|本期目录/Table of Contents|

[1]方丽艳,任迎娣,关坤.北京市海淀区2014—2018年网络直报疑似职业病有关问题分析[J].慢性病学杂志,2020,21(04):506-508.
　FANGLi-yan,RENYing-di,GUAN-Kun.Analysis of the problems related to network direct reporting of suspected occupational diseases in Haidian district, Beijing,2014-2018[J].,2020,21(04):506-508.
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北京市海淀区2014—2018年网络直报疑似职业病有关问题分析

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
21
期数:
2020年04期
页码:
506-508
栏目:
论　著
出版日期:
2020-04-28

文章信息/Info

Title:
Analysis of the problems related to network direct reporting of suspected occupational diseases in Haidian district, Beijing,2014-2018
作者:
方丽艳; 任迎娣; 关坤
北京市海淀区疾病预防控制中心职业卫生科，北京 100094
Author(s):
FANGLi-yan; RENYing-di; GUAN-Kun
DepartmentofOccupational Health,HaidianDistrictCenterforDiseaseControlandPrevention,Beijing100094,China Correspondingauthor: FANG Li-yan,E-mail：fly3961@163.com
关键词:
疑似职业病; 确诊病例; 排除病例; 职业卫生监测系统
Keywords:
Suspected occupational diseases;  Confirmed cases;  Exclusion of cases;  Occupational health monitoring system
分类号:
R135
DOI:
-
摘要:
目的 探讨疑似职业病在职业病与职业卫生监测系统存在的有关问题。方法 2019年2月，通过“中国 疾病预防控制信息系统”子系统“职业病与职业卫生信息监测系统”中的《疑似职业病报告卡》，收集北京市海 淀区2014—2018年网络直报的疑似职业病数据；向各职业病诊断机构、用人单位和个人收集其职业病诊断情 况，并根据《职业病报告卡》《尘肺病报告卡》了解其最终确诊情况，分析其在网络报告中的有关问题。结果 2014—2018年北京市海淀区共报告疑似职业病49例。其中，职业病诊断机构报告6例（12.25%），用人单位应当 对此类患者进行及时复查，因此不涉及就诊率、确诊率、排除、维持原诊断等相关问题；职业健康检查机构和普 通医疗机构共报告43例（占87.75%），对此类患者，用人单位应及时安排该部分疑似职业病患者到诊断机构进行 诊断，因此涉及就诊率、确诊率、排除、维持原诊断等相关问题。该部分疑似病例经职业病诊断机构诊断34例， 就诊率为79.07%（34/43），确诊率26.47%（9/34），排除率67.65%（23/34），维持原诊断5.88%（2/34）。 结论 根据疑似职业病的上报来源，应督促用人单位或患者采取复查、及时到诊断机构进行确诊等预防控制措 施，经职业病诊断机构诊断后，根据诊断结果应在职业病与职业卫生监测系统《疑似职业病报告卡》备注中加以 说明。
Abstract:
Objective To discuss the problem of suspected occupational diseases in network report. Methods In February 2019, the data of suspected occupational diseases from 2014 to 2018 in Haidi-an district of Beijing were collected through the Suspected Occupational Diseases Report Card from the subsystem of National Information Surveillance System for Occupational Disease and Occupational Health. The diagnostic results of occupational diseases were collected from various occupational disease diagnosis institutions, employers and individuals, and the final diagnosis were achieved according to the Occupational Disease Report Card and Pneumoconiosis Report Card. The related issues in the network report were analyzed. Results From2014 to 2018, 49 suspected occupational diseases were reported in Haidian district of Beijing. Six cases （12.25%）were reported by the occupational disease diagnosis agency. The employer should review the suspected occupational disease patients confirmed by the occu-pational disease diagnosis agencies, so it would not involve medical treatment rate, diagnosis rate, ex-clusion, maintenance of the original diagnosis and other related issues. Forty-three cases（87.75%） were reported by the occupational health examination agencies and the general medical agencies. Theemployer should timely arrange the suspected occupational disease patients to the diagnosis institutions for diagnosis, so it involved the treatment rate, diagnosis rate, exclusion, maintenance of the original diagnosis and other related issues. Of them, thirty-four（34/43）of the suspected cases went to the occupational disease diagnosis institutions for further diagnosis, and the diagnosis rate was 26.47% （9/34）, the exclusion rate was 67.65%（23/34）, maintenance rate of original diagnosis was 5.88% （2/34）. Conclusion According to the reported source of suspected occupational diseases, the em-ployers or the patients should be urged to take preventive and control measures such as recheck and timely diagnosis. After diagnosis by the occupational disease diagnosis institutions, the diagnosis results should be explained in the remarks of the Occupational Disease Report Card of the occupational disease and occupational health monitoring system.

参考文献/References:

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备注/Memo

备注/Memo:
作者简介：方丽艳，硕士，副主任医师，研究方向：职业卫生 通信作者：方丽艳，E-mail：fly3961@163.com
更新日期/Last Update: 2020-04-28