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Follow up survey of coal miners.

American College of Radiology, National Institute for Occupational Safety and Health, Final Report 1972 Sep; :1-74
The American College of Radiology (ACR) has conducted a survey designed to assist the National Institute for Occupational Safety and Health in evaluating the effectiveness of procedures used to notify underground coal miners and their designated physicians when X-ray examination provided under PL-91-173 reveal the presence of significant nonpneumoconiotic conditions. This document reports the findings of the ACR survey. The specific purposes of the study were: to determine the percentage of "designated" physicians who actually received referral letters from the Public Health Service; to determine the percentage of miners who received their referral letters; to determine the percentage of miners who saw their physicians as a result of the referral letter; to identify steps to be used to assure receipt of referral letters; to identify the impediments to miners receiving follow-up; to develop recommendations for overcoming roadblocks for adequate referral and future referral procedures. Based upon a 49 percent return of miner survey forms and a 53 percent return of physician survey forms it can be said that the system of notification requires improvement: 7 percent of the miners did not receive original notification and 1.5 percent of the survey forms mailed were returned to the sender as undeliverable by the Postal Service. For physicians the corresponding figures were 4 percent and 2.5 percent. Slightly over 99 percent of the notified miners did receive medical attention. The majority of the reasons cited by miners who did not see a physician was: "I didn't know I was supposed to," suggesting a lack of understanding rather than financial, transportation, or other constraints. The major criticisms by physicians concerned the time delay in receiving notification and the reporting of insignificant abnormalities. The notification system is apparently successful in providing physicians with new or additional information of potential importance to patient care.
NIOSH-Contract; Contract-099-71-0034; Mines; Mining; Pneumoconiosis; Welfare; Lungs; Roentgenography; Chest-pathology; Questionnaires
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Final Contract Report
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American College of Radiology, National Institute for Occupational Safety and Health, Final Report