Wang J, Zhu B L, Zhang H D, Han L
Jiangsu Province Center for Disease Control and Prevention, Nanjing 210000, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2019 Jan 20;37(1):69-72. doi: 10.3760/cma.j.issn.1001-9391.2019.01.018.
To investigate the qualifications current situations of the medical and health institutions and certified doctors for providing occupational disease diagnosis in Jiangsu Province to provide reference for occupational disease prevention and control. Quantitative and qualitative analysis was carried out on 28 institutionsfor occupational disease diagnosis and 1 278 certified doctors for occupational disease diagnosis in Jiangsu Province between 2012 and 2017, announcement from Jiangsu provincial commission of health and family planning commission, SPSS16.0 was used for statistical analysis. By the end of 2017, there had been 28 medical and health institutions which were qualified for providing occupational disease diagnosis in Jiangsu Province, including 16 centers for disease control and prevention, accounting for 57.14%, 6 general hospitals, accounting for 21.42%, and 6 institutes or centers for occupational disease prevention and control, accounting for 21.42%; a total of 313 occupational disease diagnosis were employed in these 28 diagnostic institutions, with 9.4 certified doctors on average in each institution; In addition, 17.86% of the institutions get all the qualifications for diagnosing 10 occupational diseases, and 10.71% of the institutions get the qualification for diagnosing one tothree occupational diseases. A total of 1278 physicians obtain the qualification of certified doctors for occupational disease diagnosis, the largest number was 221 in Wuxi city, at least 16 in Zhenjiang city, including 599 centers for disease control and prevention, accounting for 46.87%, 118 institutes or centers for occupational disease prevention and control, accounting for 9.23%, 304 general hospitals, accounting for 23.79%, 257 enterprise-owned hospitals, accounting for 20.11%; The highest number of occupational poisoning diagnoses was obtained, accounting for 796 (62.28%) . A provincial occupational disease diagnosis network has been established in Jiangsu, but it is far from covering all districts and counties, and the imbalance in regional distribution and specialty programs still exists among the qualified medical and health institutions and certified doctors. It is essential to further strengthen the training of qualified doctors and the development of qualified medical and health institutions.
调查江苏省职业病诊断医疗卫生机构及诊断医师资质现状，为职业病防治工作提供参考。对2012年至2017年间江苏省28家职业病诊断机构及1278名职业病诊断医师资质进行定量和定性分析，资料来源于江苏省卫生和计划生育委员会公告，采用SPSS16.0进行统计分析。截至2017年底，江苏省有28家医疗卫生机构具备职业病诊断资质，其中疾病预防控制中心16家，占57.14%；综合医院6家，占21.42%；职业病防治院（所、中心）6家，占21.42%。这28家诊断机构共聘用职业病诊断医师313名，平均每家机构9.4名。此外，17.86%的机构具备10种职业病诊断资质，10.71%的机构具备1至3种职业病诊断资质。共有1278名医师取得职业病诊断医师资质，其中无锡市最多，为221名，镇江市最少，为16名，包括疾病预防控制中心599名，占46.87%；职业病防治院（所、中心）118名，占9.23%；综合医院304名，占23.79%；企业医院257名，占20.11%。职业病中毒诊断数最多，为796例（62.28%）。江苏省已建立省级职业病诊断网络，但尚未覆盖所有区县，具备资质的医疗卫生机构和诊断医师在区域分布及专业设置上仍存在不均衡现象。进一步加强资质医师培训及资质医疗卫生机构建设十分必要。
