[Some aspects regarding occupational health in small and middle enterprises].
The objective of the study was to assess occupational health services in small and medium enterprises (SME's) in Bacău, between 2007 and 2008, in order to increase the quality of services' management.


METHODS
Five hundred seventy nine SME's with 21,815 employees have been studied, with a number of employees varying from ten to 250 per enterprise. About 4478 employees, out of which 587 with different occupational exposures, have no occupational health services provided on a contract basis.


RESULTS
The high number of occupational diseases and work related accidents in SME's show a low level of concern for occupational health and safety matters, compared to big enterprises. The employees' opinions showed that the role of occupational health is not known, there is no concern for the medical adaptation of new employees or old employees rehired after a long break, the employees do not consult occupational health services on their own accord. The occupational services do not fully satisfy the need. The study offers useful data to physicians and SME's management in order to improve the occupational health management.
Ambulatoriul Spitalului Judeţean de Urgenţe Bacău, Doctorand al Universităţii de Medicină şi Farmacie Gr. T. Popa Iaşi.
Carmen
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Bîclea
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Silion
D000062:Accidents, Occupational / Q000517:prevention & control / Q000706:statistics & numerical data*; D006801:Humans; D007221:Industry / Q000592:standards*; D009784:Occupational Diseases / Q000453:epidemiology* / Q000517:prevention & control; D016273:Occupational Exposure / Q000009:adverse effects*; D016272:Occupational Health; D009786:Occupational Health Services / Q000592:standards*; D017149:Private Sector / Q000592:standards; D011785:Quality Assurance, Health Care; D012189:Retrospective Studies; D012383:Romania / Q000453:epidemiology