Caspani P, D'Orsi F, Fichera R, Narda R, Scarlini F, Valenti E
Servizio Prevenzione e Sicurezza Ambienti di Lavoro A.S.L. Roma C, Regione Lazio.
G Ital Med Lav Ergon. 2007 Jul-Sep;29(3 Suppl):792-4.
In the past seven years the Service for Prevention and Safety in Workplaces of the Health Local Agency of Rome C set out some activities towards the occupational physicians (so-called "competent physicians") of three different kinds: control and surveillance, institutional activities on demand and activities for quality improvement. In the first ambit we conducted some investigations on the procedures of the workers' medical surveillance and the role of competent physicians in the risk evaluation inside three different intervention projects (monitoring the enforcement of the D.Lgs. 626/94; intervention on the chemical risk, intervention in the car repair shops). In the second ambit we analysed 92 notifications of occupational diseases and we dealt with 27 appeals against the judgement of the fitness to work. In the third ambit we made 19 meetings on various subjects: correct procedures in medical surveillance, quality in diagnostic examinations, the enforcement of new regulations. We report the results of these interventions which let us identify the most common criticalities in the activity of the competent physicians, but also to face them with a new approach based more on peer review instead of control and surveillance.
在过去七年里，罗马C区地方卫生局职业预防与安全服务部门针对三类不同的职业医生（即所谓的“主管医生”）开展了一些活动：控制与监督、应要求开展的机构活动以及质量改进活动。在第一个范围内，我们针对三个不同干预项目（监测第626/94号法令的执行情况；化学风险干预；汽车修理店干预）中的工人医疗监督程序以及主管医生在风险评估中的作用进行了一些调查。在第二个范围内，我们分析了92份职业病报告，并处理了27起针对工作适应性判定的上诉。在第三个范围内，我们就各种主题召开了19次会议：医疗监督中的正确程序、诊断检查的质量、新法规的执行情况。我们报告了这些干预措施的结果，这些结果不仅让我们确定了主管医生活动中最常见的关键问题，还让我们以一种更多基于同行评审而非控制与监督的新方法来应对这些问题。
