河北省职业健康检查机构和职业病诊断机构配置情况分析

Analysis of the configuration of occupational health examination institutions and occupational disease diagnosis institutions in Hebei Province

目的分析河北省职业健康检查机构和职业病诊断机构配置情况,更好地管理和建设河北省职业健康检查机构和职业病诊断机构。方法采用现况调查的方法对截至2017年11月3日职业健康检查资质尚在有效期内的河北省职业健康检查机构和职业病诊断机构进行分析。结果河北省已取得职业健康检查资质并且资质尚在有效期内的医疗机构共有152家,其中27家同时具备职业病诊断资质。公立医疗机构占90.79%,民营医疗机构占9.21%。传统职防机构占全省职业健康检查机构的29.60%,综合医疗机构占全省职业健康检查机构的70.40%。绝大多数职业健康检查机构的体检许可项目是不齐全的,在个别许可业务范围(如铅作业)上,传统职防机构具有主导地位。结论综合医疗机构和传统职防机构在职业健康检查和职业病诊断工作中各有优势和劣势,需根据政策法规的变化、全省职业卫生工作情况协调相关业务的开展。

Objective To analyze the configuration of occupational health examination institutions and occupational disease diagnosis institutions in Hebei Province to achieve better management and construction. Methods The data was collected from occupational health examination institutions and occupational disease diagnosis institutions which were in the validity period till November 3, 2017 and analyzed by status survey. Results There were 152 medical institutions which had the valid occupational health examination qualification till November 3, 2017, among which 27 had the occupational disease diagnosis qualification. Public medical institutions accounted for 90.79%, and private medical institutions accounted for 9.21%. Traditional occupational protection institutions accounted for 29.60% of the whole province occupational health examination institutions and comprehensive medical institutions accounted for 70.40%. The majority of occupational health examination institutions do not have a complete medical examination license. Few license items （such as lead work）, the traditional occupational protection institutions had dominant position. Conclusion Both comprehensive medical institutions and traditional occupational protection institutions have their own advantages and disadvantages in occupational health examination and occupational disease diagnosis, so it is necessary to coordinate the development of related work according to the change of policies, regulations and occupational health work in the province.