López V García
Sección de Epidemiología laboral, investigación y evaluación sanitaria, Instituto Navarro de Salud Laboral, Gobierno de Navarra, Pamplona, Spain.
An Sist Sanit Navar. 2011 Sep-Dec;34(3):419-30. doi: 10.4321/s1137-66272011000300008.
To evaluate the Sentinel Surveillance Program in Occupational Health in Navarre for the 1998-2007 period, identify factors that facilitate its implementation and describe the socioeconomic characteristics of the notified cases.
An analysis was made of all occupational sentinel events reported by primary care between 1998 and 2005. All of these were followed through to 2007.
In the whole period 2,055 cases were notified; 1,223 with personal identifications and 832 without (59.5% and 40.5%). These included 1,192 elbow tendinitis, 354 carpal tunnel and 417 dermatitis cases. This represents an incidence rate of 332.8 per 100,000 workers in 2005. Only 21% took sick leave and 10.5% had come to primary care after being refused attention by occupational medical insurers. The positive predictive value was 70% (confirmed as occupational). 41% of those work-related diseases were officially notified, 51% received official notification first and the remaining 49% received notification after being seen by a doctor in the public health system.
The Sentinel Surveillance Program in Occupational Health in Navarra is a good experience in obtaining an information system that connects the public health system and the occupational compensation system in Spain, but it requires close monitoring and coordination.
为评估1998 - 2007年期间纳瓦拉职业健康哨点监测项目，确定促进其实施的因素，并描述报告病例的社会经济特征。
对1998年至2005年初级保健机构报告的所有职业哨点事件进行分析。所有这些事件跟踪至2007年。
在整个期间共报告了2055例病例；其中1223例有个人身份信息，832例没有（分别占59.5%和40.5%）。这些病例包括1192例肘部肌腱炎、354例腕管综合征和417例皮炎病例。这相当于2005年每10万名工人中有332.8例发病。只有21%的患者请了病假，10.5%的患者在被职业医疗保险机构拒绝诊治后才到初级保健机构就诊。阳性预测值为70%（确诊为职业性疾病）。41%的与工作相关疾病得到了官方报告，51%首先收到官方报告，其余49%在公共卫生系统医生诊治后收到报告。
纳瓦拉职业健康哨点监测项目是建立连接西班牙公共卫生系统和职业赔偿系统信息系统的一次有益尝试，但需要密切监测与协调。
