Objective: To analyze the completion status, monitoring results, and existing problems of key occupational disease monitoring in Shandong, China, from 2015 to 2017, and to provide reference materials for improving monitoring quality and carrying out occupational disease prevention and control. Methods: The monitoring situation including project coverage, data collection, monitoring results, and monitoring quality of key occupational diseases in Shandong from 2015 to 2017 were described and comparatively analyzed. Results: In the past three years, the uncoverage rate of monitored counties (38.69% in 2015, 10.95% in 2016, and 5.11% in 2017) , the non-work rate of occupational health examination institutions (41.67% in 2015, 18.02% in 2016, and 8.72% in 2017) , and the non-work rate of occupational disease diagnosis institutions (42.31% in 2015, 38.46% in 2016, and 38.46% in 2017) in Shandong decreased year by year. The number of institutions with key occupational hazard factors reported to the safety supervision and management department increased year by year (it was 24140 in 2017, with an increase of 40.50% compared with 2016 and an increase of 114.62% compared with 2015) ; the key occupational hazard factors in enterprises were mainly noise (72.76%) , followed by benzene, silica dust, and coal dust. The number of workers exposed to key occupational hazard factors reported to the safety supervision and management department increased year by year; in 2017, it was 729245, with an increase of 39.78% compared with 2016 and an increase of 84.81% compared with 2015. The ratio of people exposed to key occupational hazard factors identified by the medical examination to the total people in the safety supervision system in a year decreased year by year (40.87% in 2015, 23.86% in 2016, and 17.95% in 2017) . Conclusion: In Shandong, the supervision of enterprises with key occupational hazard factors and the responsibility of enterprise protection should be strengthened. The occupational health examination rate of workers should be improved. It is suggested that we should carry out the special investigations and occupational health risk assessment for key enterprises and key populations.
目的： 分析山东省2015至2017年重点职业病监测工作完成情况、监测结果及存在问题，为提高监测质量和开展职业病防治工作提供参考资料。 方法： 于2018年3月，收集2015至2017年山东省重点职业病监测情况，对项目开展覆盖情况、资料的收集、监测结果和监测质量等进行描述与对比分析。 结果： 山东省监测县区未覆盖率由2015年38.69%，2016年10.95%下降至2017年5.11%；职业健康检查机构未开展率由2015年41.67%，2016年18.02%下降至2017年8.72%；职业病诊断机构未开展率由2015年42.31%下降至2016、2017年38.46%。向安全监督管理部门申报的存在重点职业病危害因素企业数逐年递增，2017年24 140家，较2016年增加40.50%，较2015年增加114.62%，重点职业病危害因素企业中以存在噪声危害的企业为主（72.76%），其次为苯、矽尘和煤尘。向安全监督管理部门申报的接触重点职业病危害因素的劳动者人次数逐年递增，2017年为729 245人次，较2016年增加39.78%，较2015年增加84.81%；体检接触重点职业病危害因素人次数占年度内安监系统接触人次数的百分比逐年下降，2015、2016及2017年分别占年度内安监系统接触人次数的40.87%、23.86%和17.95%。 结论： 山东省重点职业病监测应加强对存在重点职业病危害因素企业的监管，强化企业防护主体责任，提高劳动者职业健康受检率；应对重点企业和重点人群开展专项调查及职业健康风险评估。.
Keywords: Abnormal rate; Detection rate; Occupational disease; Occupational health examination.