公害健康被害補償制度における問題点

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We have mentioned the problems with the Law Concerning Compensation for Health Damaged by Public Hazards.This system makes it the point to pay compensations to patients in accordance with the degree of impairment.We have studied some problems that should be solved by actually examining the degree of impairment of the patients.Where the medical certificate on the symptoms of the respiratory system issued by a physician in charge is concerned, the rate of agreement between the control classification submitted by the physician in charge and the degree of impairment decided by the examination council differs greatly from one physician to another.Particularly, there are some physicians who show an extremely poor rate of agreement.These facts indicate that the diagnosis of a physicians is greatly influenced by physicians way of understanding the standard rather than by the influence of complications and other reasons.We think it necessary to take some measures to improve such a situation in the future.Referring to the examination on the respiratory function, in the case of asthma in the young age group, even with patients showing an index of 70 or more which corresponds to the “outside class” according to existing standard, many are actually receiving the medical treatment for that disease.In this age group, none comes under this standard unless the examination is performed during the attack, and thus, there is a need to ease the restriction by creating a standard by age.In the advanced age group, meanwhile, there are many patients in whom the index is 35 or less but the partial pressure of oxygen in the arterial blood is good.This suggests that this index is influenced by complications and the situation in which the measurement is made.We wonder if it is not better in this age group to expand further the scope of subjects for the examination on arterial blood (at present, those with the index of 35 or less) and to use this examination in making a decision over a wider scope of ranking.
日本衛生学会の論文

公害健康被害補償制度における問題点

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