论文部分内容阅读
目的掌握上海市职业卫生技术服务机构现状,分析技术服务质量,为完善技术服务体系提供决策依据。方法采用统一调查表对上海市20家职业卫生技术服务机构现状进行调查,使用标准的检查表对各机构的技术服务报告质量进行定量评估。对所有机构按资质等级、行业和开展职业卫生技术服务工作时间进行分类,从不同角度分析上海市职业卫生技术服务机构的现状和服务质量。结果上海市现有职业卫生技术服务机构20家,其中甲级机构3家,乙级17家,无丙级机构;专业技术人员720人,中级及以上职称人员占50.70%,大学本科及以上学历人员占72.09%;仪器设备平均215台/家,检定合格率97.60%;通过计量认证的检测项目平均131项/家。2015年度每家机构平均完成466份技术报告,其中评价类报告36份,检测报告431份。甲级机构中级及以上职称人员比例、大学本科及以上人员比例、评价类技术报告比例以及四类技术报告的得分均高于乙级机构,差异有统计学意义(P<0.05)。非民营机构中级及以上职称人员、大学本科及以上人员比例以及评价类技术报告比例高于民营机构,差异有统计学意义(P<0.05),但四类技术报告得分差异无统计学意义(P>0.05)。开展职业卫生技术服务的时间≥5年的机构其四类技术报告得分均较<5年的机构高,差异亦有统计学意义(P<0.05)。结论上海市职业卫生技术服务机构在人力、物力、技术服务能力等方面均有所提升,但各机构间发展不平衡的现象依然存在,职业卫生技术服务需求与供给之间还有差距。各机构在加强自身建设的同时,仍然需要政府支持。
Objective To grasp the status quo of occupational health service agencies in Shanghai, analyze the quality of technical services and provide the basis for decision-making on improving the technical service system. Methods A unified questionnaire was used to investigate the status quo of 20 occupational health service providers in Shanghai and to use a standard checklist to quantitatively evaluate the quality of technical service reports of various agencies. All agencies were classified according to the grade of qualification, the industry and the working hours of technical service for occupational health, and analyzed the status quo and service quality of Shanghai occupational health technical service institutions from different perspectives. Results There are 20 occupational health service agencies in Shanghai, including 3 Grade A institutions, 17 B institutes, and no C institutions. There are 720 professional and technical personnel, 50.70% middle-level and above titles, bachelor’s degree or above Personnel accounted for 72.09%; equipment average 215 units / home, the test pass rate of 97.60%; through the measurement certification test items on average 131 items / house. In FY2015, each agency completed an average of 466 technical reports, of which 36 were evaluation reports and 431 were test reports. Grade A institutions with mid-level and above professional titles, the proportion of college graduates and above, the proportion of technical evaluation reports and the scores of four types of technical reports were all higher than those of the B-level institutions. The difference was statistically significant (P <0.05). The proportion of non-private institutions with mid-level and above professional titles, college degree or above, and evaluation technical reports was higher than that of private-sector organizations (P <0.05), but there was no significant difference among the four technical reports (P > 0.05). Institutions that carried out occupational health technical services for more than 5 years scored higher in four types of technical reports than those in <5 years, with significant differences (P <0.05). Conclusion Shanghai occupational health service agencies have improved in terms of manpower, material resources and technical service capabilities. However, imbalanced development among various agencies still exists. There is still a gap between the demand and supply of technical service for occupational health services. Various agencies still need government support while strengthening their own building.