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9/af ,1 imuhcturers A^ociatio/HConnecticut \RTFORD 4/ & A/
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Bulletin 'Jo. 893
April 14, 1342
AN ANALYSIS OF I2DICAL & RELATED SS^/ICDS IN CONNECTICUT INDUSTRY
Are the health services offered by your plant above or below the average for Connecticut? The attached report summarizes the information which 170 companies sent to us at the time cur booklet ''Conservation of Han Power" was distributed* This report prepared by Dr. Albert S'* Gray, Director, State Department of Health is only a summary* The detailed report may be had on request*
As the report indicates many plants have visualized the great value of adequate health services* Contrariwise, it also indicates that for the majority there is much to be done*
The replies which came to us, however, did indicate that many plans were being formulated for developing or expanding health programs*
To assist you in formulating these programs, your Association^ committee on Industrial Health and Safety and the Connecticut State Hedical Society are bringing industrial executives and health authorities together in a Forum on "Health In Industry"* This Forum is to be held at tho New Haven Lawn Club in Hew Haven on Hay 7th*
A reading of this report will help you to know what others aro doing and will bring up questions on your own policies. The Forum will answer those questions - Hay 7th - How Haven Lawn Club*
A-1807
0i J39
An Analysis of Medical and Related Services in Connecticut Indus try ABSTRACT
The Manufacturers Association of Connecticut and the Connecticut State Medical Society, through a Joint Committee or. Industrial Health, have been cooperating for scr.o tine in efforts to expend and improve industrial medical service. A brochure r-i,ti-vj "Conservation of Mar. Power Through Extension and Improvement of Ir.iustriai
L'-ul Care" was recently distributed to a large number of recipients inducing 740 industrial establishments of Connecticut. This publication contained a general dis cussion of some of the industrial health problems and an outline of the basic policies and objectives 'with which the two above named organizations will be concerned during the subseouent development of their program. An inquiry form was enclosed with each brochure which the plant officials were requested to fill out and return to the Joint Committee. The objective was to procure data for guidance in connection with the various phases of the promotional program. The information supplied on the returned
forms is dealt vrith in this report.
Of the 740 inquiry forms which were sent out, 170 were returned and in suitable condition for analysis. According to the most complete records, there were 1597 plants in the State of the types which were asked to cooperate in the study and they employed approximately 300,040 workers. The 740 plants which received the brochure represented 46.3 per cent of the 1557 plants and approximately 95 per cent of all the Connecticut people employed in the types of industries represented. The 170 plants covered by this report represent 10.6 per cent of the 1597 plants and 34.4 per cent of their workers. Although the sample of plants was not accurately representative of those to be found in the State, both in regard to the number of establishments and the size of the plants, some 'worthwhile information was procured from the analysis. A more detailed report has been prepared and can be procured by those who wish to see it.
Tables 1 to 6, inclusive, which are a part of this report present the important information which v/as procured concerning the various types of medical and relative facilities and equipment covered by the inquiry. These tables are more or less selfexplanatory and v/ill not be dealt with in this report. The study was not concerned with the professional quality of services rendered nor with the adequacy of physical equipment found in the various plants. To procure such information would require much more detailed investigations than were undertaken by the Joint Committee.
The services and facilities which were provided for a majority of the workers covered are given below together with the percentages served.
First Aid Service--96.2 Record of Occupational Sickness and Accidents--92.2 Treatment of Compensation Cases--75.9 Medical Quarters--79.0 Hospitalization Plan--76.7 Pro-employment Examinations--73*1 Full-time Roistered ursos--67.4 On-c..il Physic tun--61.2 Group Insur.ncu-- 54.3 Record of Ron-occupational Sickness and Accidents--52*7 Medical Inspection of Plant Sanitation--50.0
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Certain other cervices were not provided for more than 25 per cent of the enin any plant covered by the study. These services and facilities with the
;:--rc.-n tares of people served were as follows;
Periodic Examinations--24.0 Full-tine Physicians--22 .7 Laboratory Equipment--22.7 7r? ir.od nt tend ;nt s --2 0. C X-P.ay Equipment --19.0 Part-time Physicians--18.8 Technicians --11.4 Dental Service in Plant--4.4 Part-time Registered -Turses--2.5
The other services and facilities which fell between these two extremes with percentages of workers served were:
Medical Inspection of plant--43.7 Records of Absenteeism by Cause--38.7 Trained First Aid Vtorkers--38.2 .First Aid Courses--26.6 Employee Benefit Associations--26 .3 Physical Therapy Equipment--25.3 Health Education--22.6
There are no fixed rules concerning the number of workers justifying the va rious types of services and facilities covered by the survey or for accurately check ing the extent to which the 'workers were served in these respects in the various plants. It was apparent, however, that the larger plants, particularly those with a thousand or more employees each, and to a lesser extent those having 500 or.more as well, rated much more favorably than did the smaller plants in regard to the extent to which all of these services and facilities were provided. Those shortcomings were particularly ratable in the plants having under 251 employees each. It is recognized that the larger plants aro in more favorable positions, financially and otherwise, to provide adequate health service for their employees. It is also felt, however, that more attention could be given to the physical welfare of employees by some of these plants us well as a majority of those in the smaller groups. According to the inform ation revealed bv the 170 plants studied, industrial medical care has not been devel oped to the point where even the majority of the workers can be considered as being covered by the type of service which is adequate to fill present day requirements.
Indus tr ini medicine should not be considered as wholly therapeutic in type,
The h S"Ct in+**r ests of labor and industry only can be served bythe type of health pro
gran in which the treatment of occupational victims is only one of the several pho ses
of uc t-ivity. The prevention or control of conditions responsible for the many ooc upail: nil physi cal disorders is of paramount importance and will yield returns dire ctly
props r-ion..l t o the investments in this direction. The various health problems to be
found ir. indus try are not amenable to control by any single rule or formula. NeL** he r
is
^ c < * K i p to out 1 in- the* tvpo of radical service which will be adequate in a ma -
j emit y* or
n a l:\r.v* minority, of plants. The health needs should be determined i n
t h $ ime pr ci se scientific mann*.r as resorted to in developing or improving rv.nuf c -
tnr i r. t proc s. Cons .quently, it is recommended that efforts to develop or impr 0 Vl
plant n;. die a programs bo bused upon specific problems and needs of- individual ind uc-
ri.'S
0 t v) 4 1
TABLE 1 3JU13EP. AND PERCENTAGE OF WORKERS PROVIDED WITH CERTAIN TYPES OF MEDICAL SERVICE
ACCORDING TO SIZE OF PLANT
Size of Plant Total Workers
Full-Tine No* Per Ceno
TOTAL
116,639 26448 22*7
Under 21
21 -
50
51 - ICO
101 - 250
251 - 500
501 - 1000
1001 - 2500
2501 and over
83 841 1,055 6,295 11,860 21,504 24,649 50,352
-
26448
--
50*6
Types of Medical Service
Part- Time No Per Cent
On Call :.o. rer zer.z
21895
18.8
71369
61.2
_
236 1621 5982 10826 3230
.
3.7 13.7 27.8 43.9 6.4
22 376 760 4117 9267 14956 14186 27685
26.5 44.7 72.0 65.4 78.1 69.5 57.6 55 .0
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