An examination of occupational medicine practices.
Pedersen-DH; Venable-HL; Sieber-WK Jr.
J Occup Med 1990 Oct; 32(10):1037-1041
An evaluation was undertaken to examine some of the procedural differences between the on site and off site practice of occupational medicine. Traditionally the on site occupational health care physician has been part of the entire occupational health care program. This practice has been declining in the past several years and is being replaced by physicians who maintain off site locations. Over 4,490 facilities were surveyed during the National Occupational Exposure Survey and data from this evaluation were used to determine the effects, if any, of this change in location for the occupational health physician. The data indicated that by moving the physician away from the occupational site there was a subsequent decline in the amount of health care that was offered to the worker both in the provision of screening tests and medical examinations. Those facilities with on site physicians retained medical records longer than those with off site physicians. The authors state that this loss of data will make the retrospective study of adverse health effects in the work force increasingly difficult.
JOCMA7; NIOSH-Author; Occupational-health-programs; Industrial-health-programs; Worker-health; Health-care-personnel; Epidemiology; Occupational-medicine; Statistical-analysis
Journal of Occupational Medicine