Williams N, Sobti A, Aw T C
Employment Medical Advisory Service, University of Birmingham, Edgbaston, UK.
Occup Med (Lond). 1994 Sep;44(4):205-8. doi: 10.1093/occmed/44.4.205.
The aim of this study was to assess how occupational health providers view the importance of different occupational health functions compared with their customers (managers and union representatives). A postal survey was undertaken requesting that managers of medium and large companies, union representatives and occupational physicians rank in order of importance 13 listed functions of an occupational health service which have appeared in the published literature. The results were analysed and tabulated to allow comparison of the responses among the four groups. The two functions ranked as most important by all four groups were advice on the work environment and advice on medical retirement. Dental services as an occupational health service function were ranked as least important by all four groups, with provision of physiotherapy services by occupational health departments also perceived as relatively unimportant by managers of medium and large companies. A wide discrepancy of views was revealed between physicians, managers and unions over the importance of immunization for travel and work and the rehabilitation and resettlement of sick and injured workers. The physicians ranked these functions as more important than the managers or union representatives. Managers of medium-sized companies also ranked counselling in the workplace much higher than the other respondents. The study shows the dilemma that occupational health services may face in deciding what functions should be provided compared to what their customers wish to be provided.
本研究的目的是评估职业健康服务提供者与他们的客户（经理和工会代表）相比，如何看待不同职业健康功能的重要性。开展了一项邮寄调查，要求大中型公司的经理、工会代表和职业医生对已发表文献中列出的职业健康服务的13项功能按重要性排序。对结果进行了分析并制成表格，以便比较四组的回答。所有四组都列为最重要的两项功能是关于工作环境的建议和关于医疗退休的建议。牙科服务作为职业健康服务的一项功能，在所有四组中都被列为最不重要，职业健康部门提供物理治疗服务也被大中型公司的经理视为相对不重要。在旅行和工作免疫以及患病和受伤工人的康复与重新安置的重要性方面，医生、经理和工会之间存在很大的意见分歧。医生认为这些功能比经理或工会代表更重要。中型公司的经理对工作场所咨询的排名也比其他受访者高得多。该研究表明，职业健康服务在决定应提供哪些功能与客户希望提供哪些功能方面可能面临两难境地。
