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职业健康检查机构涉嫌违法违规行为处置模式探讨

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目的 构建适应新形势要求的职业健康检查(OME)机构涉嫌违法违规行为处置模式.方法 采用判断抽样方法,以纳入"广东省重点职业病监测管理平台"管理的OME机构为研究对象.通过个案信息监测和现场质量考核等方式,发现OME机构涉嫌存在违法违规行为线索,移交当地卫生健康主管部门调查处置;经该部门调查核实后,对存在违法违规行为的OME机构依法立案查处,并对5家OME机构开展"回头看"检查工作,以实现闭环管理.结果 共发现12家OME机构存在涉嫌违法违规行为;其中,备案所需有效人员不符合备案要求的有7家,开展超范围项目未在开展之日起15个工作日内向省级卫生健康主管部门备案的有5家,未按规定向卫生健康主管部门、用人单位和劳动者履行告知和报告义务的有2家.相关线索证据经移交当地卫生健康主管部门调查处置后,不予处罚的有7家;给予行政处罚的有5家,其中,2家给予罚款和警告,3家给予警告."回头看"检查的5家机构均未再发现违法违规行为.结论 探索性提出OME机构涉嫌违法违规行为的"线索发现-线索移交-调查处置-回头看"处置模式,有利于督促OME机构依法依规工作,切实保护劳动者职业健康合法权益.
Discussion on the managing mode for suspected illegal and irregular acts in occupational medical examination institutions
Objective To establish a managing mode for illegal and irregular acts of occupational medical examination(OME)institutions to the requirements of the new situation.Methods The OME institutions from the"Guangdong Province Key Occupational Disease Monitoring and Management Platform"were selected as the study subjects using the judgment sampling method.The clues of suspected illegal and irregular acts of OME institutions were found and submitted to the local health commission for investigation and managed according to the case information monitoring and on-site quality assessment.The OME institutions found to have illegal and irregular acts were filed and investigated according to the national law after investigation and verification.A"follow-up inspection"was conducted on five OME institutions for closed loop management.Results A total of 12 OME institutions were found to have suspected illegal and irregular acts,including seven institutions that did not meet the filing requirements for effective personnel,five institutions that conducted projects beyond the scope without filing to the provincial health authorities within 15 work days from the start of the project,and two institutions that failed to fulfill the obligation of informing and reporting to the health authorities,employers,and workers as required.After submitting relevant clues and evidence to the local health commission for investigation and management,seven institutions were not given penalty,and five institutions were given administrative penalties including two institutions were fined and warned,and three institutions were warned.No illegal or irregular acts were found in the five institutions inspected during the"follow-up inspection".Conclusion It is beneficial to explore the managing mode of"clue discovery,clue submission,investigation and disposal,follow-up inspection"for OME institutions suspected of illegal and irregular acts,which helps urge OME institutions to work in accordance with laws and regulations and effectively protect the legitimate rights and interests of workers'occupational health.

Occupational medical examination institutionsIllegal and irregularActsClueManaging mode

李晓艺、黄瑞妍、肖明慧、谭茜文、许乐谊、杨爱初、陈嘉斌、胡世杰

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广东省职业病防治院,广东省职业健康检查质量控制中心,广东广州 510300

广州医科大学公共卫生学院,广东广州 511436

职业健康检查机构 违法违规 行为 线索 处置模式

广东省医学科学技术研究基金广东省医学科学技术研究基金

C2021019C2023021

2024

中国职业医学
中华预防医学会 华南区域劳动卫生职业病防治中心

中国职业医学

CSTPCD
影响因子:1.011
ISSN:2095-2619
年,卷(期):2024.51(1)
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