Developing a List of Compensable Occupational Diseases: Principles and Issues

T. Driscoll, M. Wagstaffe, N. Pearce
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引用次数: 7

Abstract

Background: A number of countries have a list of occupational disorders for use in workers' compensation processes and decisions. These lists have two potential uses - to formally recognise that a disorder may be related to work (and so be potentially compensable), or to formally identify disorders that are likely to be related to work and so can be considered to have arisen from work if sufficient relevant exposure can be confirmed. However, many of these lists have shortcomings. Objectives: The aim of this paper is to provide an overview of the concepts and approaches that should be taken into ac- count when developing a list of occupational disorders that can be accepted for fast tracking of the compensation claim. Results and Conclusions: A list of occupational disorders to be used as a schedule for compensation purposes is best based on a combination of specific disorder-exposure combinations, unless the number of potential exposures linked to a particular disorder, or the number of disorders linked to a particular exposure, make it impractical to list them all. For in- clusion in a schedule it is desirable that there is strong evidence of causal link between the occupational exposure and the disorder; there are clear and repeatable criteria for diagnosing the disorder; and the disorder comprises a considerable pro- portion of the cases of that disorder in the overall population or an identifiable subset of the population.
制定可赔偿职业病清单:原则和问题
背景:一些国家有一份职业病清单,用于工人的赔偿程序和决定。这些清单有两个潜在的用途——正式承认一种疾病可能与工作有关(因此可能得到补偿),或者正式确定可能与工作有关的疾病,因此如果可以确认足够的相关接触,则可以认为是由工作引起的。然而,这些列表中的许多都有缺点。目的:这篇论文的目的是提供一个概念和方法的概述,在制定一份可以被接受的快速跟踪赔偿索赔的职业病清单时,应该考虑到ac- count。结果和结论:用于补偿目的的职业障碍清单最好是基于特定疾病-暴露组合的组合,除非与特定疾病相关的潜在暴露数量,或与特定暴露相关的疾病数量,使得将它们全部列出是不切实际的。总之,在时间表中,最好有强有力的证据表明职业暴露与障碍之间存在因果关系;诊断这种疾病有明确和可重复的标准;并且该疾病在整个人群或人群的可识别子集中包含该疾病病例的相当大比例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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