Simonova N I, Niziaeva I V, Nazarov S G, Zhuravleva E A, Kondrova N S, Stepanov E G, Fasikov R M, Grigor'eva S M, Andreeva E E, Ignatova E N, Tsyrulin A V, Mazitova N N
Med Tr Prom Ekol. 2012(1):13-9.
Comparative analysis covered three models of occupational risk evaluation: (1) Method to evaluate risks at workplace, elaborated in Finland and recommended by International Work Safety Agency for Eastern Europe and Central Asia countries; (2) Method elaborated in Research Institute for Occupational Medicine with RAMSc under the direction of N.F. Izmerov and E.I. Denisov; (3) Method evaluating individual occupational risk, with consideration of work conditions and worker's health state, also elaborated in Research Institute for Occupational Medicine with RAMSc and Klin Institute of Work conditions and safety, approved in 2011 as methodic recommendations. Findings are that in contemporary Russia a unified method evaluating occupational risk is more expedient; the first method satisfactorily describes actual ratio of occupational risk levels and could be useful as an additional method for its evaluation, especially for psycho-social factors; the second method does not allow to evaluate occupational risk acceptably if absent longstanding occupational morbidity, but is recommended for risk evaluation in evidence-based medicine; the third method is recommended at federal level to fulfil requirements of Labour Code in Russian Federation and obligatory social insurance purposes.
（1）工作场所风险评估方法，由芬兰制定并被国际劳动安全机构推荐给东欧和中亚国家；（2）由职业医学研究所与俄罗斯医学科学院在N.F.伊兹梅洛夫和E.I.杰尼索夫的指导下制定的方法；（3）考虑工作条件和工人健康状况评估个体职业风险的方法，同样由职业医学研究所与俄罗斯医学科学院以及劳动条件与安全克林研究所制定，于2011年作为方法性建议获得批准。研究结果表明，在当代俄罗斯，采用统一的职业风险评估方法更为适宜；第一种方法令人满意地描述了职业风险水平的实际比例，可作为其评估的补充方法，特别是对于心理社会因素；如果缺乏长期职业发病率，第二种方法无法令人满意地评估职业风险，但推荐用于循证医学中的风险评估；第三种方法在联邦层面被推荐用于满足俄罗斯联邦劳动法的要求以及强制性社会保险目的。
