Integration strategy for chronic disease screening indicators in occupational medical examinations
10.20001/j.issn.2095-2619.20250617
- VernacularTitle:职业健康检查中慢性病筛查指标整合策略
- Author:
Tianyang SHEN
1
;
Jiming ZHANG
;
Tengxiao SHAN
;
Zhijun ZHOU
Author Information
1. School of Public Health, Fudan University, Key Laboratory of Health Assessment, National Health Commission, Shanghai 200032, China
- Publication Type:Journal Article
- Keywords:
Occupational medical examination;
Chronic disease;
Screening;
Health management;
Occupational population
- From:
China Occupational Medicine
2025;52(3):336-340
- CountryChina
- Language:Chinese
-
Abstract:
As the prevalence of chronic diseases increases among occupational populations in China, the focus of occupational health management has shifted from ″occupational disease prevention and control″ to ″occupational disease and chronic disease prevention and control″. At present, occupational medical examinations (OME) are mainly focused on occupational disease prevention and control, and generally lack of chronic disease indicators such as blood lipids and blood glucose, limiting the role of OME in life-cycle health management of workers. To address this gap, it is necessary to incorporate chronic disease screening indicators into OME. Integrating OME and chronic disease screening faces bottlenecks, including concerns about increased operating costs in small- and medium-sized enterprises, and the risk of employment discrimination caused by the leakage of employee health privacy. A tiered strategy is recommended. Incorporating low-cost indicators such as blood lipids, waist circumference into routine examinations, and customizing advanced screening for elder or high-risk position workers. The prioritization of screening indicators can be determined by expert consultation and employer-employee discussions. Meanwhile, the results of chronic disease screening indicators should not be included in occupational health surveillance records to protect workers′ privacy. In summary, expanding OME to cover more chronic disease indicators provides valuable economic and social benefits. In the long run, common chronic disease screening indicators should be included in the regular medical examination indicators of OME, thereby reducing the burden of chronic diseases on occupational populations and promoting the health management of occupational populations.
