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以《职业健康监护技术规范》(GBZ188—2007)(以下简称《规范》)的应用情况、科学性、实用性为重点,采用分层抽样的方法,对吉林省71家省、市、区/县级职业健康监护机构主要负责人员、主检医师进行问卷调查。通过Rankit分析、ANOVA方差分析、SNK两两组间比较,对不同机构《规范》应用情况进行组间比较。疾病预防控制中心、职业病防治院(所)、综合性医院、科研机构开展上岗前、在岗期间、离岗时、离岗后医学随访及应急健康检查工作完全及大部分符合《规范》要求的比例均>85%;在体检总结报告内容编制、必检项目是否按《规范》要求开展,不同类型职业健康监护机构间差异有统计学意义(P值分别为0.000、0.006)。71家省内职业健康监护机构认为《规范》在实用性和科学性上非常好或好的比例>85%。吉林省职业健康监护机构对《规范》执行情况较好,其实用性及科学性得到了吉林省业内人士一致认可。
Taking the application, scientificity and practicability of the Technical Specifications for Occupational Health Monitoring (GBZ188-2007) (hereinafter referred to as the “Code”) as the focus, stratified sampling method was adopted to evaluate the safety of 71 provinces, municipalities and districts / County occupational health monitoring agencies are mainly responsible for the staff, the main medical examiner questionnaire. Through the Rankit analysis, ANOVA ANOVA, SNK comparison between two groups, the comparison of different agencies “norms” application between groups. Centers for Disease Control and Prevention, occupational disease prevention and treatment centers (hospitals), general hospitals and research institutes before leaving the job, leaving posts, medical follow-up and emergency medical examination after leaving the work completely and most of the “standard” ratio (P> 0.000, 0.006, respectively). All of them were> 85%. In the summary report of medical examination, whether the items to be inspected were carried out according to the requirements of the “Code” were statistically significant (P = 0.000 and 0.006 respectively). 71 occupational health monitoring agencies in the province that the “norms” in the practical and scientific very good or good ratio> 85%. Jilin Province occupational health care agencies on the implementation of the “Code” is better, its practicality and science have been unanimously approved by the industry in Jilin Province.