Divided Loyalties in Medicine: The Ambivalence of Occupational Medical Practice
Walsh, Diana Chapman
Social Science and Medicine. 1986; 23(8): 789-796.
Walsh juxtaposes two views of occupational medicine. First, she argues that the field has a major contribution to make in improving public health by persuading workers to alter behaviors that increase health risks. Legal and economic incentives, perceived corporate obligations, and changes in the physician patient relationship also could expand occupational medicine's role and enhance its status. However, a more negative future for the speciality can be envisioned, as well. Few graduates enter industrial medicine because it is neglected in medical school and is viewed as an unchallenging, low prestige choice. Many ask whether the occupational physician's loyalty is to the patient or to the employer. Walsh questions whether the American Occupational Medical Association's decision to devise a special code of ethics for its members is the best way to address the field's problems. She speculates that the specialty's dilemmas eventually may be those of modern medicine in general. (KIE abstract)
Attitudes; Codes of Ethics; Conflict of Interest; Economics; Ethics; Government; Government Regulation; Health; Health Hazards; Incentives; Industry; Industrial Medicine; Medical Ethics; Medicine; Occupational Health; Occupational Medicine; Organizations; Physician Patient Relationship; Physician's Role; Physicians; Professional Organizations; Professional Patient Relationship; Public Health; Regulation; Social Control; Social Dominance; Sociology; Sociology of Medicine;
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