Carel R S, Katzenovich L, Smirnov V
Occupational Medicine Dept., Kupat Holim, Southern Region, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheba.
Harefuah. 1996 Feb 1;130(3):211-6; 222, 223.
The scope and content of the services provided by a regional, occupational health service are described in quantitative terms. Many of its activities are in compliance with state regulations. In this respect this service differs greatly from other, regular, clinical services. About 22,000 examinations are performed annually, and there are about 140,000 employed persons in the region, so that about 1 in 5 workers is examined by the service annually. The 3 main activities of the clinic are pre-employment examinations, periodic surveillance of certain groups of workers and evaluating work capacity. Most of the abnormal findings identified in such examinations relate to musculo-skeletal disorders, noise-induced hearing loss and, to a much lesser degree, lung and skin problems. Some of the ways in which service is provided in remote and small work sites are described, and issues of availability and accessibility presented. Based on the data collected, suggestions are made with respect to future changes, including computerization and quality assurance methods.
一家地区职业健康服务机构所提供服务的范围和内容，是以量化方式描述的。其许多活动都符合国家规定。在这方面，该服务机构与其他常规临床服务有很大不同。每年大约进行22000次检查，该地区约有140000名就业人员，因此每年约五分之一的工人接受该服务机构的检查。该诊所的三项主要活动是入职前检查、对某些工人群体的定期监测以及评估工作能力。在这些检查中发现的大多数异常结果与肌肉骨骼疾病、噪声性听力损失有关，在较小程度上还与肺部和皮肤问题有关。文中描述了在偏远和小型工作场所提供服务的一些方式，并提出了可及性和便利性问题。基于所收集的数据，针对未来的变革提出了建议，包括计算机化和质量保证方法。
