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Evaluation of Selected Processes in Regional Occupational Health Care Centers

Evaluation of Selected Processes in Regional Occupational Health Care Centers. Jacek Michalak, Nofer Institute of Occupational Medicine, Łódź, Poland. 10 th Congress on OHS, Amsterdam 13-16.11.2002. Structure of OHS in Poland Primary units authorized doctors, different forms,

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Evaluation of Selected Processes in Regional Occupational Health Care Centers

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  1. Evaluation of Selected Processes in Regional Occupational Health Care Centers Jacek Michalak, Nofer Institute of Occupational Medicine, Łódź, Poland

  2. 10th Congress on OHS, Amsterdam 13-16.11.2002 Structure of OHS in Poland • Primary units • authorized doctors, • different forms, • private or public organizations • prophylactic examinations • Secondary units – Regional Occupational Health Care Centers • Public organizations only, • Responsibilities – OHS in the region • Consultations, education, control etc.

  3. 10th Congress on OHS, Amsterdam 13-16.11.2002 7 out of 23 ROHC were invited and their following functions were evaluated: • Re-examination of employees • Consultation • Diagnosing of occupational diseases • Supervision and control of primary units • Health promotion • Post-graduate education and training

  4. 10th Congress on OHS, Amsterdam 13-16.11.2002 Methods: • Questionnaires for nurses and doctors • Processes divided into steps • Each step assessed or measured • Health promotion and educational programs were evaluated separately from other activities

  5. 10th Congress on OHS, Amsterdam 13-16.11.2002 Results (1) • Majority of ROHCC assessed time schedules • Two out of 7 performed measurements of each step of 4 procedures • Two „rapid ROHCC” – all procedures were remarkable shorter • Five „slow ROHCC” – assessments with caution

  6. 10th Congress on OHS, Amsterdam 13-16.11.2002 Results (2) - re-examination

  7. 10th Congress on OHS, Amsterdam 13-16.11.2002 Results (3) diagnosing an occupational disease *different functions in different clinics

  8. 10th Congress on OHS, Amsterdam 13-16.11.2002 Results (4) Consultation measured

  9. 10th Congress on OHS, Amsterdam 13-16.11.2002 Results (5)Control of a primary unit • Different extend and scope of controls in different ROHCC • Time spent on a control by occupational physician from ROHCC varied from 1 to 68 hours

  10. 10th Congress on OHS, Amsterdam 13-16.11.2002 Conclusion • Two „rapid ROHCC” – all procedures were remarkable shorter (realistic scenario) • Five „slow ROHCC” – assessments with caution (pessimistic scenario) • The differences were caused mainly by different time spent on the evaluation of documents and filling the forms by the doctor(s)

  11. 10th Congress on OHS, Amsterdam 13-16.11.2002 Thank you for your attention

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