“即使我同意，我的家人也绝不会同意”：探索南非矿工死后职业性肺部疾病赔偿的尸检服务。
"Even if I were to consent, my family will never agree": exploring autopsy services for posthumous occupational lung disease compensation among mineworkers in South Africa.
机构信息
Chamber of Mines, Johannesburg, South Africa.
出版信息
Glob Health Action. 2013 Jan 24;6:19518. doi: 10.3402/gha.v6i0.19518.
CONTEXT
In the South African mining sector, cardiorespiratory-specific autopsies are conducted under the Occupational Diseases in Mines and Works Act (ODMWA) on deceased mineworkers to determine eligibility for compensation. However, low levels of autopsy utilisation undermine the value of the service.
OBJECTIVE
To explore enablers and barriers to consent that impact on ODMWA autopsy utilisation for posthumous monetary compensation.
METHODS
In-depth interviews were conducted with mineworkers, widows and relatives of deceased mineworkers as well as traditional healers and mine occupational health practitioners.
RESULTS
A range of socio-cultural barriers to consent for an autopsy was identified. These barriers were largely related to gendered power relations, traditional and religious beliefs, and communication and trust. Understanding these barriers presents opportunities to intervene so as to increase autopsy utilisation.
CONCLUSIONS
Effective interventions could include engagement with healthy mine-workers and their families and re-evaluating the permanent removal of organs. The study adds to our understanding of utilisation of the autopsy services.
背景
在南非采矿业中，根据《矿山和工厂职业疾病法》（ODMWA）对已故矿工进行心肺特异性尸检，以确定其获得赔偿的资格。然而，低水平的尸检利用率降低了该服务的价值。
目的
探讨影响 ODMWA 尸检以获得死后金钱赔偿的同意书的促成因素和障碍。
方法
对矿工、已故矿工的遗孀和亲属以及传统治疗师和矿山职业健康从业者进行了深入访谈。
结果
确定了同意进行尸检的一系列社会文化障碍。这些障碍主要与性别权力关系、传统和宗教信仰以及沟通和信任有关。了解这些障碍为增加尸检利用率提供了机会。
结论
有效的干预措施可能包括与健康矿工及其家人的接触以及重新评估永久摘除器官的做法。该研究增加了我们对尸检服务利用率的理解。
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