Occupational injuries: a study of health care workers at a northwestern health science center and teaching hospital.

1. This retrospective study examined the magnitude of the problem of work related health hazards affecting professional and non-professional employees of a state university health science center and hospital. 2. From the 1,513 injury episodes that occurred among the 9,668 employees during the 32 month study period, it was determined that the highest risk categories for both department and job were nursing, housekeeping, food service, and laboratory technicians. 3. Injury rate for females (11.2 per 100 person years) was more than twice that of males (5.1). Injury rates declined from 11.6 per 100 person years at ages 25 to 39 to 3.8 at ages over 60. Puncture wounds (32.7%), mostly by needlesticks, were the most frequently reported injury type, followed by strains and sprains (17.2%), lacerations (12.5%), and contusions (12.1%).

International networking: coordinating health promotion strategies with multiple interventions.

Although practice variations in medical care is gaining wide attention, practicing physicians in the U.S. who were surveyed found time commitments and inadequate reimbursement were major barriers to recommending preventive procedures and advice to their patients. Those internists in the Pulmonary Disease Clinical specialty area are reported to have included patient counseling during thirty percent of all patient encounters during the study period. The comprehensive effects of health promotion interventions are recognised only as those practiced by populations independent of physicians' intervention. The health and population status reports for Singapore and the U.S.A. are presented. Green's health promotion evaluation model provides a process for inquiry, efficacy, and evaluation outcomes for health promotion strategies and programs. Resources and international networking are presented representing those within the University of North Carolina at Chapel Hill, U.S.A.