勞工健康檢查之品質保證與管制

Quality Assurance and Control of Medical Examinations in the Workplace

陳保中(Pau-Chung Chen) ； 王榮德(Jung-Der Wang) ； 張蓓貞(Pei-Jen Chang)

《中華民國公共衛生學會雜誌》 10卷1期 (1990/03) Pp. 1-10

https://doi.org/10.6288/JNPHARC1990-10-01-01

摘要

高品質之勞工健康檢查計劃是早期發現職業衛生的手段之一，而健康檢查品質保證與管制則是勞工健康檢查計劃成功的基礎。本文是以健康管理的過程，來探討全面性勞工健康檢查品質保證的實際，以做為企業選擇健康檢查醫療院所的依循，同時作為健康檢查醫療院所自我要求的標準。其主要內容包括：（一）勞工健康檢查項目及檢查週期的合適性。（二）勞工健康檢查醫療院所的品質保證與管制。（三）醫師對勞工健康檢查資料的封殺與應用。（四）勞工健康檢查資料管理與保存。唯有在政府、企業、勞工、以及勞工健檢醫療院所之努力配合之下，共同提升勞工健康檢查品質，方可達到勞工健康的最終目的。

並列摘要

A high quality medical surveillance program is one of the basic tools for early recognition of occupational hazards. The quality assurance and control (QN/QC) of medical examinations in the workplace is the basis for a successful surveillance program. We propose comprehensive guidelines of QA/QC for a variety of medical examinations in the workplace, in order to provide employers with selection criteria adequate for hospitals/clinics and to promote quality of medical service. In addition to QN/QC for history taking, physical examinations, urinalysis, blood chemistry, complete blood counts, pulmonary function tests, chest roentgenograms, and audiometry, selection of examination items and intervals, interpretation and assessment of examination data, and data management as well as record keeping are also discussed. Good cooperation and total quality control among the regulatory agency, companies, workers, and hospitals/clinics is the only way to ehsure that a high quality medical surveillance program is provided.

並列關鍵字

Occupational Medicine ； Wοrkers' Health Screening