The Organizational and Management Model of a Comprehensive Assessment of Disease Incidence among Male Employees of the Shipbuilding Industry

Abstract

Introduction. The article presents the results of a comprehensive assessment of disease incidence among male workers of shipbuilding and ship repair industries in the Astrakhan Region for creation of an organizational and management model of a comprehensive assessment of their disease incidence at workplaces in order to develop adequate preventive measures that exclude adverse health effects of occupational hazards in male shipbuilders. Materials and methods. Data for analysis were extracted from medical histories of inpatients and medical records of outpatients of the Russian Southern District Medical Center for the period 2015–2017. We applied methods of an opinion poll, expert examinations, correlation and regression analysis, mathematical modeling, as well as software products. Results. We built analytical models to assess health effects of determinants in shipbuilders. We also established the main occupational dangers, risks of occupational diseases, and the correlation between the number of patients and adverse industrial factors. We found that the risk of occupational diseases (0.8) was the highest in men over 45 (31.9 %) exposed to occupational hazards for more than 8.5 years. The lowest risk (0.2) was estimated for men aged 27–39 (68.1 %) with up to 6.6 years of occupational exposure. Conclusion. The organizational and management model was developed for the comprehensive assessment of causal relationships between the duration of exposure of shipbuilders to occupational hazards, the age of the employee, the risk of developing an occupational disease, and adequate preventive measures eliminating health risks and reducing effects of adverse industrial determinants.