Cowell J W
CMAJ. 1986 Nov 1;135(9):985-8.
Fitness-to-work examinations require an objective assessment of the physical and mental health of employees in relation to the requirements and working conditions of specific jobs, to ensure that the workers will not be a hazard to themselves or others. Whether conducted by specialists in occupational medicine or other physicians, the proper performance of these examinations requires a clear understanding of the types of examinations and their purposes and how to serve and protect the interests of all three parties: employee, employer and physician. The circumstances in which fitness-to-work examinations are required are listed, and a method to help physicians in judging fitness to work is described. This method balances the rights and obligations of both employee and employer without compromising the physician's need to practise medicine skillfully and ethically.
工作适应性检查需要根据特定工作的要求和工作条件，对员工的身心健康进行客观评估，以确保员工不会对自己或他人造成危害。无论这些检查是由职业医学专家还是其他医生进行，要正确开展这些检查，都需要清楚了解检查的类型及其目的，以及如何维护和保障员工、雇主和医生三方的利益。文中列出了需要进行工作适应性检查的情况，并描述了一种帮助医生判断工作适应性的方法。这种方法在平衡员工和雇主权利与义务的同时，也不影响医生专业且合乎道德地行医的需求。
