浙江省职业卫生技术服务质量现状及管理对策研究OA

[Background]The quality of occupational health technical services is directly linked to the pro-tection of workers'health rights and the efficacy of occupational disease prevention and control.However,the industry still faces critical challenges:sporadic instances of institutional non-com-pliance and persistent irregularities in professional practice continue to undermine overall service performance. [Objective]To assess the current quality status of occupational health technical services in Zhe-jiang Province and propose countermeasures for quality improvement,providing a scientific basis for policy optimization and service delivery quality enhancement. [Methods]A total of 69 occupational health technical service institutions in Zhejiang Province that obtained formal accreditation as of April 30,2024,were sampled,including 3 public institutions and 66 private institutions(comprising 3 formerly Class-A,28 formerly Class-B,11 formerly Class-C,and 24 newly certified institutions).Following the Technical Protocol for Quality Monitoring of Occupational Health Technical Service in Zhejiang Province and the Technical Protocol for Proficiency Testing of Occupational Health Detection in Zhejiang Province,a quality assessment task force comprising national and provincial experts was es-tablished.Evaluation was conducted across four dimensions:qualification maintenance and compliance,standardization of technical ser-vices,authenticity of technical services,and proficiency testing,utilizing a combination of document review,on-site inspections,and technical skill assessments. [Results]The occupational health technical service institutions in Zhejiang Province were predominantly private entities(82.5%),with significant disparities in overall service quality.The pass rates for qualification maintenance and compliance,technical service standard-ization,technical service authenticity,and the excellence rate for laboratory proficiency testing were 81.5%,80.7%,97.3%,and 90.4%,respectively.Regarding qualification maintenance,the pass rates for"environmental conditions"(49.8%,56.7%)and"instrumentation and equipment"(58.2%、65.6%)were significantly lower for formerly Class-C and newly certified institutions compared to other cate-gories.In terms of technical standardization,"standardized on-site inspections"recorded the lowest pass rate(67.4%),with newly certified institutions at only 48.0%.Regarding technical service authenticity,formerly Class-C institutions exhibited issues such as missing raw chromatograms for blank samples(85.7%pass rate).In laboratory proficiency testing,public and formerly Class-A institutions achieved 100%excellence rates,but the performance of formerly Class-C and newly certified institutions was comparatively weak;specifically,the failure rate for organic analysis in formerly Class-C institutions reached 20%;the failure rate for dust testing items in newly certified insti-tutions was 10.3%. [Conclusion]The overall quality of occupational health technical services in Zhejiang Province still requires significant improvement,par-ticularly in basic institutional conditions,the standardization of on-site inspections,and laboratory proficiency in organic and dust analy-sis.Formerly Class-C and newly certified institutions should be the primary focus of quality management efforts.Differentiated regulatory strategies are recommended,alongside strengthening interim and ex-post supervision to gradually enhance the quality of occupational health technical services across all institutions.