Enterprises’ expectation on competencies of occupational physicians and occupational health administration in Thailand

Authors

  • Pokkapat Prasatkettkarn Occupational and Environmental Medicine Center, Nopparat Rajathanee Hospital
  • Premyot Piemnithikul Occupational and Environmental Medicine Center, Nopparat Rajathanee Hospital
  • Adul Bundukul Occupational and Environmental Medicine Center, Nopparat Rajathanee Hospital

DOI:

https://doi.org/10.14456/dcj.2022.53

Keywords:

Occupational physician, Occupational Health, Enterprise

Abstract

The Association of Occupational and Environmental Diseases of Thailand has a supervisory role in occupational medicine competencies by developing curricula to match international standards. A part of this task concerns work in the occupational health field of collaboration with enterprises. However, in the past 20 years in Thailand, no study has collected the opinions of enterprises’ representatives on the competencies of occupational physicians. The objectives of this study are to determine enterprises’ expectations of each competency of occupational medicine; the provision of occupational health administration in enterprises; and the related factors on the provision of occupational health administration in enterprises. This cross-sectional study collected information through self-administered questionnaires which were sent to the occupational health and safety departments in enterprises that have more than 100 employees, excluding hospitals and educational institutions. Descriptive statistics and Multivariable Gaussian regression were applied in this study. From a total of 135 respondents, it was found that enterprises were most concerned with occupational physician competencies in the role of medical surveillance (domain number 3) which included a walk-through survey to identify hazards in the workplace, designing medical examinations based on hazards, and analyzing the results of environmental measurements. Moreover, most services in occupational health administration in the enterprises were done as required by law, except return-to-work examinations. Positive factors in the provision of occupational health administration in enterprises include international companies or international occupational health policy, large enterprises, and having a physician present at the enterprise. This study reveals important data for medical schools and professional associations regarding how to improve training courses. In addition, our study should also help to promote new policies for enterprises in the provision of occupational health administration in the future.

References

Ekburanawat W, Ekpanyasakul C, Benjawang Y. Occupational physicians in Thailand 2008. Journal of Safety and Health. 2009;8(5):50-9. (in Thai)

Sithisarankul P, Bandhukul A. Competency of occupational physicians. Thammasat Med J. 2019;19(1):206-10. (in Thai)

Ghafur I, Lalloo D, Macdonald EB. Development and Implementation of Clinical Algorithms in Occupational Health Practice. J Occup Environ Med. 2013;55(12):1443-8.

Ministry of Public Health (TH). Organization structure in the provincial government hospital 2011 [Internet]. [cited 2020 Sep 10]. Available from: http://www.pngo.moph.go.th/pngo/phocadownload/adminis/struck.pdf (in Thai)

The Association of Occupational and Environmental Diseases of Thailand. Standards of qualifications, knowledge and expertise in the practice of Occupational medicine [Internet]. [cited 2020 Sep 10]. Available from: https://www.aoed.org/ocmed/wfme (in Thai)

The Medical Council of Thailand. Exam conditions and guidelines for the board certificate of year 2020 in the field of preventive and occupational medicine; 2020. (in Thai)

Lalloo D, Demou E, Kiran S, Cloeren M, Mendes R, Macdonald E. International perspective on common core competencies for occupational physician: a modified Delphi study. BMJ Occup Environ Med. 2016;73:452-8.

Kittikawin N, Bandhukul A, Rattanamongkolgul S. The cross sectional survey of occupational medicine specialties opinion about occupational medicine physician competency in Thailand by modified Delphi technique. Thammasat Med J. 2013;13(2):181-94. (in Thai)

Reetoo KN, Harrington JM, Macdonald EB. Required competencies of occupational physicians: A Delphi survey of UK customers. Occup Environ Med. 2005;62:406-13.

ACOEM OEM competencies Task force. American College of Occupational and Environmental Medicine's Occupational and Environmental Medicine Competencies-2014. JOEM. 2014;56(5):21-40.

European union of medical specialist. European training requirements for the specialty of occupational medicine, European standards of postgraduate medical specialist training 2013/2019 [Internet]. [cited 2020 Sep 10]. Available from: https://www.uems.eu/__data/assets/pdf_file/0005/44429/UEMS-2013.19-European-Training-Requirements-Occupational-Medicine.pdf

Demou E, Lalloo D, Macdonald EB. Differences in opinions of occupational physicians on the required competencies by field of practice: results of an international Delphi study. BMC medical education. 2018;18(62).

Promdit B, Ngamkiatphaisan S, Prapansilp M, Sithisarankul P. Occupational health administration and manager’s expectation towards occupational physician’s role among corporate enterprises in Thailand. Chula Med J. 1999;43(10):723-37. (in Thai)

Reid A, Malone J. A cross sectional study of employer and employee occupational health needs and priorities within the Irish Civil Service. Occup Med (Lond). 2003;53(1):41-5.

Ministry of Labour (TH), Ministerial regulation prescribing the standard of health examination foe employees working on risk factor 2020 [Internet]. [cited 2021 Mar 30]. Available from: https://www.aoed.org/articles/2020/october/newlaw/ (in Thai)

Ngamkiatphaisan S, Promdit B, Prapansilp M, Sithisarankul P. The role and expectation of corporate physicians in occupational health services in Thailand. Chula Med J. 1999;43(7):457-74. (in Thai)

Occupational Diseases and Environmental Diseases Act 2019. Ratchakitchanubeksa. [Internet]. [cited 2021 Mar 30] Available from: https://ddc.moph.go.th/uploads/files/8420191010020910.PDF (in Thai)

LaDou J. Chapter 2 international occupational & environmental health. In; LaDou J, Harrison R. Occupational & environmental medicine. 5th ed. California: McGraw-Hill Education; 2014. p. 5-18.

Thitaree K, Chaiwong W, Kunanusont C. Realization of the roles and duties of occupational physicians in the employees receiving occupational health examination at Bangkok Phrapradaeng Hospital. Thammasat Med J. 2019;19(1):99-113. (in Thai)

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Published

2022-09-26

How to Cite

1.
Prasatkettkarn P, Piemnithikul P, Bundukul A. Enterprises’ expectation on competencies of occupational physicians and occupational health administration in Thailand. Dis Control J [Internet]. 2022 Sep. 26 [cited 2024 Jul. 18];48(3):626-3. Available from: https://he01.tci-thaijo.org/index.php/DCJ/article/view/249556

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Original Article