Inequities in occupational diseases recognition in France
In France, complex cases of occupational disease (OD) are submitted to regional committees who are in charge of accepting, or rejecting, the claim. Their mean annual acceptance rate varies from one region to another, which may reflect differences in the cases, or discrepancies between committees. Th...
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| Published in: | Revue d'épidémiologie et de santé publique 2019-07, Vol.67 (4), p.247-252 |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | eng |
| Subjects: | |
| Online Access: | Get full text |
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| Summary: | In France, complex cases of occupational disease (OD) are submitted to regional committees who are in charge of accepting, or rejecting, the claim. Their mean annual acceptance rate varies from one region to another, which may reflect differences in the cases, or discrepancies between committees. The objective of this study was to assess the comparability of the decisions of the committees on the basis of standardized cases.
Three experienced occupational physicians specialized in OD were asked to develop 28 clinical cases representative of claims for compensation usually seen in these committees. The cases, in the form of short vignettes, were submitted to the 18 French regional committees, asking if they would recognise each case as an OD.
All committees participated. The acceptance rate (recognition of the case as an OD) varied, ranging from 18% to 70%. All the committees took the same decision for only 7 out of the 28 cases, but half accepted and half refused for 3 cases. For 10 cases, one quarter of the committees gave a decision different than the other 75%. The highest discordance rates were observed for the cases concerning musculoskeletal disorders and asbestos related diseases.
The committees take very different decisions in terms of recognition of OD, especially for the most frequently compensated OD in France, i.e. musculoskeletal disorders and asbestos related diseases. This is a major source of injustice for the employees who seek compensation and there is a need to develop methods to harmonize decisions between committees.
En France, les demandes de reconnaissance en maladie professionnelle sortant du système des tableaux sont soumises à des comités régionaux qui doivent statuer sur l’acceptation ou le rejet de la reconnaissance. Le taux moyen de reconnaissance varie d’une région à l’autre, ce qui peut refléter des dossiers différents ou des variations entre les comités. L’objectif de cette étude était de comparer les décisions de ces comités sur la base de dossiers standardisés.
Trois spécialistes de pathologie professionnelle ont développé 28 cas cliniques représentatifs des dossiers examinés habituellement par ces comités. Les cas, sous la forme de courtes vignettes, ont été soumis aux 18 comités régionaux de reconnaissance des maladies professionnelles pour connaître leur décision sur chacun d’entre eux.
Tous les comités ont participé. Le taux de reconnaissance (acceptation du caractère professionnel de la maladie) variait de 18 % à 70 % |
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| ISSN: | 0398-7620 1773-0627 |