Harber P
Department of Medicine, University of California, Los Angeles.
Prim Care. 1994 Jun;21(2):291-311.
Occupational and environmental respiratory disease is relatively common and is usually of great significance for the individual and the broader community. With proper evaluation of both the individual and the exposure site, a specific diagnosis can be established or ruled out during the early stages. Primary care physicians are vital for the early diagnosis of occupational and environmental respiratory disease in individual patients and in populations. Furthermore, primary care practitioners may have a significant role in formal group-based medical surveillance programs for respiratory disease. In addition to diagnosing and treating such disorders, there is a major role for rational and effective counseling of individuals and communities about possible effects of agents ranging from air pollution to zeroconium. In such instances, objective data communicated in language that is easily understood can be invaluable.
职业性和环境性呼吸道疾病相对常见，通常对个人和更广泛的社区具有重大意义。通过对个体和暴露场所进行适当评估，在早期阶段即可确立或排除特定诊断。初级保健医生对于个体患者和人群中职业性和环境性呼吸道疾病的早期诊断至关重要。此外，初级保健从业者在针对呼吸道疾病的正式群体医学监测项目中可能发挥重要作用。除了诊断和治疗此类疾病外，在就从空气污染到零锆等各种因素的可能影响对个人和社区进行合理有效的咨询方面也发挥着重要作用。在这种情况下，用易于理解的语言传达的客观数据可能非常宝贵。
