Inadequate training of specialists participating in periodic medical examinations remains one of the major problems of medical service for hazardous production workers, as shown by the authors. Suggestions are interactions between medical institution participating in periodic medical examinations and local medical institutions (licensed for periodic medical examinations) through setting an occupational therapist in the latter institutions for continuous observation over individuals having occupational exposure to hazards and for referral to Regional occupational pathology center, if necessary. This organizational pattern is a system of correlated structural elements, providing effective mechanism to save labour resources and more cost-effective, vs. the old pattern.
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