[The assessment of occupational health service quality in Poland].

Agnieszka Lipińska-Ojrzanowska, Marta Szkiela, Marta Wiszniewska, Jolanta Walusiak-Skorupa
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Abstract

Background: In the face of increasing problems related to lifestyle related diseases, attention is increasingly drawn to the untapped potential of the occupational health service (OHS) in undertaking preventive actions. The aim of the study was to assess the scope of activities and the perception by the surveyed employees of the quality of preventive care provided in basic OHS units in Poland.

Material and methods: The research tool was the author's anonymous online questionnaire. It contained questions about the details of the last visit to an occupational medicine doctor. Only those who had ever undergone such a medical examination (267 respondents) were included in the analysis. To compare the frequency of occurrence of specific categories of quantitative traits in the analyzed groups, the χ² test of independence was utilized with Yates' correction for small sample sizes.

Results: More than 50% of the respondents rated the quality of preventive care for employees in Poland as either good or very good, one-third of the respondents received recommendations from an occupational medicine physician on preventing workplace hazards, 60% of respondents believe that preventive examinations should include a comprehensive health status assessment, 39% expect to have the option to choose their occupational medicine physician or influence the selection of the facility providing preventive care. The last visit to an occupational medicine physician typically lasted 6-15 min.

Conclusions: A good or very good evaluation of the quality of preventive care by >50% of the surveyed employees requires constant improvement of the quality of the preventive examination. The potential of the healthcare system for working individuals in Poland remains underutilized in terms of activities related to the prevention of lifestyle diseases and health promotion. Occupational health physicians, who play a special role in the health prevention of workers and have a significant impact on increasing health awareness, should perform their duties in a holistic manner. Med Pr Work Health Saf. 2025;76(2).

[波兰职业卫生服务质量评估]。
背景:面对日益增多的与生活方式相关疾病的问题,人们越来越关注职业卫生服务(OHS)在开展预防行动方面尚未开发的潜力。这项研究的目的是评估活动的范围和被调查雇员对波兰基本职业健康和卫生单位提供的预防保健质量的看法。材料和方法:研究工具是作者的匿名在线问卷。其中载有关于最后一次去看职业医生的详细情况的问题。只有那些曾经接受过这种体检的人(267名答复者)被纳入分析。为了比较分析组中特定类别数量性状的出现频率,采用χ 2独立性检验,并对小样本量进行耶茨校正。结果:50%以上的答复者将波兰雇员的预防性保健质量评为好或非常好,三分之一的答复者收到职业医学医生关于预防工作场所危害的建议,60%的答复者认为预防性检查应包括全面的健康状况评估。39%的人希望能够选择自己的职业医学医生或影响提供预防保健的机构的选择。结论:50%的受访员工对预防保健质量的评价为良好或非常好,需要不断提高预防检查的质量。在与预防生活方式疾病和促进健康有关的活动方面,波兰工作人员保健系统的潜力仍未得到充分利用。职业健康医生在工人的健康预防方面发挥着特殊作用,对提高健康意识具有重大影响,他们应全面履行职责。医疗卫生工作卫生安全,2025;76(2)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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