Evaluation of the Quality of Occupational Health Examinations and Workers’ Satisfaction in Iranian Industries and Trades

Occupational Health Examination Quality in Iran Evaluation of the Quality of Occupational Health Examinations and Workers’ Satisfaction in Iranian Industries and Trades: Compliance with Ministry of Health Standards and Implications for Musculoskeletal and Occupational Disease Prevention Abstract Background: Occupational Health Examinations (OHEs) are fundamental components of workplace health surveillance systems. In Iran, the Ministry of Health and Medical Education (MoHME) has defined regulatory standards for periodic examinations, yet limited evidence exists regarding the quality of implementation and workers’ satisfaction. This case study evaluates compliance of OHEs with MoHME standards, worker satisfaction, and the preventive impact on musculoskeletal disorders (MSDs) and occupational diseases among industrial and trade workers. Methods: A cross-sectional case study was conducted among 500 workers from metal, construction, textile, food, and small trade sectors. Data were collected through structured questionnaires, interviews, and review of OHE records. Key quality indicators included compliance with MoHME OHE standards, coverage and frequency of examinations, comprehensiveness of clinical evaluations, ergonomic assessments, follow-up procedures, and communication of results. Descriptive and inferential analyses (ANOVA and chi-square) were performed. Results: Overall compliance with MoHME standards was 72.4%. The highest compliance was observed in metal industries (84.1%), and the lowest in small trades (61.7%). Worker satisfaction was moderate (65.8%), with the highest satisfaction in examination professionalism and the lowest in ergonomic feedback and preventive recommendations. Musculoskeletal complaints were significantly lower among workers receiving comprehensive ergonomic evaluations . Preventive follow-up improved early detection of hypertension, hearing impairment, and lower back disorders. Conclusion: While OHE quality in Iran shows acceptable alignment with national standards, major gaps remain in ergonomic assessment, worker education, and follow-up. Strengthening training programs for occupational physicians, reinforcing regulatory supervision, and enhancing feedback mechanisms can improve preventive outcomes. Keywords: Occupational health examination, Ministry of Health standards, .musculoskeletal disorders, worker satisfaction, Iran