Don't let the technological service tear the duty and defend

Don't let the technological service tear the duty and defend the back leg
"Occupational disease prevent and cure function adjust, diagnose and determine, endanger monitoring and ad hoc survey from the intersection of health and physical examination, occupational disease to the job, the task of the technological service organization is heavier and heavier. Compared with service demand, the service organization has greater disparity no matter from quantity or ability. Back leg that must not tear occupational disease and prevent and cure in technological service! " At a working conference held not long ago, some province disease in the middle part was accused of the person in charge of the centre and said with deep feeling, it is already very urgent in construction to strengthen the system of prophylactico-therapeutic institution of occupational disease.

The duty prevents the organization from surviving awkwardly

Because rural worker's patient diagnoses to occupational disease the result is discontented with, a duty that is responsible for appearing to be explained becomes " gas outlet " once preventing from the person in charge of the institute ,Pulled out " The punishment tours " . This piece of experiences of Vice President of Shenzhen of Guangdong Province occupational disease precaution clinic Li ZhiMin were once mentioned many times by the insider. "The duty defends the institute as a technological service organization, is bearing the weight of society's too many expectations. " Li ZhiMin says.

In recent years, the technological service organization of occupational disease is frequent and is advanced the swirl of public opinion - -Shock to turn on chest, test lung in the incident the whole country in the year before last, Zhengzhou the intersection of city and duty prevent from and was once " condemned both in speech and in writing " by the public ; In one coastal province in the east, are set up occupational disease that accuses of the centre at the province, market disease and diagnosed the organization enterprise's numerous appeal because diagnosis results to an occupational disease patient are inconsistent; In one city in the North, the duty prevents the institute from being still lodged a complaint by enterprises, the reason is that " the diagnostic program of occupational disease is inequitable " .

On one hand, occupational disease becomes the focus that the society pays close attention to; On the other hand, a lot of jobs are defended but have one's own painful topics. In Shijiazhuang of Hebei, the city duty has been defending Li PeiYing, president of institute, all the time in order that have been entangled with what brand this institute is hanging: If reserve a post and defend the institute ' ) Brand,can if you can't include government in being in full, manage public institution,will subsidize government, but the light is difficult to make a living by subsidizing; If the brands of the hospital hang, though the government has not subsidized, can be supported oneself by sideline production of seeing the doctor etc..

As far as reporter know, the ones that in this kind of existenced prevented organizations from generally existing awkwardly in the professional job of all parts. The Guangxi Zhuang Autonomous Region duty prevent institute from ' The Guangxi Zhuang Autonomous Region worker's hospital) The intersection of president and XianMin Ge say institute this personnel salary need 17 million more than every year alone, and the financial allocations are only less than 5 million yuan, cost left all want oneself to earn. Diagnose the income treated is limited because of coming from occupational health service and occupational disease, so it is very difficult to prevent and cure the core business by occupational disease " Eke out a living " .

The localization is unclear to result in doing what he thinks is right

Quantity insufficient, duty localization clear very much and funds lack generally and person little, Ge XianMin has listed and perplexed four big problems that the duty defends the technological service organization at present.

The materials reveal, our country has independent occupational disease precaution clinics () at present More than 60 families, among them 12 provincial families, can't meet demands of prevention and control of occupational disease far. Take Hebei as examples, according to the incomplete statistics, nearly there are 20,000 to have critically ill enterprises that hurts of jobs to should save at present, there are nearly 2 million to contact critically ill workers that hurts of jobs. Should save independent provincial duty defend the institute ' ) ,Have 4 city have occupational disease diagnose organization, the whole province occupational disease at county level with qualification diagnoses organizations is only one.

The sanitary control round Ding HongWei, vice section chief of place of occupational health surveillance of department of public health of Hebei says: "If some ground does not have occupational disease that diagnose the organization, can only be recommended diagnosing to the other places by the Ministry of Health, bring a great deal of inconvenience to labourer, it is apt to determine the work brings the dispute for subsequent diagnosis too. "

It is introduced, by the 1990s of last century, most provinces (district, city) of the whole country There are professional occupational disease prophylactico-therapeutic institutions at all levels. In 2000, prevented and cotrolled the system reform in two items of system reform (system reform and disease of sanitary control) And then, a lot of occupational disease precaution clinics () Divided up. Some cancel, some amalgamate, enter disease, accuse of centre, some to hang more first brand in hospital a certain only. Also some jobs defend the institute though the name does not change, its main business lines are not the occupational health service. Others develop towards section hospital, it has been treated into " small specialized department " that it is diagnosed with occupational disease that the occupational health serve .

"The policy of ensuring etc. is required to lack organization's localization, duty, strength, funds in the country on the aspect, the main reason that all parts do what he thinks is right. " Ge XianMin says, its direct consequence is, the law on prevention and cure of occupational disease has already lasted nearly 9 years, but real occupational disease prevents and cures technological service system, set up yet. For example, some prophylactico-therapeutic institutions serve the occupational health and is regarded as the way to pile up more money, one-sided to pursue the economic benefits, or carry on the work in case of not making the qualification or ultra qualification range, or implement the health examination of the job, occupational disease to diagnose unstandardly, cause the dispute and incident of appealing for help to happen etc..

It is the task of top priority that it is wide to cover the strong exercises to benefit the internal organs

It is reported occupational disease prevent and cure the technological existing problem of service organization cause the great attention of Ministry of Public Health. Ministry of Public Health send the documents, require, want, realize occupational disease prophylactico-therapeutic institution wide to cover with within this year specially a few days ago. The area that does not have independent mechanism, should resume rebuilding or relying on the existing organization to add and is listed the son; Before putting in place in the independent prophylactico-therapeutic institution, should define disease with condition accuse of the organization as duty work -proof technical support and instructing center of area under one's jurisdiction. Before the end of this year, besides specific area, each city (ground) Must bear the mechanism that occupational disease diagnoses the duty, each county (district) Must have organization which undertakes the health examination task of jobs.

"It is only the first step to hang the brand up, policies and measures of ensuring etc. that intact system of prophylactico-therapeutic institution of occupational disease must also include rational functional demand, operation, and in conformity with present fast urbanization, industrialized fundamental realities of the country. " Ge XianMin says. Prevent and cure professional institute so as to provincial occupational disease ' ) It is the example, there should be one at least in every province. Its main duty should include: Make overall plans and coordinate occupational disease of the whole province, diagnose, appraise, key occupational disease prevent and cure technical support, sentry post clicks and monitors occupational disease, the high-risk group, endangering the trade and endangering enterprise's occupational disease risk assessment prewarning high high, medical treatment of critical occupational disease,etc.. Also set up the fund guarantee system of conforming with duty, examining according to the project.

"The requirement that labourer's health examination, occupational disease for the job diagnose and appraise is higher and higher, the operation that the technological organization must be abiding by laws, perfect the exercises to benefit the internal organs. " Li PeiYing thinks, on the basis of perfecting internal supervision and restraint mechanism, managing strictly and examining, the technological organization should strengthen staff training and management, try hard to disclose the handling procedure to the society, accept the supervision in labourer, employing unit, media,etc. voluntarily.



Don't let the technological service tear the duty and defend the back leg