Dahl S, Jepsen J R
Arbejdsmedicinsk afdeling, Sydjysk Universitetscenter, Esbjerg.
Ugeskr Laeger. 1994 May 9;156(19):2902-7.
The present study sought to examine the health-related, work-related, social and economic consequences of occupational disorders. The survey included 503 patients and was undertaken approximately five years after the disease was notified to the Registry of Occupational Diseases (Danish Working Environment services). The response rate was 80% with women accounting for 56% of the responding group. The mean age was 39.5 years. More than half of all respondents were unskilled workers. White-collar workers and civil servants constituted 14%. Musculo-skeletal disorders were the most frequently diagnosed condition. Forty percent of the occupational diseases were reported in the year in which symptoms arose, while 21% of the patients had been symptomatic for more than six years before the disease was notified. The study indicates that many patients' occupational diseases caused them significant social and medical consequences. During their often protracted illnesses, patients underwent numerous medical examinations and additionally contacted several agencies other than health care providers. Economic consequences for the patient were considerable: reduced earning capacity and expenses were only partially offset by the workers' compensation system. The impact on the health care system was also considerable: occupational disease sufferers averaged one week of hospitalization and 18 visits to a general practitioner or specialist.
本研究旨在调查职业性疾病在健康、工作、社会和经济方面的后果。该调查涵盖了503名患者,调查开展时间距疾病通报给职业病登记处(丹麦工作环境服务机构)约五年。回复率为80%,女性占回复组的56%。平均年龄为39.5岁。所有受访者中一半以上是非技术工人。白领和公务员占14%。肌肉骨骼疾病是最常诊断出的病症。40%的职业病在出现症状的当年报告,而21%的患者在疾病通报前已出现症状超过六年。该研究表明,许多患者的职业病给他们带来了重大的社会和医疗后果。在他们通常漫长的患病期间,患者接受了多次医学检查,此外还联系了医疗保健机构以外的几个机构。对患者的经济影响相当大:收入能力下降,费用仅部分由工伤赔偿系统抵消。对医疗保健系统的影响也相当大:职业病患者平均住院一周,看全科医生或专科医生18次。