Quality of occupational medicine in ambulatory care

The prevention of occupational disease and injury requires focusing on the spectrum of services that would effectively contribute to prevention as well as the quality of constituent services. The broadest spectrum of services includes primary, secondary, and tertiary prevention and requires a team of professionals from medicine, nursing, industrial hygiene, and safety engineering. There are impediments to ensuring both the quality of care provided by individual professions and access to a broad array of services. Ensuring quality may be more dependent upon the spectrum of services utilized than in the variability of quality of any provider of care.