Ethical issues in worker productivity.

Occupational health has always operated at the intersection of corporate economic concerns and worker health. Conflicting demands on the loyalty of occupational health professionals by the interests of labor and industry have made negotiating this minefield an essential part of the practice of occupational medicine. In recent years, occupational health professionals have found themselves increasingly required to rationalize worker health measures with economic arguments. This has led to physician engagement in the realm of defining and measuring worker productivity. Ethical guidelines that hold worker health as a top priority are critical in preserving the responsibility of occupational physicians to their patients.