aug;28(8):772-7. doi: 10.1097/00043764-198608000-00044.
The establishment of standard history-taking will be discussed and will include examples of such histories developed in the clinic. The development of a protocol for performing and recording physical examinations will also be described. Special tests, such as pulmonary function and sputum cytology, will then be discussed. The integration of medical data into a data base will also be discussed with examples taken from the program in Pittsburgh. Presentation of the problems of obtaining adequate early medical information leads to the conclusion that medical surveillance programs must be integrated with industrial hygiene surveillance. The use of exposure measures to make and implement preventive medical decisions is essential until medical science provides tests with enhanced sensitivity and specificity for use in early detection of workplace disease.
将讨论标准病史采集的建立，包括在诊所中形成的此类病史的示例。还将描述进行和记录体格检查的方案的制定。然后将讨论特殊检查，如肺功能和痰细胞学检查。还将结合匹兹堡项目中的实例讨论将医学数据整合到数据库中的问题。对获取充分的早期医学信息所存在问题的介绍得出这样的结论，即医学监测计划必须与工业卫生监测相结合。在医学科学提供用于早期检测工作场所疾病的具有更高灵敏度和特异性的检测方法之前，利用接触测量来做出并实施预防性医疗决策至关重要。
