Sakowski Piotr
Instytut Medycyny Pracy im. prof. J. Nofera w Lodzi Zakldad Polityki Zdrowotnej, Pracownia Organizacji i Zarzadzania w Opiece Zdrowotnej.
Med Pr. 2012;63(1):85-90.
This paper presents the results of an assessment of the Polish occupational medicine service (OMS) system made by OMS nurses.
The survey was carried out on a random group of OMS nurses.
OMS nurses form a professional group comprised of rather experienced personnel. In the opinion of almost 70% of respondents the system guarantees good occupational heath care, whereas 20% took the opposite view. The great majority of respondents think that all employees have to undergo mandatory prophylactic examinations. The nurses have rather critical opinion about the legal regulations pertaining to occupational health care--their number and complexity, and also express negative opinion about the quality of cooperation with employers (who are contractors for OMS units). OMS nurses believe that prophylactic examinations are the strongest point of the system. They are often the only opportunity for establishing contact between an employee and a physician and learning about diseases he or she was previously unaware of.
Although the general assessment of the OMS system is rather positive, it is not free of shortcomings. Improvements in such fields as legislation, financing of service, professional attitude towards responsibilities of the OMS staff, cooperation with employers (contractors) and primary health care units would undoubtedly result in even better assessment, and what is more important in better functioning of the Polish OMS system.
本文介绍了职业医学服务（OMS）护士对波兰职业医学服务系统的评估结果。
对一组随机抽取的职业医学服务护士进行了调查。
职业医学服务护士组成了一个由经验较为丰富的人员构成的专业群体。近70%的受访者认为该系统能保障良好的职业健康护理，而20%的人则持相反观点。绝大多数受访者认为所有员工都必须接受强制性预防性检查。护士们对职业健康护理相关的法律法规持相当批评的态度——其数量和复杂性，并且对与雇主（职业医学服务单位的承包商）的合作质量也表达了负面看法。职业医学服务护士认为预防性检查是该系统的最大亮点。它们常常是员工与医生建立联系并了解其先前未知疾病的唯一机会。
尽管对职业医学服务系统的总体评估较为积极，但它并非没有缺点。在立法、服务资金、职业医学服务人员对职责的专业态度、与雇主（承包商）及初级卫生保健单位的合作等领域进行改进，无疑会带来更好的评估结果，更重要的是会使波兰职业医学服务系统运行得更好。
