Baker E L
Public Health Practice Program Office, Centers for Disease Control and Prevention, Atlanta, Ga 30333, USA.
J Occup Environ Med. 1997 Sep;39(9):844-8. doi: 10.1097/00043764-199709000-00007.
Passage of the Occupational Safety and Health Act in 1971 represented a major milestone for occupational and environmental medicine. Creation of the Occupational Safety and Health Administration (OSHA) and the National Institute for Occupational Safety and Health (NIOSH) flowed directly from the legislation, and the specialty of occupational medicine entered a new era. As the 25th anniversaries of OSHA and NIOSH are celebrated, consideration of the future of the specialty of occupational and environmental medicine seems timely. In this lecture, an expanded role for the specialty is proposed, based on an analysis of the forces shaping the practice of public health and the opportunities that these forces present. This analysis suggests considering the concept of a "Chief Health Officer" serving the broad health needs of the workplace.
1971年《职业安全与健康法》的通过是职业与环境医学的一个重要里程碑。职业安全与健康管理局（OSHA）和国家职业安全与健康研究所（NIOSH）的设立直接源于该立法，职业医学专业由此进入了一个新时代。随着OSHA和NIOSH成立25周年的到来，对职业与环境医学专业的未来进行思考似乎恰逢其时。在本次讲座中，基于对塑造公共卫生实践的各种力量以及这些力量所带来的机遇的分析，提出了该专业的一个扩展角色。这一分析表明，可以考虑设立一名“首席健康官”的概念，以满足工作场所广泛的健康需求。
