Occhipinti E, Colombini D, De Marco F, Menoni O
EPM-Unità di Ricerca Ergonomia della Postura e del Movimento, Milano.
Med Lav. 1996 Nov-Dec;87(6):719-27.
In the light of the experiences and guidelines developed by other countries and of Italian legislative and operational conditions, the authors outline a strategy for a health surveillance programme for work-related musculo-skeletal disorders of the upper limbs. In particular, the paper defines the various aims of the health surveillance programme and identifies significant relevant criteria for its implementation (i.e. existence of risks or effects). A screening schedule is presented based on successive investigations (1st and 2nd level surveillance); the authors discuss the principal methods used for processing the results of the health surveillance programme, in collective (i.e. statistical comparisons; planning of periodical investigations) and individual terms (job fitness judgements; reporting of suspected occupational diseases.
根据其他国家积累的经验和制定的指南以及意大利的立法和实际情况,作者概述了一项针对上肢工作相关肌肉骨骼疾病的健康监测计划策略。具体而言,本文明确了健康监测计划的各项目标,并确定了实施该计划的重要相关标准(即风险或影响的存在情况)。基于连续调查(一级和二级监测)给出了筛查时间表;作者讨论了在集体层面(即统计比较;定期调查规划)和个体层面处理健康监测计划结果所使用的主要方法(工作适应性判断;疑似职业病报告)。