Occupational Health Research Center, Kyoto Industrial Health Association, Japan.
Kyoto Medical Association, Japan.
Ind Health. 2020 Jun 9;58(3):287-301. doi: 10.2486/indhealth.2019-0116. Epub 2019 Oct 31.
The Ministry of Health, Labor, and Welfare of Japan recommends that an occupational physician (OP) play an important role in implementing the stress-check program since 2015. This study aimed to compare the activities and encountered difficulties of Japanese part-time OPs in 2008 and 2016, and to investigate the effects of the stress-check program. Questionnaires were sent via mail to 946 part-time OPs in Kyoto prefecture in 2016. Completed questionnaires were returned by 181 OPs who were private practitioners or physicians in hospitals, and served as OPs on a part-time basis. In 2016, OPs utilized long hours for activities related to general health examination and to stress-check. Hours for specific health examination, health and hygiene education, health promotion activity, development of a comfortable workplace, and guidance of workers on sick leave reduced from 2008 to 2016. A total of 62% OPs frequently encountered difficulties in the stress-check-related activities in 2016. Many OPs also reported difficulties in the mental health care and the prevention of health hazard due to overwork both in 2008 and 2016. Enforcement of the stress-check program in 2015 changed the activities of part-time OPs in Japan. OPs should be given opportunities to gain more information in this area.
日本厚生劳动省自 2015 年起建议职业医生（OP）在实施压力检查计划中发挥重要作用。本研究旨在比较日本兼职 OP 在 2008 年和 2016 年的活动和遇到的困难，并探讨压力检查计划的效果。2016 年，通过邮件向京都府的 946 名兼职 OP 发送了问卷。有 181 名私人开业医生或医院的兼职医生填写了问卷。2016 年，OP 用于一般健康检查和压力检查相关活动的工作时间延长。特定健康检查、健康和卫生教育、健康促进活动、舒适工作场所的开发以及指导工人休病假的工作时间从 2008 年减少到 2016 年。2016 年，共有 62%的 OP 在压力检查相关活动中经常遇到困难。许多 OP 还报告称，在 2008 年和 2016 年，心理健康护理和因过度劳累导致的健康危害预防方面都存在困难。2015 年压力检查计划的实施改变了日本兼职 OP 的活动。应该为 OP 提供更多相关信息的机会。
