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Research priorities in occupational health in Italy.

机译：意大利职业卫生领域的研究重点。

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OBJECTIVE: To find a broad consensus on research priorities and strategies in the field of occupational health and safety in Italy. METHODS: A two phase questionnaire survey was based on the Delphi technique previously described in other reports. 310 Occupational safety and health specialists (from universities and local health units) were given an open questionnaire (to identify three priority research areas). The data obtained from respondents (175, 56.4%) were then used to draw up a list of 27 priority topics grouped together into five macrosectors. Each of these was given a score ranging from 1 (of little importance) to 5 (extremely important). With the mean scores obtained from a total of 203 respondents (65.4%), it was possible to place the 27 topics in rank order according to a scale of priorities. RESULTS: Among the macrosectors, first place was given to the question of methodological approach to research in this field, and for individual topics, occupational carcinogenesis and quality in occupational medicine were ranked first and second, respectively. The question of exposure to low doses of environmental pollutants and multiple exposures ranked third among the priorities; the development of adequate and effective approaches and methods for worker education and participation in prevention was also perceived as being an important issue (fourth place). CONCLUSIONS: This study (the first of its kind in Italy) enabled us to achieve an adequate degree of consensus on research priorities related to the protection of occupational health and safety. Disparities in the mean scores of some of the issues identified overall as being research priorities, seem to be linked both to geographical area and to whether respondents worked in local health units or universities. This finding requires debate and further analysis.
机译：目的：就意大利职业健康与安全领域的研究重点和策略达成广泛共识。方法：两阶段问卷调查是基于先前在其他报告中描述的Delphi技术进行的。为310名职业安全和卫生专家（来自大学和地方卫生部门）提供了公开问卷（以识别三个优先研究领域）。然后，从受访者那里获得的数据（175，56.4％）被用于草拟27个优先主题的列表，这些主题被分为五个宏观领域。每一个分数都从1（不重要）到5（非常重要）不等。根据总共203位受访者（65.4％）的平均得分，可以根据优先级的高低对27个主题进行排名。结果：在宏观领域中，该领域研究的方法论问题名列第一，就个别主题而言，职业致癌性和职业医学质量分别排名第一和第二。暴露于低剂量环境污染物和多次接触的问题在优先事项中排在第三位;发展工人教育和参与预防的适当有效方法和方法的发展也被认为是一个重要问题（第四名）。结论：这项研究（意大利的第一项研究）使我们能够就与保护职业健康和安全有关的研究重点达成足够程度的共识。总体上被确定为研究重点的某些问题的平均评分差距似乎与地理区域以及受访者是否在当地卫生部门或大学工作有关。这一发现需要辩论和进一步分析。

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