Impact of government supervision and management on occupatonal health technical services
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Abstract
Several regulatory measures such as reforming institutional qualification management, technical service specification guidance, and law enforcement inspection were adopted to improve the standardization of institutional practice since 2010, when former work-safety administratons were responsible for the supervision and management of occupatonal health technical service institutions. The former State Administration of Work Safety found 766 problems during the law enforcement inspecton of 88 occupatonal health technical service insttutons from 2014 to 2016. According to the Specifcaton for Inspecton of Occupatonal Health Technical Service Organizations, the problems were divided into 10 categories. The number of problems and the number of problem categories (two types of average numbers) found at the inspectons in 2014 and 2015 showed almost no difference, while the two types of average numbers found at the inspecton in 2016 were decreased signifcantly compared with last two years. There were less institutions with the four categories of problems such as on-site sampling, internal approval training and detection processes, maintenance of accreditation requirements, and technical reports online disclosure, and more institutions with the problem regarding the quality of occupational hazard assessment and technical reports. From the perspectve of insttutonal qualifcaton, there was no signifcant difference in the two types of average numbers among class-A, class-B, and class-C insttutons at each round of inspection. In 2016, class-A institutions and those with one inspection showed obvious decreases in the two types of average numbers compared with class-B insttutons. From the perspective of the effectiveness of law enforcement inspection, the two types of average numbers of the institutions with two inspections decreased more than those with one inspection. The inspection findings suggest strengthening institutional qualification management, technical service specification guidance, and law enforcement inspection can improve the standardization of institutional practice to varying degrees, but still many categories of problems have not been significantly reduced. It is recommended that health commissions at all levels should stabilize policy expectatons, simplify qualifcaton approval of insttutons, strengthen supervision and law enforcement, and optmize service instructons.
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