某省职业病诊断机构及诊断医师资质分析

Analysis of qualifications of medical and health institutions and certified doctors for providing occupational disease diagnosis in Jiangsu province

目的了解江苏省职业病诊断机构和诊断医师的资质和工作现状,为职业病防治工作提供相关参考依据。方法收集2012~2017年全省28家职业病诊断机构和1278名诊断医师资料,对医师所在地区、机构及取得资质情况等进行分析。结果该省取得职业病诊断资质的28家医疗卫生单位中,疾病预防控制中心16家(57.14%)、职业病防治所(院)6家(21.42%)、公立综合医院6家(21.42%),共有313名职业病诊断医师就职业这28家诊断机构,平均每家诊断机构约11名;取得全部10项资质的有5家(17.86%),取得1~3项资质的有3家(10.71%)。共计1278人取得职业病诊断医师资质,人数最多的是无锡市(221人),最少是镇江市(16人);就职于疾病预防控制中心599人(46.87%)、职业病防治所(院)118人(9.23%)、综合医院304人(23.79%)、民营机构(含门诊)257人(20.11%);取得职业中毒诊断资质医师最多(796人,62.28%)。结论该省已基本建立职业病诊断网络体系,但尚未覆盖至全部区县,且职业病诊断医师、诊断机构存在地区分布及专业建设不平衡,需要进一步加强全省职业病诊断医师培训及机构建设。

Objective To investigate the qualifications current situations of the medical and health institutions and certified doctors for providing occupational disease diagnosis in Jiangsu Province to provide reference for occupational disease prevention and control. Methods Quantitative and qualitative analysis was carried out on 28 institutionsfor occupational disease diagnosis and 1 278 certified doctors for occupational disease diagnosis in Jiangsu Province between 2012 and 2017, announcement from Jiangsu provincial commission of health and family planning commission, SPSS16.0 was used for statistical analysis. Results By the end of 2017, there had been 28 medical and health institutions which were qualified for providing occupational disease diagnosis in Jiangsu Province, including 16 centers for disease control and prevention, accounting for 57.14%, 6 general hospitals, accounting for 21.42%, and 6 institutes or centers for occupational disease prevention and control, accounting for 21.42%;a total of 313 occupational disease diagnosis were employed in these 28 diagnostic institutions, with 9.4 certified doctors on average in each institution;In addition, 17.86% of the institutions get all the qualifications for diagnosing 10 occupational diseases, and 10.71% of the institutions get the qualification for diagnosing one tothree occupational diseases. A total of 1278 physicians obtain the qualification of certified doctors for occupational disease diagnosis, the largest number was 221 in Wuxi city, at least 16 in Zhenjiang city, including 599 centers for disease control and prevention, accounting for 46.87%, 118 institutes or centers for occupational disease prevention and control, accounting for 9.23%, 304 general hospitals, accounting for 23.79%, 257 enterprise-owned hospitals, accounting for 20.11%;The highest number of occupational poisoning diagnoses was obtained, accounting for 796 (62.28%). Conclusion A provincial occupational disease diagnosis network has been established in Jiangsu, but it is far from covering all districts and counties, and the imbalance in regional distribution and specialty programs still exists among the qualified medical and health institutions and certified doctors. It is essential to further strengthen the training of qualified doctors and the development of qualified medical and health institutions.