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Med. Pr. 2000;51(3)

Reasons for difficulties encountered in diagnosing and certifying occupational diseases reported by some regional centres of occupational medicine"

Przyczyny trudności diagnostyczno-orzeczniczych w patologii zawodowej w opinii wybranych wojewódzkich ośrodków medycyny pracy

E. Wągrowska-Koski, L. Dawydzik

Abstract

Observations about kinds of and reasons for difficulties encountered in diagnosing and certifying occupational diseases, made during the analysis of over 3,000 medical history files, were verified with the opinions of the personnel employed in the 14 selected regional centres of occupational medicine. The evaluation of the body of workers, the diagnostic basis, kinds of diagnostic and certification difficulties and their causes, the data on diagnosed occupational diseases, and appeals against certifications which negate the grounds for diagnosing occupational diseases were surveyed and the results presented. The results obtained indicate convergent causes of incorrect decisions taken by those involved in the Institute, and by directors of regional centres of occupational medicine. This provides the basis for developing measures aimed at eliminating the mistakes made in the process of diagnosing and certifying occupational diseases.