山东省职业健康检查机构调查分析

发布时间：2018-06-21 15:51

本文选题：职业健康 + 疾病预防控制中心　；参考：《山东大学》2013年硕士论文

【摘要】：[研究背景] 山东省是一个经济大省,工业门类齐全,存在职业危害因素作业的企业数量众多,从2003年以来,山东省每年的职业病发病都在800例以上,职业病危害问题不仅给劳动者个人造成极大痛苦,使劳动者丧失劳动力,给其家庭带来沉重的经济负担,更是成为重大的社会问题,影响社会的和谐与稳定。加强职业健康检查机构建设,对接触职业病危害因素的作业人员进行上岗前、在岗期间、离岗时、应急的职业健康检查以及医学随访,不仅是法律的明确要求,更是减少职业病发生的重要举措,可以有效降低职业病发病风险。目前,山东省职业健康检查机构网络建设取得一定成绩,2008年全省仅有职业健康检查机构126家,到2012年增长到169家,平均每年以10家以上数量增长。职业健康检查机构数量的快速增长,一定程度上缓解了职业健康检查机构数量不足的矛盾,但是职业健康检查机构近四年来的快速增长,也暴露出了一些问题,具体表现为：一是职业健康检查机构地区分布不均衡；二是职业健康检查资质范围参差不齐；三是人员专业、学历、持证情况不甚理想。为了全面掌握山东省职业健康监护机构的地区分布、类别、资质范围情况、人员构成情况,以便为职业健康监护机构的管理和发展提供依据,特进行此次山东省职业健康监护机构、人员情况的调查分析。 [研究目的] 1摸清山东省职业健康检查机构总体数量、级别类别、地区分布、资质范围情况。 2了解从事职业健康检查人员构成情况。 3为有关部门对职业健康检查机构的管理和发展提供依据。 [资料与方法] 12008年9月至2012年8月期间山东省所有职业健康检查机构申请材料,包括单位名称、级别、类别、申请的职业健康检查资质范围、从业人员(包括职业健康检查负责人和质量控制负责人)的专业、职称、从业年限； 22008年9月至2012年8月期间参加省卫生厅举办的职业健康监护培训班,考试成绩合格,取得职业健康检查个人资质人员的专业、职称资料； 3职业健康检查机构资质范围共包括14项,我们认为资质范围在11-14项(包括11项)的能满足工作需要,在8-10项(包括8项)的基本满足工作要求,在7项(包括7项)以下的不满工作要求。对以上材料进行整理,用excel表格汇总统计 [结果] 1机构情况 1.1地区分布情况山东省取得职业健康检查资质的单位169家,除了淄博市的高青县、桓台县、沂源县、张店区、周村区、临淄区,烟台市的长岛县,德州市的陵县、庆云、夏津三个县没有职业健康检查机构外,山东省十七个地市的各个区县均达到每个区县至少一家职业健康检查机构。 1.2机构级别、类别情况按级别分,省级单位4家,占总数的2.4%,地市级单位36家,占总数的21.3%,区县级单位115家,占总数的68.0%,企业及民营机构14家占总数的8.3%；按类别分,疾控中心有98家(其中地市疾控中心13家,区县疾控85家),占总数的58.0%,各类医院有58家(其中省级医院2家,地市级医院17家,区县医院30家,企业医院9家),占总数的34.3%,职防院有13家(公立职防院8家,企业职防院5家),占总数的7.7%。 1.3机构资质范围情况职业健康检查资质范围满足工作要求的有59家,基本可以满足工作要求的有71家,不满足工作要求的有39家。能满足或者基本满足工作要求的机构占机构总数的77%。2人员情况 2.1所有从业人员情况山东省169家职业健康检查机构,共有从业人员2572人,其中高级职称有627人,占总人数的24.4%；预防医学专业有428人,占总人数的16.6%；从事职业健康检查工作20年以上的有1302人,占总人数的50.6%。持有职业健康监护个人资质证书的有818人,占总数的31.8%。 2.2职业健康检查负责人情况山东省169家职业健康检查机构,有169名职业健康检查负责人,其中高级职称有119人,占总人数的70.4%；预防医学专业有58人,占总人数的34.3%；从事职业健康检查工作20年以上的有125人,占总人数的74.0%。 2.3质量控制负责人情况山东省169家职业健康检查机构,有169名质量控制负责人,其中高级职称有74人,占总人数的43.8%；预防医学专业有36人,占总人数的21.3%；从事职业健康检查工作20年以上的有125人,占总人数的74.0%。山东省已经基本上达到了每个区县至少有一家职业健康机构,职业健康检查机构网络已经基本成型,资质范围情况基本可以满足工作要求；职业健康检查机构的从业人员基本能满足工作需要,但是专业、职称、持证上岗情况各有欠缺。 [结论] 1山东职业健康检查机构总体数量可满足工作需要,但级别、类别分布不均,地区分布不甚合理,区县级机构占六成以上,省市级机构较少,民营机构不足一成,资质范围基本能满足工作需要。 2职业健康检查从业人员高级职称比例较低,预防医学专业比例较低,取得职业健康监护个人资质证书数量偏少；职业健康检查负责人、质量控制负责人预防医学比例较低,从事工作20年以上人数比例较高,年轻力量相对不足。
[Abstract]:[research background]
Shandong province is a big economic province with a large number of enterprises with complete industrial categories and many occupational hazards. Since 2003, the occupational diseases in Shandong province are more than 800 cases. The occupational hazards not only cause great pain to the workers, but also make the workers lose their labor and bring heavy economic burden to their families. It is also a major social problem that affects social harmony and stability. It is not only a clear requirement of the law, but also a reduction in occupational health, to strengthen the construction of occupational health inspection institutions and to carry out occupational health inspection and medical follow-up for workers who are exposed to occupational hazards. Important measures can effectively reduce the risk of occupational disease. At present, the network construction of occupational health inspection institutions in Shandong province has achieved certain achievements. In 2008, there were only 126 occupational health inspection institutions in the province, and up to 169 in 2012, with an average of more than 10 numbers per year. The rapid growth of the number of occupational health inspection institutions was to a certain extent. The contradiction between the insufficient number of occupational health inspection institutions has been alleviated, but the rapid growth of the occupational health inspection institutions in the past four years has also exposed some problems. The first is that the regional distribution of occupational health inspection institutions is uneven; the two is the uneven qualification of occupational health inspection, and three is the professional, educational, and certificate of personnel. The situation is not ideal. In order to fully grasp the regional distribution, category, qualification scope and personnel composition of the Shandong vocational health care institutions, in order to provide the basis for the management and development of the occupational health care institutions, the investigation and analysis of the occupational health care institutions in Shandong province and the personnel situation are carried out.
[research purposes]
1 find out the total number, grade, category, regional distribution and qualification scope of occupational health inspection institutions in Shandong.
2 understand the composition of the occupational health inspectors.
3 to provide evidence for relevant departments to manage and develop occupational health examination institutions.
[information and methods]
From September 12008 to August 2012, all the occupational health inspection institutions in Shandong applied for materials, including the name, grade, category, application of the qualification of occupational health inspection, the professional, professional title, and working life of the employees (including the responsible persons of occupational health inspection and the person in charge of quality control).
During the period from September 22008 to August 2012, the vocational health care training class held by the Provincial Department of health was qualified, and the professional and professional titles of personal qualifications for occupational health inspection were obtained.
The 3 occupational health inspection agency's qualification range includes 14 items. We believe that the qualifications range from 11-14 (including 11) to the work needs, the basic meeting requirements in 8-10 (including 8), and the discontent requirements under 7 (including 7).
Sort out the above materials and summarize them in Excel form.
[results]
1 institutions
In 1.1 areas, 169 units of Shandong province have obtained professional health inspection qualifications. In addition to Zibo's Gaoqing County, Huantai County, Yiyuan County, Zhangdian District, Zhoucun District, Linzi District, Long Island County of Yantai City, Lingxian County of Dezhou City, Qingyun and Xiajin three counties have no occupational health inspection institutions, and all districts and counties of seventeen cities in the province are all reached. At least one occupational health inspection institution in each district and county.
1.2 institutions level, classification according to grade, 4 provincial units, accounting for 2.4% of the total, 36 at city level, 21.3% in the total, 115 in the district and county level, 68% in the total, 8.3% in the enterprises and private institutions 14, and 98 in the center for Disease Control and control, which are 13 of the CDC and 85 in district and county, accounting for 58%, accounting for 58%. There are 58 hospitals (including 2 provincial hospitals, 17 municipal hospitals, 30 district and county hospitals, 9 enterprise hospitals), 34.3% of the total, 13 (8 public defense centers and 5 enterprises), accounting for 7.7%. of the total.
1.3 the scope of qualification of the institutions is 59, 71 are basically satisfied with the work requirements, and 39 are not satisfied with the requirements of the work. The 77%.2 personnel who are able to meet or basically meet the requirements of the work account for the total number of personnel in the organization.
2.1 all employees were employed in 169 occupational health inspection institutions in Shandong province. There were 2572 employees, including 627 of the senior professional titles, 24.4% of the total, 428 in the major of preventive medicine, 16.6% of the total, 1302 for more than 20 years in the occupational health examination, and the 50.6%. of the total number of persons held occupational health care. There are 818 people's qualifications, accounting for 818 of the total.
2.2 the person in charge of occupational health inspection, 169 professional health inspection institutions in Shandong Province, has 169 occupational health inspection leaders, of which 119 are senior professional titles, accounting for 70.4% of the total number, 58 in the major of preventive medicine, 34.3% of the total, and 125 for more than 20 years in the occupational health examination, accounting for 74.0%. of the total number
2.3 the person in charge of quality control has 169 professional health inspection institutions in Shandong Province, with 169 quality control leaders, of which 74 are senior titles, 43.8% of the total, 36 in the major of preventive medicine, 21.3% of the total, and 125 for more than 20 years in the work of occupational health inspection, accounting for 74.0%. of the total number
Shandong province has basically reached at least one occupational health organization in each district and county. The network of occupational health inspection institutions has been basically formed. The scope of qualification can basically meet the requirements of the work; the employees of the occupational health inspection organization can basically meet the needs of the work, but they are professional, professional, and licensed.
[Conclusion]
1 the total number of Shandong occupational health inspection institutions can meet the needs of the work, but the level, the distribution of categories are uneven, the regional distribution is not very reasonable, the district and county level institutions account for more than 60%, the provincial and municipal organizations are less, the private institutions are less than 10%, and the scope of the qualification can basically meet the needs of the work.
2 the proportion of senior occupational health inspection employees is low, the proportion of preventive medicine major is low, and the number of personal qualification certificates for occupational health monitoring is low; the responsible person of the occupational health inspection, the proportion of the responsible person of the quality control is low, the proportion of the person who is engaged in the work is higher for more than 20 years, and the young strength is relatively insufficient.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R132

【参考文献】