P-242 中国卫生工作者职业健康保护国家项目:从时间轴看二十年进展分析

Min Zhang, Tuo Liu, Liang Chen, C. Shi, Na Chen
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摘要

全世界都认为,医疗卫生机构环境复杂,对医务工作者(HW)存在多种职业危害。在世界卫生组织/国际劳工组织的密切合作下,中国于 2003 年启动了国家卫生工作者职业健康计划。分析的重点是以 20 年为时间轴的计划进展情况。 我们总结了具有里程碑意义的活动,回顾了研究证据,并采用解释性方法来分享政策倡导和成果。 (1)活动:牵头起草国家卫生工作者职业血源性病原体暴露(OBPE)标准(2003 年);实施国家 OBPE 准则(2010 年)。自 2016 年起应用 ILO/WHO HealthWISE,随后举办了 10 期 HealthWISE 培训员培训讲习班,覆盖全国 260 多家医院(2015-2022 年)。在非政府组织中发展了两个国家专业网络(2017-2019 年)。(2) 研究:十余项定性和定量研究形成了 44 篇文章和 5 本专著(2003-2023 年),形成了《系统职业健康医院倡议模式》(2016 年)。(3)政策:该计划对政策产生了影响,包括《预防和控制 OBPE 指导方针》(2009 年)以及参与有关工作场所暴力、职业健康和妇女权利的国家立法(2019-2022 年)。 国家计划的实施具有可持续性。中国有 1100 多万保健工作者,他们保障着人民的福祉和卫生系统的复原力,因此,在后 COVID-19 时代,强有力的职业健康措施在中国乃至全球都至关重要。 在后 COVID-19 时代,优先为卫生工作者采取强有力的职业健康措施在中国乃至全球都至关重要。该计划的努力凸显了保护为社会福利和医疗系统功能做出不懈努力的保健工作者的重要性。
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P-242 A NATIONAL PROGRAM ON OCCUPATIONAL HEALTH PROTECTION FOR HEALTH WORKERS IN CHINA:ANALYSIS ON TWENTY-YEAR PROGRESS FROM TIMELINE PERSPECTIVE
Healthcare settings have been recognized worldwide as being the complex environment with multiple occupational hazards toward health workers (HW). A national program on occupational health for HWs was initiated in China in 2003, with close collaboration of WHO/ILO. The analysis focuses on the program progress based on the 20-year timeline. We summarized milestone activities, reviewed evidence from studies, and used an interpretive approach to share policy advocacy and outcomes. (1)Activities: Leading the drafting of national standard on occupational bloodborne pathogens exposure (OBPE) among HWs (2003). implementing the national OBPE guidelines (2010). ILO/WHO HealthWISE has been applied since 2016, followed by ten HealthWISE Training-for-Trainer workshops covering 260+ hospitals across China (2015-2022). Two national professional networks were developed in NGOs (2017-2019). (2)Studies: Over ten qualitative and quantitative studies resulted in 44 articles and 5 books (2003-2023), shaping the Model of Hospital Initiative on Systematic Occupational Health (2016). (3)Policies: The program influenced policies, including the Guideline for Prevention and Control of OBPE (2009) and participation in national legislation on workplace violence, occupational health, and women’s rights (2019-2022). The national program demonstrated sustainable implementation. With over 11 million HWs in China safeguarding the population’s well-being and health system resilience, post-COVID-19, robust occupational health measures are vital in China and globally. In the post-COVID-19 era, prioritizing robust occupational health measures for HWs is paramount in China and the world. The program’s efforts underscore the importance of protecting HWs who contribute tirelessly to society’s welfare and healthcare system function.
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