Robbins D B, Kaminer A J, Schussler T, Pomper I H
Am J Public Health. 1976 Jul;66(7):655-9. doi: 10.2105/ajph.66.7.655.
Psychiatric consultations and job performance of 135 IBM employees were studied. Psychiatric referrals were made by management and the company medical department or were self-referred. The consulting psychiatrist conducted interviews, met with management, personnel representatives and other physicians to coordinate treatment with job requirements. Every effort was made to retain employees and improve performance. After a two-three year follow-up period, 82 employees (61.7 per cent) were with the company; ten were rated outstanding, 38 exceeded job requirements, 25 were meeting job requirements, and four were not. Performance data for five employees were not available. Forty-nine of 83 employees (59.0 per cent) rated unsatisfactory in job performance at the initial referral were performing satisfactorily at follow-up. The results support an optimistic attitude toward the working patient with psychiatric disease and highlight the value of a full-time medical department with consultation facilities leading to secondary and tertiary prevention.
对135名IBM员工的精神科会诊及工作表现进行了研究。精神科转诊由管理层、公司医疗部门提出或员工自行申请。会诊精神科医生进行访谈，与管理层、人事代表及其他医生会面，以便根据工作要求协调治疗。尽一切努力留住员工并提高工作表现。经过两到三年的随访期，82名员工（61.7%）仍在公司工作；其中10人被评为优秀，38人超出工作要求，25人符合工作要求，4人不符合。5名员工的表现数据不可用。83名在初次转诊时工作表现被评为不满意的员工中，有49名（59.0%）在随访时表现令人满意。这些结果支持了对患有精神疾病的在职患者持乐观态度，并凸显了拥有会诊设施以实现二级和三级预防的全职医疗部门的价值。
