Dewitte J D, Chan-Yeung M, Malo J L
Dept of Chest Medicine, Hôpital du Sacré-Coeur, Montreal, Canada.
Eur Respir J. 1994 May;7(5):969-80.
The medicolegal aspects (primary prevention, secondary prevention or surveillance) and the system of compensation (tertiary prevention) for occupational asthma are reviewed in this article. Due to the significant medical, medicolegal, social and financial consequences, it is of the utmost importance that the diagnosis of occupational asthma be proved by objective means, whenever feasible. Compensation for temporary and permanent disability/impairment should be offered to workers. Attempts to retain subjects rapidly and efficiently are preferable, as occupational asthma generally affects young workers. The evaluation of permanent asthma and the awarding of relative permanent disability compensation should be effected 2 yrs after exposure to the causative agent has ended, as asthma generally persists even after exposure to the causative agent ceases. A tabulated review of prevailing medicolegal compensation systems in various countries is presented. Data on an evaluative assessment of the Quebec system of compensation are included.
本文回顾了职业性哮喘的法医学方面（一级预防、二级预防或监测）以及赔偿体系（三级预防）。鉴于职业性哮喘会带来重大的医学、法医学、社会和经济后果，只要可行，通过客观手段证实职业性哮喘的诊断极为重要。应向工人提供临时和永久残疾/损伤赔偿。鉴于职业性哮喘通常影响年轻工人，最好尽快有效地留住患病个体。对于永久性哮喘的评估以及相对永久性残疾赔偿的授予应在接触致病因素结束2年后进行，因为即使接触致病因素停止，哮喘通常仍会持续。本文还列出了各国现行法医学赔偿体系的综述。其中包括对魁北克赔偿体系评估的相关数据。
