Marcinkiewicz Andrzej, Wdówik Paweł, Burdelak Weronika, Marcinkiewicz Karolina
Instytut Medycyny Pracy im. prof. J. Nofera w Łodzi / Nofer Institute of Occupational Medicine in Lodz, Łódź, Poland.
Mazowiecki Wojewódzki Ośrodek Medycyny Pracy / Mazovian Voivodeship Center of Occupational Medicine, Radom, Poland (Oddział w Radomiu / A branch in Radom).
Med Pr. 2024 Sep 17;75(4):367-381. doi: 10.13075/mp.5893.01502. Epub 2024 Jun 27.
Voivodeship Occupational Medicine Centres (VOMC), being higher-level units towards basic units providing preventive care for employees in Poland, play a consultative, appeal, supervisory and registration role towards them. Additionally, they perform many other tasks specified in the Occupational Medicine Service Act, including conducting diagnostic and jurisprudential activities related to occupational diseases and postgraduate education in occupational medicine.
The analysis covers data from 2017-2022 on VOMCs activities, derived from mandatory MZ-35 reporting.
Over 6 years, the number of employed physicians at VOMCs decreased from 830 in 2017 to 820 in 2022, with >20% of employment contracts transitioning to other forms of cooperation. The number of employed nurses decreased from 375 to 342, and the number of psychologists from 86 to 82. During the 3 years of the pandemic (2020-2022), compared to 2017-2019, the consultative activity of VOMCs for basic units of occupational health service decreased by nearly 30%, while appeal and supervisory activities decreased by 15.2% and 15.8%, respectively. The number of individuals receiving outpatient medical rehabilitation for occupational pathology decreased by >32%, and the number of services provided for established occupational pathology decreased by >14%. The number of certifications for occupational diseases decreased from 3963 in 2019 to 3518 in the first year of the pandemic, then increased to 4145 in 2021 and 3990 in 2022.
The COVID-19 pandemic had a significant impact on the functioning of VOMCs. Changes in specific areas of their judicial, consultative, appeal, supervisory, training and rehabilitation activities corresponded with the socio-legal changes observed between 2020-2022. The structure of employment at VOMCs and the scope of their tasks remained stable during the pandemic. The observed changes in employment of medical staff were in line with general trends in healthcare institutions and regional conditions. Med Pr Work Health Saf. 2024;75(4):367-381.
省职业病防治中心（VOMC）是波兰为员工提供预防保健的基层单位的上级单位，对其发挥咨询、申诉、监督和登记作用。此外，它们还履行《职业病防治服务法》规定的许多其他任务，包括开展与职业病相关的诊断和法医学活动以及职业病研究生教育。
分析涵盖2017 - 2022年VOMC活动的数据，这些数据来自强制性的MZ - 35报告。
在6年期间，VOMC的在职医生人数从2017年的830人减少到2022年的820人，超过20%的雇佣合同转变为其他合作形式。在职护士人数从375人减少到342人，心理学家人数从86人减少到82人。在疫情的3年（2020 - 2022年）期间，与2017 - 2019年相比，VOMC对职业健康服务基层单位的咨询活动减少了近30%，而申诉和监督活动分别减少了15.2%和15.8%。接受职业病理门诊医疗康复的人数减少了超过32%，为确诊职业病理提供的服务数量减少了超过14%。职业病认证数量从2019年的3963例降至疫情第一年的3518例，然后在2021年增至4145例，2022年为3990例。
新冠疫情对VOMC的运作产生了重大影响。其司法、咨询、申诉、监督、培训和康复活动等特定领域的变化与2020 - 2022年期间观察到的社会法律变化相一致。疫情期间，VOMC的就业结构及其任务范围保持稳定。观察到的医务人员就业变化与医疗机构的总体趋势和地区情况相符。《医学与职业健康安全》。2024；75(4)：367 - 381。
