Conway H, Simmons J, Talbert T
Occupational Safety and Health Administration's Office of Regulatory Analysis, Washington, DC 20210.
J Occup Med. 1993 Jul;35(7):687-97. doi: 10.1097/00043764-199307000-00010.
Among all establishments perceiving a change as a result of their medical surveillance program, 43% of those employing 250 or more employees did so; for the smallest establishments, this figure drops to 7%. The changes most often perceived, regardless of size class of establishment or industry division, were in employee relations, injury rates, and insurance costs. Establishments with the most comprehensive risk reduction strategies were most likely to attribute benefits to their medical surveillance programs. Benefits of medical surveillance perceived by the Phase II respondents include reduced costs, early detection of medical problems, increased productivity, and a reduced injury or illness rate. Most firms have no systematic method or procedures for evaluating the effectiveness of their medical surveillance programs.
在所有因医疗监测计划而察觉到变化的企业中，雇佣250名或更多员工的企业中有43%察觉到了变化；而对于规模最小的企业，这一比例降至7%。无论企业规模类别或行业部门如何，最常察觉到的变化涉及员工关系、伤害率和保险成本。拥有最全面风险降低策略的企业最有可能将益处归功于其医疗监测计划。第二阶段受访者所察觉到的医疗监测的益处包括成本降低、医疗问题的早期发现、生产力提高以及伤害或疾病率降低。大多数公司没有用于评估其医疗监测计划有效性的系统方法或程序。
