Juszczyk Grzegorz, Czerw Aleksandra, Tatara Tomasz, Duda-Zalewska Aneta, Walusiak-Skorupa Joanna, Słoniewski Robert, Staniszewska Anna, Olejniczak Dominik, Religioni Urszula
a Department of Public Health , Medical University of Warsaw , Poland.
b Department of Occupational Diseases and Toxicology , Institute of Occupational Medicine , Poland.
Int J Occup Saf Ergon. 2017 Dec;23(4):553-557. doi: 10.1080/10803548.2016.1221911. Epub 2016 Sep 2.
The study objective was to determine the cost intensity of identifying contraindications to fleet car driving in preventive care.
The objective of a psychological examination is to identify impaired psychomotor function as well as any intellectual, cognitive or emotional incapacities, which may seriously impede safety.
Real-world data were collected from the healthcare provider in Poland. A total of 8111 anonymous records from psychomotor tests performed between January 1 and December 31, 2012 were analysed.
The number needed to screen to identify one person with contraindications to driving was 737. An individual examination costs PLN 150, thus the estimated cost of identifying one case was PLN 110,550 (EUR 25,000). The average number of tests in a small enterprise with 20-50 fleet cars was estimated at 5-25 in a 5-year period and their cost at PLN 3750 (PLN 750 annually).
Health check-ups include ophthalmological and neurological consultations; therefore, psychological examination of fleet car drivers may be considered excessive due to cost and limited preventive value. High costs may be burdensome mainly to larger companies.
A final decision regarding necessity of psychological testing should be preceded by medical assessment of the risk of work accidents.
本研究的目的是确定在预防保健中识别公务用车驾驶禁忌症的成本强度。
心理检查的目的是识别心理运动功能受损以及任何可能严重妨碍安全的智力、认知或情感能力缺陷。
从波兰的医疗服务提供者处收集实际数据。对2012年1月1日至12月31日期间进行的8111份心理运动测试的匿名记录进行了分析。
识别一名有驾驶禁忌症的人所需筛查的人数为737人。一次个体检查费用为150兹罗提，因此识别一例的估计成本为110,550兹罗提（25,000欧元）。一家拥有20至50辆公务用车的小企业在5年内的平均测试次数估计为5至25次，成本为3750兹罗提（每年750兹罗提）。
健康检查包括眼科和神经科会诊；因此，由于成本和有限的预防价值，对公务用车司机进行心理检查可能被认为是多余的。高成本可能主要给大公司带来负担。
在做出关于心理测试必要性的最终决定之前，应先对工作事故风险进行医学评估。
