Analiza zadan sluzby medycyny pracy realizowanych w Polsce w latach 1997-2014. Czy w pelni wykorzystujemy potencjal badan profilaktycznych?
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Authors
Marcinkiewicz, AndrzejWojda, Mariola
Walusiak-Skorupa, Jolanta
Hanke, Wojciech
Rydzynski, Konrad
Issue Date
2017-02-28
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Analysis of tasks of occupational health services accomplished in Poland, 1997-2014. Do we exploit the full potential of prophylactic examinations of workers?Abstract
Mandatory medical reports can be used to evaluate the scope of activity of occupational health services (OHS), including the number and kind of services.The analysis comprised data for the period 1997-2014, derived from mandatory reports MZ-35A submitted by OHS units.
During the analyzed period the number of occupational medicine physicians decreased from 8507 to 6741, while the number of OHS units - responsible for prophylactic care - increased from 4967 to 6261. In the years under report 3,961 million mandatory health check-ups were performed, of which 99.3% resulted in issuing fitness for work certificates. Pre-employment examinations made 38.8%, while periodical ones - 52.8% and control ones - 6.7% of all check-ups. Moreover, 336 700 examinations of apprentices, students, vocational courses attendants and Ph.D. students were performed to evaluate any contradictions for vocational training. In 2014, there were 1871 workers provided with preventive care per 1 occupational physician. It was estimated that despite legal obligation, only 22.2% of employers had signed agreements with OHS units.
The analysis of the number and kind of services provided by OHS units revealed high but not fully exploited potential for efficient prophylaxis of both directly occupational work-related and indirectly work-exacerbated diseases. Med Pr 2017;68(1):105-119.
PubMed ID
28245008Type
ArticleLanguage
plISSN
0465-5893ae974a485f413a2113503eed53cd6c53
10.13075/mp.5893.00509
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Except where otherwise noted, this item's license is described as Archived with thanks to Medycyna pracy