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Ongoing development and evaluation of occupational health services for farmers in Finland

机译：芬兰农民职业卫生服务的持续发展与评价

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In Finland, occupational health services have been developed based on the 1979 law that was updated in 2002, Cooperation among OH specialists, researchers, authorities, OH-units, interest groups and clients is characteristic of the development of farmers' occupational health services (FOHS) The systematic planning and development of FOHS have been conducted since 1979 by the Finnish Institute of Occupational Health in collaboration with the Social Insurance Institution (SII) and the Farmers' Social Insurance Institution (FSII) In 1985, the National Board of Health issued an ordinance initiating FOHS in municipal health care centres according to the proposals of the research team Thereafter, FOHS have been continually evaluated and developed In addition, farmers' health hazards at work and their work related diseases, mortality and accidents have been studied in follow-up surveys in 1979, 1982, 1986, 1992 and 2004, A training program for FOHS personnel started in 1981 The functional adequacy and productivity of FOHS was studied in the surveys of 1989, 1995, 2000 and 2004 A recommendation for applying Good Occupational Health Practice-ordinance (GOHP) in FOHS was issued in 2000, Experiences, needs and expectations of farmers in relation to FOHS were studied in 1992, 2001 and 2004, The results of the survey of the year 2004 and the statistics of the SII an FSII show that functional adequacy of FOHS had improved from the level observed in 1996 The coverage of FOHS has increased from 32% in 1999 to 41% in 2004 of all insured farmers. According to the statistics of the SII the functional adequacy of FOHS has increased The checking of working conditions is something that has increased in particular Coverage of FOHS has also increased in some regions The main limitations for GOHP in FOHS are still the lack of resources and training of OH personnel in many OHS units and the inactivity of farmers as well as local FOHS advisory boards The most important challenges are to improve the effectiveness and coverage of FOHS.
机译：在芬兰，职业卫生服务已经根据1979年的法律，在2002年更新了发展，合作OH中的专家，研究人员，部门，OH-单位，利益群体和客户是农民的职业卫生服务发展的特性（FOHS ）的系统规划和FOHS的发展自1979年以来由职业健康的芬兰研究所与社会保险机构（SII）和农民社会保险机构（FSII）在1985年合作进行的，美国国立卫生局下发的根据研究小组随后，FOHS一直不断评估和开发另外的提案，市卫生保健中心条例发起FOHS，农民工作的健康危害，他们的工作有关的疾病，死亡和事故进行了研究，在后续调查于1979年，1982年，1986年，1992年和2004年，FOHS人员的培训计划在1981年的功能ADE开始FOHS的quacy和生产力在1989年，1995年，2000年和2004年的一项建议，调查研究于2000年，经验，需要和农民的期望发出有关FOHS均FOHS运用良好的职业健康实践，条例（GOHP）研究于1992年，2001年和2004年，2004年的调查结果和SII统计的FSII显示，FOHS的功能合理性已经从1996年观察到的水平FOHS的覆盖率从32％增加到1999年提高在2004年全部参保农户的41％。按照SII的统计FOHS的功能合理增加的工作条件的检查是什么，在FOHS的特定覆盖增加了在一些地区也加大了FOHS为GOHP主要限制仍然是缺乏资源和培训OH人员在许多OHS单位和农民的活动以及当地FOHS顾问委员会的最重要的挑战是提高FOHS的有效性和覆盖面。

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