Wagrowska-Koski E, Dawydzik L
Przychodni Chorób Zawodowych.
Med Pr. 2000;51(3):213-20.
Observations about kinds of and reasons for difficulties encountered in diagnosing and certifying occupational diseases, made during the analysis of over 3,000 medical history files, were verified with the opinions of the personnel employed in the 14 selected regional centres of occupational medicine. The evaluation of the body of workers, the diagnostic basis, kinds of diagnostic and certification difficulties and their causes, the data on diagnosed occupational diseases, and appeals against certifications which negate the grounds for diagnosing occupational diseases were surveyed and the results presented. The results obtained indicate convergent causes of incorrect decisions taken by those involved in the Institute, and by directors of regional centres of occupational medicine. This provides the basis for developing measures aimed at eliminating the mistakes made in the process of diagnosing and certifying occupational diseases.
在对3000多份病历档案进行分析时，对职业病诊断和认证过程中遇到的困难种类及原因进行了观察，并与14个选定的地区职业医学中心工作人员的意见进行了核实。对工人群体、诊断依据、诊断和认证困难的种类及其原因、已诊断职业病的数据以及对否定职业病诊断依据的认证提出的上诉进行了调查，并呈现了结果。所获得的结果表明，该研究所相关人员以及地区职业医学中心主任做出错误决定的原因是一致的。这为制定旨在消除职业病诊断和认证过程中所犯错误的措施提供了依据。
