Diagnostic Centre of Occupational Medicine, Social Security Institute (IKA), Athens, Greece.
Occup Med (Lond). 2009 Oct;59(7):515-7. doi: 10.1093/occmed/kqp111. Epub 2009 Aug 10.
Occupational diseases (ODs) are often under-reported. OD Medical Committees of the Greek Social Security Institute (Idryma Kinonikon Asfaliseon-IKA) are believed to be the only reliable source of data on ODs in Greece.
To analyse the results of OD Medical Committees of IKA on the claims for OD Disablement Benefit (ODDB) during a 5 year period.
Two hundred and ninety-nine claims for ODDB were submitted to IKA from 2003 to 2007. These claims were examined on a monthly basis.
One hundred and seventy-one cases of ODs (153 men and 18 women, mean age = 57 +/- 8 years) were recorded (recognition rate = 61%); 125 of these qualified for ODDB (pension rate = 42%). The main diagnosis was allergic contact dermatitis (40% of total cases of ODs), followed by lead toxicity (12%) and asthma (11%). Of the six main diagnoses, the most serious was lead toxicity (mean disability percentage = 59 +/- 19%, n = 21).
This study reveals flaws in the existing system of recognition of ODs in Greece, illustrated mainly by the small number of claims for ODDB. Possible explanations are delays in establishing a new widened list of ODs, lack of a unified recording and notification system, lack of motivation on behalf of the patients and the small number of occupational physicians.
职业病(ODs)经常报告不足。希腊社会保险研究所(Idryma Kinonikon Asfaliseon-IKA)的职业疾病医学委员会被认为是希腊 ODs 数据的唯一可靠来源。
分析 IKA 职业疾病医学委员会在 5 年期间对职业疾病丧失福利(ODDB)索赔的结果。
2003 年至 2007 年期间,共有 299 份 ODDB 索赔提交给 IKA。这些索赔每月进行审查。
记录了 171 例 ODs(153 名男性和 18 名女性,平均年龄=57 +/- 8 岁)(识别率=61%);其中 125 例符合 ODDB 条件(养老金率=42%)。主要诊断为过敏性接触性皮炎(占 ODs 总病例的 40%),其次是铅中毒(12%)和哮喘(11%)。在这六个主要诊断中,最严重的是铅中毒(平均残疾百分比=59 +/- 19%,n=21)。
这项研究揭示了希腊现有职业疾病识别系统的缺陷,主要表现为 ODDB 的索赔数量较少。可能的解释是,新的广泛职业疾病清单的建立延迟、缺乏统一的记录和通知系统、患者缺乏动力以及职业医生数量较少。