von Bülow B A
Danmarks Natur- og Laegevidenskabelige Bibliotek, København.
Ugeskr Laeger. 1995 Mar 6;157(10):1340-4.
The aim of this study was to describe the kind of present and future tasks doctors employed in the Occupational Health Service (OHS) in Denmark carried out and to shed light on the reasons why only a moderate number of doctors are employed in the OHS. Additional aims were to map out the number of engaged part-time and full-time doctors in the OHS in Denmark compared with the number of other professionals engaged in the OHS. The study was based on questionnaires sent out to all 109 OHS units in Denmark and to all the doctors employed in the OHS. Ten persons in the OHS were strategically selected for an open interview. There were still only a very few doctors (9%) employed in the OHS in comparison to the other professionals employed in OHS, (nurses, various therapists and technicians) and the doctors were mostly engaged part-time; most of them for less than 10 hours a week. The moderate number of doctors was amongst other things explained by the relatively high cost of the doctors' salaries and the doctors having a reputation for being arrogant and dominating. The doctors were in general very experienced in occupational health matters and solved many problems which required a doctors education. A great deal of the problems they solved were in finding the causality between the workers' symptoms and the working-place conditions. The doctors suggested several future tasks for OHS, e.g. to evaluate its preventive results and to participate in a higher degree when planning working environments.
本研究的目的是描述丹麦职业健康服务（OHS）中在职医生目前和未来所执行的任务类型，并阐明为何OHS中聘用的医生数量仅为中等规模的原因。其他目标包括查明丹麦OHS中兼职和全职医生的聘用数量，并与OHS中聘用的其他专业人员数量作比较。该研究基于向丹麦所有109个OHS单位以及所有OHS聘用医生发放的调查问卷。从OHS中策略性地挑选了10人进行公开访谈。与OHS中聘用的其他专业人员（护士、各类治疗师和技术人员）相比，OHS中聘用的医生数量仍然极少（9%），而且医生大多为兼职；他们大多数每周工作时间不到10小时。OHS中医生数量处于中等规模的原因之一是医生薪资成本相对较高，且医生素有傲慢和专横的名声。总体而言，医生在职业健康事务方面经验丰富，解决了许多需要医生专业知识的问题。他们解决的大量问题在于找出工人症状与工作场所条件之间的因果关系。医生为OHS提出了几项未来任务，例如评估其预防效果以及在规划工作环境时更多地参与其中。
