Izvorni znanstveni članak
Mode and methods for carrying out systematic examinations as a form of health work in industry
M. Šarić
; lnstitut za medicinska istralioanja i medicinu rada ]ugoslavenske akademije znanosli i umjetnosti, Zagreb
Sažetak
A study was undertaken to analyse systematic health examinations in industry, with particular reference to the methods used. The study was carried out in a Zagreb metal and bakelite goods factory, sample, having much in common with other average enterprises in this country with regard to the structure of its personnel, production, and other characteristic. It should also be pointed out that in this factory there are no pronounced occupational hazards significantly influencing the occurrence and frequency of health disorders. The starting point was to analyse the workers' morbidity in detail. To this end it was aimed at establishing a medico-diagnostical minimum required for these examinations and choosing the methods most applicable in practice and Iikely to reveal health disorders - particularly those that are most frequent and most significant - in as early a stage as possible. Out of a total of 636 employes 564 have voluntarily consented to examination. The methods applied gave evidence that in 267 of the persons examined the findings were normal, Major health disorders were found in 21.1%, and minor troubles and anomalies in 46.2% of the persons examined. Out of the diagnoses classified as major health disorders 66.5% were revealed by examination and 33.5% were already known, while in the group of minor troubles and anomalies 64°/o were revealed by examination and 36% were already known. In the group of major health disorders evidenced by examination, 25.2% of the cases were diagnosed on the basis of the case history and physical examination. On the basis of the same diagnostic methods a hypothetical diagnosis, subsequently confirmed by other methods, was made in 36.9%. Laboratory analyses Ied to a diagnosis in 26.6%, and confirmed the diagnoses assumed on the basis of the case history and physical examination in 23.4%. In 0.9% the diagnosis was made only after a specialist consultation in order to confirm the diagnostic hypothesis, specialist consultations were necessary in 21.6%. The diagnoses obtained only after clinical examinations in hospital were made in 0.9%, and in 1.8% clinical examinations only confirmed the diagnostic assumption. 90% of minor troubles and anomalies revealed by systematic examinations were diagnosed on the basis of the case history and physical examinations only. After a detailed analysis of the part the methods applied played in the diagnosis of the diseases revealed by systematic examinations, a proposal is made concerning at that such examinations should contain to be on a satisfactory medico-diagnostic level. The best possible methods for carrying out these examinations are discussed. The financial side is also considered, as well as the most appropriate intervals in which the examinations should be repeated.
Ključne riječi
Hrčak ID:
182943
URI
Datum izdavanja:
17.12.1959.
Posjeta: 823 *