本文選題：職業(yè)健康 + 疾病預(yù)防控制中心��； 參考：《山東大學(xué)》2013年碩士論文

【摘要】：[研究背景] 山東省是一個經(jīng)濟大省,工業(yè)門類齊全,存在職業(yè)危害因素作業(yè)的企業(yè)數(shù)量眾多,從2003年以來,山東省每年的職業(yè)病發(fā)病都在800例以上,職業(yè)病危害問題不僅給勞動者個人造成極大痛苦,使勞動者喪失勞動力,給其家庭帶來沉重的經(jīng)濟負擔(dān),更是成為重大的社會問題,影響社會的和諧與穩(wěn)定。加強職業(yè)健康檢查機構(gòu)建設(shè),對接觸職業(yè)病危害因素的作業(yè)人員進行上崗前、在崗期間、離崗時、應(yīng)急的職業(yè)健康檢查以及醫(yī)學(xué)隨訪,不僅是法律的明確要求,更是減少職業(yè)病發(fā)生的重要舉措,可以有效降低職業(yè)病發(fā)病風(fēng)險。目前,山東省職業(yè)健康檢查機構(gòu)網(wǎng)絡(luò)建設(shè)取得一定成績,2008年全省僅有職業(yè)健康檢查機構(gòu)126家,到2012年增長到169家,平均每年以10家以上數(shù)量增長。職業(yè)健康檢查機構(gòu)數(shù)量的快速增長,一定程度上緩解了職業(yè)健康檢查機構(gòu)數(shù)量不足的矛盾,但是職業(yè)健康檢查機構(gòu)近四年來的快速增長,也暴露出了一些問題,具體表現(xiàn)為：一是職業(yè)健康檢查機構(gòu)地區(qū)分布不均衡；二是職業(yè)健康檢查資質(zhì)范圍參差不齊；三是人員專業(yè)、學(xué)歷、持證情況不甚理想。為了全面掌握山東省職業(yè)健康監(jiān)護機構(gòu)的地區(qū)分布、類別、資質(zhì)范圍情況、人員構(gòu)成情況,以便為職業(yè)健康監(jiān)護機構(gòu)的管理和發(fā)展提供依據(jù),特進行此次山東省職業(yè)健康監(jiān)護機構(gòu)、人員情況的調(diào)查分析。 [研究目的] 1摸清山東省職業(yè)健康檢查機構(gòu)總體數(shù)量、級別類別、地區(qū)分布、資質(zhì)范圍情況。 2了解從事職業(yè)健康檢查人員構(gòu)成情況。 3為有關(guān)部門對職業(yè)健康檢查機構(gòu)的管理和發(fā)展提供依據(jù)。 [資料與方法] 12008年9月至2012年8月期間山東省所有職業(yè)健康檢查機構(gòu)申請材料,包括單位名稱、級別、類別、申請的職業(yè)健康檢查資質(zhì)范圍、從業(yè)人員(包括職業(yè)健康檢查負責(zé)人和質(zhì)量控制負責(zé)人)的專業(yè)、職稱、從業(yè)年限； 22008年9月至2012年8月期間參加省衛(wèi)生廳舉辦的職業(yè)健康監(jiān)護培訓(xùn)班,考試成績合格,取得職業(yè)健康檢查個人資質(zhì)人員的專業(yè)、職稱資料； 3職業(yè)健康檢查機構(gòu)資質(zhì)范圍共包括14項,我們認為資質(zhì)范圍在11-14項(包括11項)的能滿足工作需要,在8-10項(包括8項)的基本滿足工作要求,在7項(包括7項)以下的不滿工作要求。 對以上材料進行整理,用excel表格匯總統(tǒng)計 [結(jié)果] 1機構(gòu)情況 1.1地區(qū)分布情況山東省取得職業(yè)健康檢查資質(zhì)的單位169家,除了淄博市的高青縣、桓臺縣、沂源縣、張店區(qū)、周村區(qū)、臨淄區(qū),煙臺市的長島縣,德州市的陵縣、慶云、夏津三個縣沒有職業(yè)健康檢查機構(gòu)外,山東省十七個地市的各個區(qū)縣均達到每個區(qū)縣至少一家職業(yè)健康檢查機構(gòu)。 1.2機構(gòu)級別、類別情況按級別分,省級單位4家,占總數(shù)的2.4%,地市級單位36家,占總數(shù)的21.3%,區(qū)縣級單位115家,占總數(shù)的68.0%,企業(yè)及民營機構(gòu)14家占總數(shù)的8.3%；按類別分,疾控中心有98家(其中地市疾控中心13家,區(qū)縣疾控85家),占總數(shù)的58.0%,各類醫(yī)院有58家(其中省級醫(yī)院2家,地市級醫(yī)院17家,區(qū)縣醫(yī)院30家,企業(yè)醫(yī)院9家),占總數(shù)的34.3%,職防院有13家(公立職防院8家,企業(yè)職防院5家),占總數(shù)的7.7%。 1.3機構(gòu)資質(zhì)范圍情況職業(yè)健康檢查資質(zhì)范圍滿足工作要求的有59家,基本可以滿足工作要求的有71家,不滿足工作要求的有39家。能滿足或者基本滿足工作要求的機構(gòu)占機構(gòu)總數(shù)的77%。2人員情況 2.1所有從業(yè)人員情況山東省169家職業(yè)健康檢查機構(gòu),共有從業(yè)人員2572人,其中高級職稱有627人,占總?cè)藬?shù)的24.4%；預(yù)防醫(yī)學(xué)專業(yè)有428人,占總?cè)藬?shù)的16.6%；從事職業(yè)健康檢查工作20年以上的有1302人,占總?cè)藬?shù)的50.6%。持有職業(yè)健康監(jiān)護個人資質(zhì)證書的有818人,占總數(shù)的31.8%。 2.2職業(yè)健康檢查負責(zé)人情況山東省169家職業(yè)健康檢查機構(gòu),有169名職業(yè)健康檢查負責(zé)人,其中高級職稱有119人,占總?cè)藬?shù)的70.4%；預(yù)防醫(yī)學(xué)專業(yè)有58人,占總?cè)藬?shù)的34.3%；從事職業(yè)健康檢查工作20年以上的有125人,占總?cè)藬?shù)的74.0%。 2.3質(zhì)量控制負責(zé)人情況山東省169家職業(yè)健康檢查機構(gòu),有169名質(zhì)量控制負責(zé)人,其中高級職稱有74人,占總?cè)藬?shù)的43.8%；預(yù)防醫(yī)學(xué)專業(yè)有36人,占總?cè)藬?shù)的21.3%；從事職業(yè)健康檢查工作20年以上的有125人,占總?cè)藬?shù)的74.0%。 山東省已經(jīng)基本上達到了每個區(qū)縣至少有一家職業(yè)健康機構(gòu),職業(yè)健康檢查機構(gòu)網(wǎng)絡(luò)已經(jīng)基本成型,資質(zhì)范圍情況基本可以滿足工作要求；職業(yè)健康檢查機構(gòu)的從業(yè)人員基本能滿足工作需要,但是專業(yè)、職稱、持證上崗情況各有欠缺。 [結(jié)論] 1山東職業(yè)健康檢查機構(gòu)總體數(shù)量可滿足工作需要,但級別、類別分布不均,地區(qū)分布不甚合理,區(qū)縣級機構(gòu)占六成以上,省市級機構(gòu)較少,民營機構(gòu)不足一成,資質(zhì)范圍基本能滿足工作需要。 2職業(yè)健康檢查從業(yè)人員高級職稱比例較低,預(yù)防醫(yī)學(xué)專業(yè)比例較低,取得職業(yè)健康監(jiān)護個人資質(zhì)證書數(shù)量偏少；職業(yè)健康檢查負責(zé)人、質(zhì)量控制負責(zé)人預(yù)防醫(yī)學(xué)比例較低,從事工作20年以上人數(shù)比例較高,年輕力量相對不足。
[Abstract]:[research background]
Shandong province is a big economic province with a large number of enterprises with complete industrial categories and many occupational hazards. Since 2003, the occupational diseases in Shandong province are more than 800 cases. The occupational hazards not only cause great pain to the workers, but also make the workers lose their labor and bring heavy economic burden to their families. It is also a major social problem that affects social harmony and stability. It is not only a clear requirement of the law, but also a reduction in occupational health, to strengthen the construction of occupational health inspection institutions and to carry out occupational health inspection and medical follow-up for workers who are exposed to occupational hazards. Important measures can effectively reduce the risk of occupational disease. At present, the network construction of occupational health inspection institutions in Shandong province has achieved certain achievements. In 2008, there were only 126 occupational health inspection institutions in the province, and up to 169 in 2012, with an average of more than 10 numbers per year. The rapid growth of the number of occupational health inspection institutions was to a certain extent. The contradiction between the insufficient number of occupational health inspection institutions has been alleviated, but the rapid growth of the occupational health inspection institutions in the past four years has also exposed some problems. The first is that the regional distribution of occupational health inspection institutions is uneven; the two is the uneven qualification of occupational health inspection, and three is the professional, educational, and certificate of personnel. The situation is not ideal. In order to fully grasp the regional distribution, category, qualification scope and personnel composition of the Shandong vocational health care institutions, in order to provide the basis for the management and development of the occupational health care institutions, the investigation and analysis of the occupational health care institutions in Shandong province and the personnel situation are carried out.
[research purposes]
1 find out the total number, grade, category, regional distribution and qualification scope of occupational health inspection institutions in Shandong.
2 understand the composition of the occupational health inspectors.
3 to provide evidence for relevant departments to manage and develop occupational health examination institutions.
[information and methods]
From September 12008 to August 2012, all the occupational health inspection institutions in Shandong applied for materials, including the name, grade, category, application of the qualification of occupational health inspection, the professional, professional title, and working life of the employees (including the responsible persons of occupational health inspection and the person in charge of quality control).
During the period from September 22008 to August 2012, the vocational health care training class held by the Provincial Department of health was qualified, and the professional and professional titles of personal qualifications for occupational health inspection were obtained.
The 3 occupational health inspection agency's qualification range includes 14 items. We believe that the qualifications range from 11-14 (including 11) to the work needs, the basic meeting requirements in 8-10 (including 8), and the discontent requirements under 7 (including 7).
Sort out the above materials and summarize them in Excel form.
[results]
1 institutions
In 1.1 areas, 169 units of Shandong province have obtained professional health inspection qualifications. In addition to Zibo's Gaoqing County, Huantai County, Yiyuan County, Zhangdian District, Zhoucun District, Linzi District, Long Island County of Yantai City, Lingxian County of Dezhou City, Qingyun and Xiajin three counties have no occupational health inspection institutions, and all districts and counties of seventeen cities in the province are all reached. At least one occupational health inspection institution in each district and county.
1.2 institutions level, classification according to grade, 4 provincial units, accounting for 2.4% of the total, 36 at city level, 21.3% in the total, 115 in the district and county level, 68% in the total, 8.3% in the enterprises and private institutions 14, and 98 in the center for Disease Control and control, which are 13 of the CDC and 85 in district and county, accounting for 58%, accounting for 58%. There are 58 hospitals (including 2 provincial hospitals, 17 municipal hospitals, 30 district and county hospitals, 9 enterprise hospitals), 34.3% of the total, 13 (8 public defense centers and 5 enterprises), accounting for 7.7%. of the total.
1.3 the scope of qualification of the institutions is 59, 71 are basically satisfied with the work requirements, and 39 are not satisfied with the requirements of the work. The 77%.2 personnel who are able to meet or basically meet the requirements of the work account for the total number of personnel in the organization.
2.1 all employees were employed in 169 occupational health inspection institutions in Shandong province. There were 2572 employees, including 627 of the senior professional titles, 24.4% of the total, 428 in the major of preventive medicine, 16.6% of the total, 1302 for more than 20 years in the occupational health examination, and the 50.6%. of the total number of persons held occupational health care. There are 818 people's qualifications, accounting for 818 of the total.
2.2 the person in charge of occupational health inspection, 169 professional health inspection institutions in Shandong Province, has 169 occupational health inspection leaders, of which 119 are senior professional titles, accounting for 70.4% of the total number, 58 in the major of preventive medicine, 34.3% of the total, and 125 for more than 20 years in the occupational health examination, accounting for 74.0%. of the total number
2.3 the person in charge of quality control has 169 professional health inspection institutions in Shandong Province, with 169 quality control leaders, of which 74 are senior titles, 43.8% of the total, 36 in the major of preventive medicine, 21.3% of the total, and 125 for more than 20 years in the work of occupational health inspection, accounting for 74.0%. of the total number
Shandong province has basically reached at least one occupational health organization in each district and county. The network of occupational health inspection institutions has been basically formed. The scope of qualification can basically meet the requirements of the work; the employees of the occupational health inspection organization can basically meet the needs of the work, but they are professional, professional, and licensed.
[Conclusion]
1 the total number of Shandong occupational health inspection institutions can meet the needs of the work, but the level, the distribution of categories are uneven, the regional distribution is not very reasonable, the district and county level institutions account for more than 60%, the provincial and municipal organizations are less, the private institutions are less than 10%, and the scope of the qualification can basically meet the needs of the work.
2 the proportion of senior occupational health inspection employees is low, the proportion of preventive medicine major is low, and the number of personal qualification certificates for occupational health monitoring is low; the responsible person of the occupational health inspection, the proportion of the responsible person of the quality control is low, the proportion of the person who is engaged in the work is higher for more than 20 years, and the young strength is relatively insufficient.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R132

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