2022年四川省备案职业病诊断机构现状分析

Analysis of the current situation of registered institutions for occupational disease diagnosis in Sichuan Province in 2022

目的了解四川省职业病诊断机构现状,为贯彻落实《四川省“十四五”职业病防治规划》提供参考。方法采用普查方法,对2022年四川省29家职业病诊断机构进行调查,用Excel 2019软件建立数据库,对诊断机构数量、性质、地区分布、业务能力范围、医疗卫生技术人员年龄、学历、从业年限和职称,信息平台建设情况、信息报告员情况及主要仪器设备购置年限情况进行描述性统计分析。结果截止2022年12月31日,四川省共纳入29家职业病诊断机构,以疾病预防控制机构为主(48.28%,14/29),21个市州中每个市州至少纳入1家职业病诊断机构;业务能力范围方面,具备1类职业病诊断范围有6家诊断机构(20.69%),单个职业病诊断类别中,职业性化学中毒有24家诊断机构具备诊断资格(82.76%);医疗卫生技术人员共794人,年龄以中青年为主,30~49岁占62.85%,学历以本科为主(62.72%),从业年限以20~29年为主(30.86%),职称以中级为主(34.26%);主要仪器设备共224台,购置年限在6~9年占比最大(37.50%);29家职业病诊断机构都有职业病诊断信息系统,有36名信息报告员。结论四川省职业病诊断机构网络已经建立,但医疗卫生技术人员高级职称偏少,业务能力范围不全,主要仪器设备部分超期服役。卫生行政机构应督促相关机构对卫生技术人员进行职业病诊断专业知识和职业病防治法等知识培训和培养,增加高级职称人员,扩增职业病诊断类别,扩大业务能力范围;同时应加大财政投入,更换超期服役仪器,提升职业病诊断能力和诊断质量,保障全省劳动者健康。

Objective To understand the current situation of diagnosis institutions for occupational disease in Sichuan province,and to provide reference for the implemention of the“14th Five-Year Plan for Occupational Disease Prevention and Control in Sichuan Province”.Methods By using a census method,a survey was conducted to investigate 29 diagnosis institutions for occupational disease in Sichuan province in 2022.A database was established by using Excel 2019 software to conduct a descriptive statistical analysis on the number,nature,regional distribution,scope of business capabilities,age,education level,years of employment and professional titles of medical and health technical personnel,information platform construction,information reporter status,and years of purchase of major instruments and equipment of the diagnostic institutions.Results As of December31,2022,Sichuan province had included a total of 29 occupational disease diagnosis institutions,mainly disease prevention and control institutions(48.28%,14/29).Each of the 21 cities and prefectures should include at least one occupational disease diagnosis institution.In terms of business capabilities,there were 6 diagnostic institutions(20.69%)that had the diagnostic scope for Class 1 occupational diseases.In a single occupational disease diagnostic category,24 diagnostic institutions(82.76%)had the diagnostic qualification for occupational chemical poisoning.There were a total of 794 medical and health technical personnel,mainly middle-aged and young,accounting for 62.85%of the population aged 30-49.Their educational background was mainly undergraduate(62.72%),and their working experience was mainly 20-29 years(30.86%).Their professional titles were mainly intermediate(34.26%);There were a total of 224 main instruments and equipment,with a purchase period of 6-9 years accounting for the largest proportion(37.50%).All of 29 diagnosis institutions of occupational disease had occupational disease diagnosis information systems with 36 information reporters.Conclusions The network of occupational disease diagnosis institutions in Sichuan province has been established,but there are few senior professional titles for medical and health technicians,and the scope of business capabilities is not complete.Some of the main instruments and equipment have exceeded their service period.Health administrative agencies should urge relevant institutions to provide professional training on the profeccional knowledge of occupational disease diagnosis and the law on prevention and control of occupational disease for health technicians,and to increase the number of personnel with senior professional title,to expand the categories of occupational disease diagnosis,and to expand the scope of business capabilities.At the same time,we should increase financial investment,replace expired service equipment,improve occupational disease diagnosis capabilities and quality,so that to ensure the health of workers in the province.