RESUMEN
Objective To analyze the current situation and problems of personnel, workplaces, instruments and equipment, reference materials, technical service capabilities, and quality management systems of occupational health technical service institutions with class A qualification in China, and to provide countermeasures and suggestions for improving the capacity of occupational health technical service in China. Methods We analyzed the technical assessment results of 84 class A institutions that applied for renewal or changing of class A qualification or expanding the scope of business from March to April 2021. Results The eastern region of China had a relatively large number of class A institutions. The institutions applying for category I business, category II business, and both accounted for 68%, 4%, and 27.85%, respectively. The approval rates of physical factors and ventilation projects were relatively low. The pass rates were below 90% in the on-site technical assessment of instruments and equipment, reference materials, technical service capabilities, and quality management systems, showing no significant differences between the eastern, central, and western regions. There were a total of 617 passes in professional technical ability assessment. Conclusion We recommend strengthening supervision during and after the processin occupational health technical service institutions, improving the ability to detect and evaluate occupational hazards, and strengthening the construction of professional technical personnel.
RESUMEN
Objective@#To perform a cost-benefit analysis of the occupational disease reporting system in China, and to provide a basis for effective resource allocation.@*Methods@#The data on the cost of occupational diseases were collected from China Health Statistics Yearbook 2013, the estimated benefit data were collected from published articles in China and foreign countries, and the probability data were collected from the occupational diseasereports published by health and family planning administrative departments. Adecision-making tree was used for the cost-benefit analysis.@*Results@#The estimated cost of occupational disease reporting was about 102.47 million yuan/year, consisting of a cost of reporting in national medical institutions of 1.25 million yuan/year, a management cost of 30.35 million yuan/year, a management cost in local public health institutions of 69.80 million yuan/year, a management cost in national public health institutions of 370 thousand yuan/year, and a cost of construction and maintenance of reporting system of 700 thousand yuan/year. The results of the decision tree analysis showed that when an occupational disease monitoring system was established, the incremental input for occupational disease monitoring and prevention/control was 2.1 billion yuan/year, the output was 6.5 billion yuan/year, and the benefit of occupational disease reporting system was 4.4 billion yuan/year.@*Conclusion@#The benefit of occupational disease reporting system depends on the cost-benefit of occupational disease prevention and control measures, and proper prevention and control measures are extremely important for improving the benefit of occupational disease reporting system.