伊朗职业安全和卫生服务国家形象的发展 (IRANOSH):一个混合方法研究,重点关注输入和过程指标
Narmin Hassanzadeh-Rangi1,2, Bayan Hosseini3, Yeganeh Akhtari4
1Department of Occupational Health and Safety Engineering, School of Health, Alborz University of Medical Sciences, Karaj, Iran.
BMC public health
|April 14, 2025
概括
制定了伊朗 (IRANOSH) 职业安全与健康 (OSH) 服务的国家概况,揭示了人力资源和服务提供方面的重大差距,特别是在小型工作场所. 建议包括实施OSH自我评估,并将OSH纳入公共卫生系统.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 为伊朗 (IRANOSH) 量身定制的职业安全和健康 (OSH) 服务协议 (NPOSH) 制定国家概况.
- 专注于基本组成部分:基本信息,结构,方案和在职业安全与安全服务中的人力资源.
- 突出了伊朗职业安全与健康服务提供现有的挑战和实践.
研究的目的:
- 为伊朗的职业安全和健康服务 (IRANOSH) 建立一个全面的国家概况.
- 识别和分析包括基础设施,计划和劳动力在内的OSH服务的当前状态.
- 确定在伊朗各地的职业安全与健康服务提供方面的挑战和改善领域.
主要方法:
- 对文献的内容分析以确定46个NPOSH指标,分为十个领域和六种类型.
- 通过聚焦小组讨论为伊朗 (IRANOSH) 定制NPOSH框架.
- 收集来自820846个工作场所的2,317名检查员的定量数据,覆盖了3,734,249名工人.
主要成果:
- 职业安全和健康服务针对34%的人口;小型工作场所 (98%) 雇佣了40%的工人,这是一个重大挑战.
- 识别的服务获取比率:1个职业健康中心/154名工人,1个职业健康工程公司/12,447名工人,1个医疗中心/3,404名工人.
- 报告指出人力资源短缺:1名职业健康检查员/1,612名工人,1名职业医学专家/14,877名工人. 主要项目集中在中型/大型危险工作场所.
结论:
- 建议通过工会建立一个职业安全与安全自我评估系统,以解决服务差距.
- 建议扩大初级医疗保健 (PHC) 系统,以整合职业健康和安全结构.
- 建议将NPOSH框架定制为各种国际卫生环境,并通过更新和比较验证发现.
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