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[目的]探讨北京市某区职业病鉴定的现状,分析存在的问题并提出对策。[方法]收集2015年1月1日至2015年12月30日北京市某区职业病鉴定病例资料,并进行分析。[结果]该区2015年度共受理完成职业病鉴定23例,鉴定病种中有87.0%为煤工尘肺,鉴定结论与原诊断结论不符合率为35.0%,有5例提出再次鉴定,终级鉴定结论与首次鉴定结论完全一致,符合率达100%。[结论]应采取综合措施预防职业病发生,提高诊断医师水平,加强管理,杜绝各种不规范行为,以解决职业病鉴定工作面临的困境。
[Objective] To investigate the status of occupational disease in a certain area of Beijing, analyze the existing problems and propose countermeasures. [Method] The data of occupational diseases identified in a certain area of Beijing from January 1, 2015 to December 30, 2015 were collected and analyzed. [Results] Totally 23 cases of occupational diseases were identified in the district in 2015, 87.0% of the identified cases were coal worker’s pneumoconiosis, the coincidence rate was 35.0% between the identification conclusion and the original diagnosis conclusion, and 5 cases were re-identified and finally identified Conclusions and the first identification of the same conclusion, in line with the rate of 100%. [Conclusion] Comprehensive measures should be taken to prevent the occurrence of occupational diseases, improve the level of diagnosticians, strengthen management and eliminate all kinds of non-standard behaviors in order to solve the predicament facing the identification of occupational diseases.