National Academy Press, Washington, D.C., 1988; :1-97
To answer the growing questions of the public concerning health care as it relates to occupational and environmental problems, the Institute of Medicine examined the role of the primary care physicians in occupational and environmental medicine and is seeking ways of fostering their participation in these important health care areas. Topics discussed included the incidence of occupational and environmental disease, evidence of need and less than optimal physician participation, changing scene of medical care, inadequate education, lack of medical school faculty, attitudes of practicing physicians toward health promotion and disease prevention, problems in practice, economic issues, legal issues, ethical issues and fragmented agency responsibility. Several goals were established for interventions in clinical practice and recommendations were made for the improvement of education for future physicians. Abstracts of commissioned papers were included covering such topics as legal aspects of occupational health, strategies for improving recognition and reporting of occupational diseases, diagnosis, treatment, teaching of occupational medicine in family practice residencies, reimbursement of occupational health services for workers, behavior patterns of physicians in this field, occupational risk factors, and systems marketing of health care.
National Academy Press, Washington, D.C., 97 pages, 56 references