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Related Experiment Videos

Pre-employment screening: use or ornament?

A M Houghton, J P Edmondson-Jones, L A Harris

    The Journal of the Society of Occupational Medicine
    |January 1, 1989
    PubMed
    Summary

    Pre-employment screening (PES) in occupational health departments (OHD) shows limited effectiveness, with low screening rates for most employees. Most health issues leading to absence or retirement cannot be predicted by PES.

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    Area of Science:

    • Occupational Health
    • Public Health
    • Healthcare Management

    Background:

    • Pre-employment screening (PES) is a component of occupational health services.
    • Evaluating the efficiency and effectiveness of PES is crucial for resource allocation and employee well-being.
    • Understanding stakeholder attitudes towards PES is important for service improvement.

    Purpose of the Study:

    • To evaluate the resource implications, efficiency, and effectiveness of pre-employment screening (PES) in an occupational health department (OHD).
    • To examine the attitudes of employees and managers towards PES.
    • To assess the predictive value of PES for future health-related absences or retirements.

    Main Methods:

    • Evaluation of resource implications and estimation of efficiency and effectiveness of PES.
    • Analysis of screening coverage rates for different employee groups (student nurses vs. others).
    • Examination of referral rates to occupational health nurses/doctors and reasons for rejection.

    Main Results:

    • Student nurse applicant screening coverage was near 100%, while other new employees had only 43% coverage.
    • Student nurses were referred more often (45%) than other employees (18%), with only one rejection on health grounds in 15 months.
    • Most reasons for sickness absence or early retirement were not predictable through PES.

    Conclusions:

    • Current PES practices in the evaluated OHD have limited effectiveness in predicting health issues or preventing absence/retirement.
    • Discrepancies in screening coverage and differing stakeholder perceptions highlight areas for OHD service improvement.
    • Further research is needed to optimize PES protocols and their integration into occupational health strategies.

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