RESUMO
OBJECTIVE: To analyze the problems existing in the on-site quality inspection of occupational medical examination(OME) institutions in Guangdong Province. METHODS: A total of 96 OME institutions in Guangdong Province were selected as the research subjects using the random number table method. On-site quality inspections were carried out and the results were analyzed. RESULTS: The OME institutions participating in the on-site quality inspection in 2020 accounted for 49.0%(96/196) of total OME institutions in Guangdong Province. Among them, occupational disease prevention and control hospitals/institutions, Centers for Disease Control and Prevention(CDC), public hospitals, and private hospitals accounted for 8.3%, 9.4%, 42.7% and 39.6%, respectively. They were distributed in 17 prefecture-level cities. The registered OME qualifications include dust, chemical factors, physical factors, radiological factors and other categories. Some institutions have registered two or more OME qualifications. The non-qualified rate of the on-site quality inspections in six assessment modules of the 96 OME institutions from high to low were quality management work, equipment(instruments and vehicles) allocation, quality management system, medical and health technical personnel allocation, information report, and on-site professional assessment module, with the non-qualified rate of 24.1%, 22.4%, 20.7%, 15.9%, 15.6% and 1.1% respectively(P<0.01). The problems were mostly concentrated in the CDC, public and private hospitals, and rarely in occupational disease prevention and treatment hospitals/institutes. In addition to the on-site professional assessment module, a total of 696 non-qualified items were detected in the remaining five modules of the 96 OME institutions, with an average of seven items per institution. Occupational disease prevention and treatment hospitals/institutions, CDC, public hospitals, and private hospitals had an average of 2, 9, 8, 7 non-qualified items respectively. CONCLUSION: In the on-site quality assessment of OME institutions in Guangdong Province, there are relatively few problems in all aspects of occupational disease prevention and treatment hospitals/institutes. CDC has certain inadequacies. The public and private hospitals have more prominent problems in aspects of equipment(instruments and vehicles) allocation, quality management system and quality management work.
RESUMO
OBJECTIVE: To investigate the occupational stress level of radiation exposed workers in Guangdong Province and explore the factors that influence occupational stress. METHODS: By random sampling method,306 radiation workers of Guangdong Province were selected in this study. The simplified Chinese version of Effort-Reward Imbalance( ERI)questionnaire was used to assess occupational stress levels. The scores of 3 dimensions including external effort,reward and internal commitment and their differences were analyzed. RESULTS: The scores of external effort,reward and internal commitment of 306 radiation workers in this study were( 15. 83 ± 5. 18),( 46. 63 ± 9. 06) and( 14. 97 ± 2. 23),respectively. There were 42 workers( 13. 73%) who had self-detected the occupational stress resulted from effort-reward imbalance; 62 workers( 20. 26%) were at high-risk of occupational stress. Compared with the industrial radiation workers,the scores of external effort and detection rate of occupational stress of hospital radiation workers were higher( P < 0. 05),while the high risk detection rate of occupational stress was lower( P < 0. 05). Compared with the female radiation workers, male workers had higher scores of external effort, effort / reward ratio and the detection rate of occupational stress( P < 0. 05) and lower scores of the reward score( P < 0. 05). The scores of external effort of radiation workers with junior college educational level or above were higher than those with senior high school educational level or below( P < 0. 05). CONCLUSION: The occupational stress level of radiation exposed workers has multiple influencing factors.It is recommended to strengthen the social support to improve their social and working environment,in order to reduce their occupational stress level.