2020-2021年四川省备案职业健康检查机构主检医师基本情况现状分析

Analysis on the current situation of chief physicians in registered occupational health examination institutions of Sichuan Province from 2020 to 2021

目的 了解四川省备案职业健康检查机构主检医师的一般情况职业病诊断类别和工作开展情况,为卫生行政部门管理备案职业健康检查机构提供依据。方法 对2020年1月4日至2021年12月31日在四川省疾病预防控制中心成功备案的259家职业健康检查机构任命的395名主检医师个人业务能力资料进行汇总,采用描述性统计学方法进行分析。结果 职业健康检查机构至少有1名注册在本机构的主检医师;主检医师年龄偏大,综合医院和疾病预防控制机构40~50岁占比最大(37.22%和46.77%),民营机构≥60岁占比最大(42.72%);综合医院和疾病预防控制机构本科占比最大(73.54%和59.68%),民营机构大专占比最大(45.45%);具备尘肺病诊断资格的主检医师较少(14.43%);2020年完成检查劳动者341 635人次,2021年完成检查劳动者958 981人次。结论 2020-2021年四川省备案职业健康检查机构主检医师数量和工作量能满足四川省职业健康检查需求,给检查者提供良好服务。但年龄偏大、学历偏低,民营机构尤其显著,具有尘肺病诊断资格的主检医师较少,应通过多渠道、多方式进行培训,更好地为全省劳动者提供优质服务。

Objective To understand the basic information about the distribution,age,educational background,professional title,occupational disease diagnosis category,and work carried out by the main examiners in the registered occupational health examination institutions in Sichuan Province,and to provide a basis for the health administration department to manage the registered occupational health examination institutions.Methods The personal professional competence data of 395 examiners appointed by 259 occupational health examination institutions successfully registered in the Sichuan Provincial Center for Disease Control and Prevention were summarized and analyzed from January 4,2020 to December 31,2021,descriptive statistics method were used for analysis.Results The occupational health examination institution had at least one chief examination physician registered with the institution;In general hospitals and disease control institutions,the proportion of aged 40-50 years old was the largest,accounting for 37.22%and 46.77%,respectively.in private institutions,the proportion of aged≥60 years was the largest,accounting for 42.72%;The education background was relatively low,comprehensive hospitals and disease control institutions accounted for the largest proportion of undergraduates,accounting for 73.54%and 59.68%,respectively.Private institutions had the largest proportion of colleges and universities,accounting for 45.45%;The number of physicians qualified for diagnosis of pneumoconiosis was relatively small,accounting for 14.43%;In 2020,341635 workers were inspected,and in 2021,958981 workers were inspected.Conclusions The number and work capacity of primary examiners can meet the needs of occupational health examinations in the province and can provide good services to inspectors.However,they are older and have a low educational background,especially in private institutions.There are fewer primaryy examiners with diagnostic qualifications for pneumoconiosis,and the training should be conducted through multiple channels and methods,so that to provide a better high-quality services to workers in the province.