Keogh J P, Gordon J
University of Maryland School of Medicine, Baltimore 21201.
Am J Ind Med. 1994 Nov;26(5):713-5. doi: 10.1002/ajim.4700260513.
This commentary challenges the current employer-controlled model for delivering occupational health services. Problems emanating from traditional employer-based medical surveillance and worker education programs for occupational lead poisoning are identified. A new public health model for delivering these services is proposed. This model utilizes a case-based and hazard-based method for bringing workplaces and employers into the program and features direct delivery of surveillance and training services by public health agencies.
本评论对当前由雇主控制的职业健康服务提供模式提出了挑战。文中指出了传统的基于雇主的职业性铅中毒医学监测和工人教育项目所产生的问题。并提出了一种提供这些服务的新公共卫生模式。该模式采用基于案例和基于危害的方法，将工作场所和雇主纳入项目，其特点是由公共卫生机构直接提供监测和培训服务。
