浙江省职业健康检查机构现状调查  

Investigation of occupational health examination institutions in Zhejiang Province

作　　者：袁伟明[1] 薛潘琪 周莉芳[1] 邹华[1] 方兴林[1] 魏芳 高向景[1] YUAN Weiming;XUE Panqi;ZHOU Lifang;ZOU Hua;FANG Xinglin;WEI Fang;GAO Xiangjing(Department of Occupational Health and Radiological Protection,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China)

机构地区：[1]浙江省疾病预防控制中心职业健康与辐射防护所,浙江杭州310051

出　　处：《预防医学》2024年第10期910-914,共5页China Preventive Medicine Journal

基　　金：浙江省自然科学基金探索项目(LY22H260004);2022年浙江省医坛新秀项目。

摘　　要：目的了解浙江省职业健康检查机构现状,提出职业健康检查机构质量控制建议。方法以浙江省2023年9月30日前完成备案的312家职业健康检查机构为研究对象,通过现场检查和技能考核等方式调查分析职业健康检查机构的综合能力、服务质量、技术能力和信息报送情况。结果312家职业健康检查机构中,公立医院161家,占51.60%;民营机构147家,占47.12%;疾病预防控制中心/职业病防治院4家,占1.28%。综合能力、服务质量、技术能力和信息报送平均合格率分别为90.02%、69.89%、84.07%和86.78%。综合能力指标中,人员配置合格率最高,为95.06%;职业健康检查中质量控制合格率最低,为84.83%。服务质量指标中,体检报告格式规范性合格率最高,为95.83%;电测听检查准确性合格率最低,为76.60%。技术能力指标中,血铅检测、尘肺病阅片和听力图诊断能力合格率分别为87.92%、89.42%和75.34%。信息报送指标中,报送完整性、报送及时性、疑似职业病报送及时性和报送准确性合格率分别为89.10%、81.09%、96.47%和80.45%。3类机构中,民营机构综合能力、服务质量和技术能力的平均合格率均较低,分别为89.83%、69.06%和80.00%。结论浙江省职业健康检查机构类型以公立医院和民营机构为主;职业健康检查中质量控制、听力检查与诊断能力及信息报送准确性方面存在不足。Objective To investigate the status of occupational health examination institutions in Zhejiang Province,so as to provide suggestions for quality control of occupational health examination institutions.Methods The 312 occupa⁃tional health examination institutions in Zhejiang Province that have completed filing before September 30,2023 were se⁃lected.The comprehensive capability,service quality,technical capability,and information reporting status were surveyed and evaluated through on-site inspection and skill assessment.Results There were 161 public hospitals(51.60%),147 private organizations(47.12%),and 4 centers for disease control and prevention(CDCs)/occupational disease prevention and control institutes(1.28%).The pass rates of comprehensive capability,service quality,technical capability and infor⁃mation reporting were 90.02%,69.89%,84.07%and 86.78%,respectively.Among the indicators of comprehensive capa⁃bility,the compliance rate for staffing was the highest at 95.06%,while the qualification rate of quality control in occu⁃pational health examinations was the lowest at 84.83%.Among the indicators of service quality,the compliance rate of the physical examination report format was the highest at 95.83%,while the accuracy rate of the audiometry examina⁃tion was the lowest at 76.60%.In terms of technical capabilities,the qualification rates for blood lead testing,pneumo⁃coniosis reading,and audiogram diagnostic ability were 87.92%,89.42%and 75.34%,respectively.In terms of informa⁃tion reporting,the qualification rates for reporting completeness,reporting timeliness,suspected occupational disease re⁃porting timeliness,and reporting accuracy were 89.10%,81.09%,96.47%and 80.45%,respectively.Among the three types of institutions,private institutions had the lowest average qualification rates for comprehensive capability,service quality,and technical capability,which were 89.83%,69.06%and 80.00%,respectively.Conclusions Public hospitals and private organizations were the main types of occupation

关 键 词：职业健康检查机构 服务质量 信息报送 

分 类 号：R197[医药卫生—卫生事业管理]