Health Risk Assessment System Evaluation in Health Care Personnel of Sung Noen Hospital, Nakhon Ratchasima Province, 2007-2011 (การประเมินผลระบบการประเมินความเสี่ยงจากการทำงานของบุคลากรในโรงพยาบาลสูงเนิน จังหวัดนครราชสีมา ปี 2552 - 2554)

The purpose of this survey was to evaluate health risk assessment system in health care personnelof Sung Noen Hospital. Study design was evaluation research, using evaluation criteria fromOccupational and Environmental Disease Office, 2011. It was composed of 3 elements: 1) managementelement; 2) health risk assessment and control element; and 3) monitor and evaluation element.Scientific equipments were used to measure light intensity, noise intensity and carbon dioxidelevels resulting from bad ventilation system. Comparison to criteria was made. Assessment wasaccordingly based on counter measures. It was found that: first element was environment and safetypolicy and health promotion policy were clearly set up in this hospital and implemented by relevantand responsible committees. Second element was divided into 2 parts. 1) Firstly, in health, safetyand environment assessment by using equipments to measure light intensity, noise intensity andcarbon dioxide levels resulting from poor ventilation system, improvements were made during 1997-2011 so that the exceeding levels fell within the guideline. Secondly, physical examination serviceswere divided into 2 parts; (1) annual general physical examination services, results were classifiedinto 3 groups; healthy, risk and sick groups based on body mass index (BMI), fasting plasma glucose,dyslipidemia and blood pressure. It was found that healthy and risk group showed increasingtrends in number in 2011 relative to 2010; (2) risk physical examination services, less number oftarget group underwent annual physical examination in 2011. Third element-evaluation, throughthe three years environmental quality and risk control improvements were reported consecutivelyleading to full compliance with the 3 evaluation criteria. In that connection, the operation of thishospital was classified as excellent- or at level 5. Hospital policies were set up for health promotionprograms to strengthen the healthy and risk group, and monitor the sick group. Key words : health risk assessment, health care personnel, community hospital