社区卫生服务专业人员基本职业卫生服务的知识、态度、行为调查  

An Investigation on Knowledge,Attitude and Practice of Professionals on Basic Occupational Health Services in Community Health Service Centers

作　　者：朱美芬 白云 陈晓玲 周志俊[3] 高山 刘宏凯 何永华[3] 

机构地区：[1]上海市浦东新区卫生监督所,上海200136 [2]上海市浦东新区卫生局,上海200136 [3]复旦大学公共卫生学院,上海200032

出　　处：《环境与职业医学》2011年第6期372-375,共4页Journal of Environmental and Occupational Medicine

基　　金：上海市浦东新区卫生局卫生科技发展专项基金(编号:PW2010A-36)

摘　　要：[目的]了解社区卫生服务中心(community health service,CHS)专业人员对基本职业卫生服务(basicoccupational health service,BOHS)的知信行现状,为制订相关政策提供依据。[方法]通过填写调查表,了解上海市浦东新区33家CHS 52名职业卫生相关人员的基本构成、对BOHS的概念及原则的知晓情况、工作量及工作方法、对开展BOHS的支持度及目前的主要问题。[结果]调查问卷应答率为89.7%。接受调查者的文化程度较高,以医学相关专业为主,对BOHS的知晓率为86.5%,大多了解BOHS基本原则。90%以上的受调查者支持BOHS政策并乐意积极参与,普遍认为政策支持是最主要的影响因素;职业卫生工作占工作量的比例平均为31.7%,工作内容以督导企业职业健康检查为主,与卫生监督部门合作较多。[结论]该区CHS专业人员对BOHS有较全面的理解,具有参与BOHS的能力和优势,但人员不足、工作量较少、年龄偏大;需要政策和技术支持,同时服务理念尚需进一步调整。[ Objective ] To understand the situation of knowledge, attitude and practice of professionals on basic occupational health services （ BOHS ） in community health services centers （ CHS ） and provide evidences for decision making. [ Methods ] A total of 52 occupational health professionals in 33 CHSs in Pudong District, Shanghai were recruited tofilla questionnaire on BOHS concept, principals, workload, methods, attitude to developing a BOHS project and the possible obstacles. [ Results ] Most of them were trained in medicine related subjects, and 86.5% of them knew the concept of BOHS and its principles. More than 90% of them supported BOHS. About 31.7% of participants＇ duties were related to BOHS including supervising occupational health status of employees in various industries. Related policy supports were necessary for BOHS. Most of the tasks aligned with the Health Supervision Department. [ Conclusion ] The professionals understand the concept and principles of BOHS, and they are capable in providing BOHS in CHSs. However, the BOHS related workload is insufficient in the field. Policy and technical supports are urgent. Furthermore, the service concepts require improvement.

关 键 词：社区卫生服务中心 基本职业卫生服务 知信行 

分 类 号：R132[医药卫生—劳动卫生]