Environmental Health Response Clinics are established in response to concerns about community exposures to hazardous situations (chemical, biological, radiological).
They are developed in response to a demand for « clinical services » and operate outside the usual health care financing and delivery mechanisms.
Prompted by their experience in California, the authors formed a focus group to identify possible goals and services.
A mail survey of occupational-environmental health professionals was then conducted to evaluate the feasibility and priority of representative goals.
The analysis suggests that services should focus on the specific hazard of concern and that communication and education are essential components.
The tendency to « do a general physical examination » should be eschewed.
Ratings for priority and feasibility were disparate for several possible goals.
In some instances, a « hands-on examination » may not be the best use of resources.
Environmental health professionals may serve by direct clinical service or by advising community-based practitioners.
Providing routine clinical services alone cannot meet the expectations for an environmental health response clinic.
Mots-clés Pascal : Santé et environnement, Chronique, Dose faible, Exposition, Homme, Organisme, Education santé, Surveillance sanitaire, Service santé, Organisation, Communication, Médecine travail, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Health and environment, Chronic, Low dose, Exposure, Human, Organism, Health education, Sanitary surveillance, Health service, Organization, Communication, Occupational medicine, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0541718
Code Inist : 002B30A01B. Création : 24/03/1998.