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目的分析龙岩市某县2012—2014年度申请尘肺病诊断证明材料的来源,为保障患者权益提供参考。方法对186例申请尘肺病诊断的证明材料来源、有效职业史年数与诊断结果进行分析。结果 186例尘肺病例中,持用人单位证明120例(64.5%),持劳动关系仲裁证明29例(15.6%),持法院判决书证明37例(19.9%);病人数逐年增多,持劳动关系证明和法院判决证明的比例也逐年增多。持法院判决书来就诊的被诊断为Ⅲ期的比例最高(45.9%);不同证明的职业史年数普遍较短。结论各种证明的有效职业史仅反映接尘作业工人职业生涯的一个阶段。对出具职业史很短的申请者,应对其自述职业史进行补充,并依据高千伏X线胸片的实际情况做出正确诊断,以保障劳动者权益。
Objective To analyze the source of pneumoconiosis diagnosis in 2012-2014 in a county of Longyan City and provide references for protecting patients’ rights and interests. Methods 186 cases of sources of evidence for the diagnosis of pneumoconiosis, the number of valid occupational history and diagnostic results were analyzed. Results Of the 186 pneumoconiosis cases, 120 cases (64.5%) were proved by the employer, 29 cases (15.6%) were evidenced by labor relations arbitration, and 37 cases (19.9%) were confirmed by the court judgment. The number of patients increased year by year with evidence of labor relations And the proportion of court judgments also increased year by year. The highest proportion (45.9%) of patients who were diagnosed with the court judgment came to the hospital for treatment. The number of different professional history records proved to be generally short. Conclusion Proof of valid occupational history only reflects one stage of the occupational career of dust-pick workers. For those applicants who have a short history of occupational history, they should supplement their self-reported occupational history and make the correct diagnosis based on the actual situation of the high-kV X-ray to protect the rights and interests of workers.