广东省2020年职业健康检查机构现场质量检查结果分析

Analysis of the on-site quality inspection results of occupational medical examination institutions in Guangdong Province in 2020

目的分析广东省职业健康检查(OME)机构现场质量检查中存在的问题。方法采用随机数表法,选择广东省96家OME机构为研究对象,对其进行现场质量检查,分析有关结果。结果 2020年进行现场质量检查的96家OME机构占全省OME机构的49.0%(96/196)。其中,职业病防治院(所)、疾病预防控制中心(CDC)、公立医院、民营医院分别占8.3%、9.4%、42.7%和39.6%;分布在17个地级市。备案的OME资质包括粉尘、化学因素、物理因素、放射因素和其他类;部分机构备案两种及以上OME资质。96家OME机构现场质量检查6个考核模块的不符合率由高到低依次为质量管理工作、设备(仪器、车辆)配置、质量管理体系、医疗卫生技术人员配置、信息报告、现场专业人员考核模块,不符合率依次为24.1%、22.4%、20.7%、15.9%、15.6%和1.1%(P<0.01);多集中于CDC、公立医院和民营医院,职业病防治院(所)相对较少。除现场专业人员考核模块外,96家OME机构其余5个模块共检出不符合项696项,平均7项/家;其中,职业病防治院(所)、CDC、公立医院、民营医院考核的不符合项平均为2、9、8、7项/家。结论广东省OME机构现场质量考核中,职业病防治院(所)各方面问题相对较少;CDC存在一定的不足;公立医院和民营医院的设备(仪器、车辆)配置、质量管理体系及质量管理工作问题较为突出。

Objective To analyze the problems existing in the on-site quality inspection of occupational medical examination(OME) institutions in Guangdong Province. Methods A total of 96 OME institutions in Guangdong Province were selected as the research subjects using the random number table method. On-site quality inspections were carried out and the results were analyzed. Results The OME institutions participating in the on-site quality inspection in 2020 accounted for 49.0%(96/196) of total OME institutions in Guangdong Province. Among them, occupational disease prevention and control hospitals/institutions, Centers for Disease Control and Prevention(CDC), public hospitals, and private hospitals accounted for 8.3%, 9.4%, 42.7% and 39.6%, respectively. They were distributed in 17 prefecture-level cities. The registered OME qualifications include dust, chemical factors, physical factors, radiological factors and other categories. Some institutions have registered two or more OME qualifications. The non-qualified rate of the on-site quality inspections in six assessment modules of the 96 OME institutions from high to low were quality management work, equipment(instruments and vehicles) allocation, quality management system, medical and health technical personnel allocation, information report, and on-site professional assessment module, with the non-qualified rate of 24.1%, 22.4%, 20.7%, 15.9%, 15.6% and 1.1% respectively(P<0.01). The problems were mostly concentrated in the CDC, public and private hospitals, and rarely in occupational disease prevention and treatment hospitals/institutes. In addition to the on-site professional assessment module, a total of 696 non-qualified items were detected in the remaining five modules of the 96 OME institutions, with an average of seven items per institution. Occupational disease prevention and treatment hospitals/institutions, CDC, public hospitals, and private hospitals had an average of 2, 9, 8, 7 non-qualified items respectively. Conclusion In the on-site quality assessment of OME institutions in Guangdong Province, there are relatively few problems in all aspects of occupational disease prevention and treatment hospitals/institutes. CDC has certain inadequacies. The public and private hospitals have more prominent problems in aspects of equipment(instruments and vehicles) allocation, quality management system and quality management work.