Some trends in worker access to health care in the United States (1974-1983).
Pedersen-DH; Sieber-WK Jr.
Am J Ind Med 1989 Feb; 15(2):151-165
Trends in worker access to health care in the United States during the years 1974 through 1983 were examined using two national occupational health surveys (the National Occupational Hazard Survey and the National Occupational Exposure Survey) intended to describe health and safety conditions in the American workplace. Data was extracted from the medical services section of the questionnaires which contained questions on topics ranging from provision of specific areas within the facility reserved for medical care to the provision of medical tests and examinations. Principal findings over time were: increased general health care provided to workers; increased use of off site physicians; and increased use of screening examinations or tests. Other analyses indicated decreased use of on site physicians and preemployment examinations and decreased industrial retention of health information on new employees. The authors conclude that while industry as a whole is providing increased worker access to health care, industrial use of on site physicians is decreasing and the role of the on site medical practitioner is increasingly being filled by nurses and allied medical personnel; at the same time, services that cannot be performed by nonphysicians are apparently being relegated to off site sources of physicians. The authors suggest that the nature of the changes in the access of workers to physicians trained in occupational medicine should be a subject of further research.
NIOSH-Author; Worker-health; Medical-care; Industrial-medicine; Occupational-medicine; Health-surveys; Workplace-studies; Medical-facilities; Medical-personnel; Health-care-facilities; Occupational-health-services;
Author Keywords: occupational health care trends; occupational physicians; preventive medicine; screening tests; industrial pre-employment examinations and record keeping
American Journal of Industrial Medicine