Document jyd23mRKpQ3bVxypaj51r17R2

Originally it w.as decided to have only-three population groups, includ ing a so-called email sited plant group, under 1,000 employees; medium sited plants up. to 0,000 employees, and large sized plants including 5,000 employees and oyer. It was decided eventually, however, to use substan tially the same classifications as had.been previously used bn Dr. G. D. Selby's report.on "The Medical.and Surgical Care of. Industrial Workers," published as. Public Health Bulletin No. 99, by the U. S. Public Health Ser vice in 1010. Is was found in going over the data in this last-mentioned report that- it was possible to make some comparison between the data therein published and the figures In the. present study, showing substantial progress with respect to certain types of administrative practices. It will he observed that the number of groups and the percentages are fairly evenly divided, with the exception of the group 1,600 to 1,999 em ployees, which Is smaller than the others--this apparently was a matter of chance; this is' the way it occurred arid evidently there is no other explana tion for it ' ......................... ' ' "..... ' . .. Examinations and Diapensary Service . The provisions for various types of examinations'and a dispensary service form a rather important part of industrial health administrative prac tice and, therefdre, datn are offered on this subject in the following table: No. Qroupo Slxe A Prepl 43 Under '600 ........ 49 600 - 909 ........ 63 60 1000-1499........... 02.8 17 1600-1099 ... 82.3 42 2000-3999 ..... 43 4000-9099 ......... 72.2 34 10000 & over .... .... 91.1 Portotfle 63.2 30.7 00 94.7 69.5 07.6 lll.l net to WK 05 49 .04 . 70.fi 01.8 07.6 . 94,1 Exit ' li.b 0.1 H 17.7 9.5 ll.fi 62.8 A OI*p 40.6 47 60 53 59.6 74.4 04.1 278 (Average) 72.7 <10.7 06.8 : 10,2 01.8 This table provides data (divided into the various groupings) with reference to the percentage frequency of preplaccment, periodic, return to work after illness and injury, and exit examinations and also shown the percentage occurrence of the use of dispensnrics. It will be noted that with some exceptions there was a gradual rise in the percentage of dispensaries used as the population groups increased in size and, as might be expected, the smallest percentage of dispensaries was found in the "under 500" group and the largest in the "10,000 and over" group. It is also seen that the percentage of different types of exam inations showed considerable variation in the different sized groups and, as might be expected, averaged lowest in the exit examinations but were fairly close together in the preplacement, periodic and return to work examina tions. It should be stated that there are certain organizations in which preemployment examinations are not done routinely, even among some of the larger ones, which would include the shipyards on the Pacific Coast, many public utilities, und certain types of service organizations. 18 Other Functions The percentage, of organizations providing, dental, Industrial hygiene, safety and sanitation services, and giving instruction in health and safety, is shown in'the,fallowing table: . Group* Six* Dental 43 Under 600 ..... .. 7 49 600- 999 .... 4.1 50 1000-1499 ..... 17 1600 -1099 ........ 11 42 2000 - 3909 ........ 9.6 43 4000-9999 34 10000 & over.... 53 tnd. Hyq. 61.2 30.7 60 24.3 47.7 66 . 88.2 Safety A San. 09,8 40 57.1* 04.T 01.8 05 91.2 Inatr. 41.8 34.7 34 #4.7 4l> 53.5 5*i 278 (Average) 10.0 54 04.4 43.5 It will lie seen that provision for dental services showed the lowest percentage in this table; In the smaller groups the service was emergency care and prophylaxis by outside dentists on reference and there were no inplant dental services. Beginning with the 1,600-1,999 group, there were a few examples of full-time and part-time dentists rendering inplnm services. Industrial hygiene services of some type were rendered utt the average in 64% of the entire group of plants, the variations in the different sized groups being shown In the table. This ranged from Inspection# by safety engineers, nurses, physicians, and others, to technical studies and fotlow-up work. Technical studies were made in ntLgroups by state departments of health, insurance companies, anti parent-company laboratories, with the occasional use of private- agencies and consultants. Thevv were a few examples of inpiant services by a laboratory owned and maintained by the organization. Safety and sanitation activities xhowed inspections in the smaller groups mninly by state representatives, committees, commercial supply companies, nurses,, foremen, physicians, and beginning with the 1.600-1,999 group there were organized programs of safety supervision with apparently good coordination between the safety and medical departments. It is note worthy that among all groups there were frequent examples of the use of physicians and nurses in sanitation inspections. An average of 43VI of all establishments gave some type of instruction in health and safety; this seems somewhat low and perhaps was very defi nitely affected by the activities of the war and reconversion periods. It is also seen that in the two highest groups only 63', provided some form of health and safety instructions. Intramural Relationships This subject was discussed in the preliminary report one year ago and will again be limited to a brief consideration of the relationship of the indus trial health department to other departments within the same organization or plant. At the time of the previous report, there was some discussion con cerning the varying difference* of opinion os to the results occurring when the chief physician or medical director reports to the industrial relation# division or officer, as compared with the results when the same medical 19 i.'' .: