职业事故申报初始医疗证明的批判性研究。
Critical study of the initial medical certificates of occupational accident declaration.
出版信息
Tunis Med. 2021;99(11):1072-1084.
UNLABELLED
The drafting of the initial medical certificate (IMC) is an innocuous act that can engage the responsibility of the certifier.
AIM
To evaluate the quality of the IMC and their compliance with the legal provisions and to develop good practice recommendations for the drafting of the occupational accident certificate.
METHOD
An epidemiological, descriptive and retrospective study was conducted in the University Hospital Center Farhat Hached (Tunisia) based on the occupational accident certificates completed by physicians during a period of 12 months.
RESULTS
In our study, 241 certificates were collected. The number of the patient's ID card was mentioned in 12% of cases. The date of the accident was noted in almost all cases (99.6%). The date of certification was indicated in all the cases. The average number of days of permanent work incapacity was significantly higher among male patients (p = 0.015), married patients (p≤10⁻³), and night workers (p = 0.05) and significantly lower among doctors (p ≤ 10⁻³).
CONCLUSION
Our study showed that the quality of the initial medical certificate drafting suffered from several inadequacies. This may be related to the lack of training of doctors in forensic practice, hence the importance of reminding the rules of good practice.
未注明
起草初始医疗证明（IMC）是一种无害的行为，但可能会使证明人承担责任。
目的
评估 IMC 的质量及其是否符合法律规定，并为起草职业事故证明制定良好的实践建议。
方法
在突尼斯法哈特·哈切德大学医院中心进行了一项基于医生在 12 个月期间完成的职业事故证明的流行病学、描述性和回顾性研究。
结果
在我们的研究中，共收集了 241 份证书。在 12%的病例中提到了患者身份证号码。几乎所有病例（99.6%）都记录了事故发生日期。所有病例都注明了认证日期。男性患者（p=0.015）、已婚患者（p≤10⁻³）和夜班工人（p=0.05）的永久性工作能力丧失天数的平均值明显更高，而医生的平均值明显更低（p≤10⁻³）。
结论
我们的研究表明，初始医疗证明起草的质量存在几个不足之处。这可能与医生在法医学实践中缺乏培训有关，因此提醒注意良好实践规则非常重要。
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