Lee W R
Br J Ind Med. 1973 Apr;30(2):111-7. doi: 10.1136/oem.30.2.111.
111-117. Previous writers have attempted to describe occupational medicine by considering the functions of a doctor working in industry. In different communities, and even in the same community at different times, a doctor working in industry may have different functions. Occupational medicine', so described, would therefore not be a discipline but would merely be medicine practised in a certain area. Furthermore, such an approach leaves out other aspects of occupational medicine such as recompense for injury at work and statutory supervision of workplaces, and any interaction between these two. Men think in terms of conceptual models which predetermine to a greater or less extent their approach to future problems. The present essay attempts to formulate a coherent intellectual framework of occupational medicine. The conceptual model proposed here is based on the globe proposed by Himsworth (1970) as a model representing the structure of scientific knowledge. Using this, a place for occupational medicine can be determined related to medicine, industry, and the basic' sciences. Occupational medicine is thus seen as a coherent entity. The argument is supported by a comparison of some of the provisions for occupational medicine in this country and in France. In this comparison the underlying components are distinguished from the mechanisms set up to deal with them. It is these components which go to make up the structure of occupational medicine and it is the coherence and close relationship of them which must be studied to find and describe an entity to be called occupational medicine.
111 - 117. 以往的作者试图通过考量在工业领域工作的医生的职能来描述职业医学。在不同的群体中，甚至在同一群体的不同时期，在工业领域工作的医生可能会有不同的职能。如此描述的“职业医学”因此不会是一门学科，而仅仅是在特定领域开展的医学。此外，这种方法忽略了职业医学的其他方面，比如工作场所受伤的赔偿以及对工作场所的法定监管，以及这两者之间的任何相互作用。人们依据概念模型进行思考，这些模型在或多或少的程度上预先决定了他们处理未来问题的方式。本文试图构建一个连贯的职业医学知识框架。这里提出的概念模型基于希姆斯沃思（1970 年）提出的地球仪，它作为一个代表科学知识结构的模型。利用这个模型，可以确定职业医学在医学、工业和“基础”科学中的位置。职业医学因此被视为一个连贯的实体。通过比较本国和法国职业医学的一些规定来支持这一论点。在这种比较中，将基本组成部分与为处理这些部分而设立的机制区分开来。正是这些组成部分构成了职业医学的结构，必须研究它们的连贯性和紧密关系，以找到并描述一个可称为职业医学的实体。
