Analysis of the quality control of occupational medical examination in Guangdong Province in 2021 / 中国职业医学

ABSTRACT

@#Abstract Objective To analyze the quality control of occupational medical examination (OME) in Guangdong Province. Methods A total of 100 OME institutions in Guangdong Province were selected as the research subjects using the random - Results number table method in 2021. On site quality inspections were carried out and the quality control were analyzed. The - OME institutions that participated in the on site quality inspection in 2021 accounted for 47.4% (100/211) of total OME institutions in Guangdong Province. Among them, occupational disease prevention and control hospitals/institutions and centers for disease control and prevention, public hospitals, and private institutions accounted for 6.0%, 62.0% and 32.0%, respectively. - These institutions distributed in 18 prefecture level cities. The filing categories from high to low were physical factors, chemical factors, dust exposure, other categories (special operations, et al.) and outdoor OME, that accounts for 88.0%, 83.0%, 81.0%, 59.0% and 1.0%, respectively. Most of the institutions recorded three or four categories of OME, accounting for 77.0%. A total of 897 rectification items were detected in the 100 OME institutions, with an average of nine items per institution. The rectification items of the six assessment modules from high to low were quality management work, information report, equipment (instruments and vehicles) configuration, quality management system, medical and health technical personnel configuration, and - on site professional assessment module, accounting for 32.0%, 25.8%, 18.1%, 17.6%, 5.1% and 1.3%, respectively. The - unqualified rate of on site assessment of professional technicians from high to low were technical director, quality control - director, pulmonary function operation, audiogram analysis, X ray or digital radiography chest film reading, and the chief ， examiner accounting for 5.0%, 4.0%, 3.3%, 2.5%, 2.5% and 1.0%, respectively. A total of three private institutions aresuspected of violating laws and regulations, The institutions that carry out filing, partial filing and no filing of corresponding OME Conclusion categories were 68.0%, 30.0% and 2.0%, respectively. The OME institutions in Guangdong Province have prominent problems in quality management and information report work. The ability of technical director and quality control director is relatively weak. Emphasis should be placed on the suspected illegal acts of private institutions.