An expert system for the evaluation of historical asbestos exposure as diagnostic criterion in asbestos-related diseases

被引:36
作者
Burdorf, A [1 ]
Swuste, P
机构
[1] Erasmus Univ, Dept Publ Hlth, NL-3000 DR Rotterdam, Netherlands
[2] Delft Univ Technol, Safety Sci Grp, Delft, Netherlands
关键词
asbestos; compensation; job-history;
D O I
10.1016/S0003-4878(98)00074-X
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];
摘要
Compensation schemes for asbestos-related diseases have developed different strategies for attributing a specific disease to occupational exposure to asbestos in the past. In the absence of quantitative exposure information that allows a valid estimate of an individual's historical exposure, general guidelines are required to retrospectively evaluate asbestos exposure. A risk matrix has been del eloped that contains qualitative information on the proportion of workers exposed and the level of exposure in particular industries over time. Based on this risk matrix, stepwise decision trees were formulated for decisions regarding the decisive role of historical asbestos exposure in case ascertainment of asbestosis and mesothelioma. Application of decision schemes will serve to speed up the process of verifying compensation claims and also contribute to a uniform decision-making process in legal procedures. (C) 1999 British Occupational Hygiene Society. Published by Elsevier Science Ltd.
引用
收藏
页码:57 / 66
页数:10
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