Indulski J A, Dawydzik L T, Michalak J
Nofer Institute of Occupational Medicine, Lódź, Poland.
Int J Occup Med Environ Health. 1998;11(3):209-15.
The most important factors which influence the quality of Occupational Health Services in Poland are discussed. The legal regulations, the system of specialist education, guidelines and standards in occupational medicine, and the role of regional specialists supervision system are presented. The audit of medical documentation revealed the 'sub-populations' of doctors who are concerned about the quality and those who are not. Keeping relatively moderate prices of services by some OHS units, even at the cost of their quality, has become a side-effect of competition. The establishment of an accreditation system in OHS is postulated, basing on the existing elements of such a system.
本文讨论了影响波兰职业健康服务质量的最重要因素。介绍了法律法规、专科教育体系、职业医学指南和标准，以及地区专家监督体系的作用。对医疗文件的审计揭示了关注质量和不关注质量的医生“亚群体”。一些职业健康服务单位为保持服务价格相对适中，甚至以牺牲服务质量为代价，这已成为竞争的副作用。基于该体系的现有要素，本文主张在职业健康服务中建立认证体系。
