Outcome of the Compensation Process Initiated by an Occupational and Environmental Diseases Center
Main Article Content
Keywords
occupational disease, compensation, cancer, interstitial lung disease, medical and social support
Abstract
Background: Regional Centers for Occupational and Environmental Pathologies (CRPPE) are responsible for identifying possible occupational etiologies of pathologies. When an occupational origin is determined, an Initial Medical Certificate (IMC) is given to the patient to allow him to initiate a procedure for recognition as an occupational disease (OD) by his health insurance organization. Objectives: The main aim of this study was to investigate the outcome of occupational disease claims in patients who received an IMC delivered by the CRPPE of Lyon. Methods: A telephone interview was systematically conducted with patients who consulted the CRPPE for a claim for occupational disease recognition between 07/2020 and 06/2021, about six months after the consultation. It was conducted by a physician using a standardized questionnaire. Results: Out of 128 patients eligible for this study, 98 were included. Diseases of the respiratory system (34.7%) and cancers (28.6%) were the most common pathologies in our population. A process of OD compensation was initiated by 86 patients (87.8%). At the time of the study, the outcome was favorable for 63 patients (73.3%). Moreover, 18 patients (18.4%) wished for additional help from the CRPPE to carry out the procedures. Nine patients requested a new consultation, including five who still needed to complete the process. Conclusion: This study shows the benefit of a consultation by occupational disease consultants. However, difficulties still need to be solved in these procedures. Thus, the systematic follow-up of patients shows its advantages. The provision of support to carry out the process seems necessary.
References
2. International Labour Office (ILO). List of occupational diseases (2010). Occupational Safety and Health Series; 74.82p. Available on: https://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/---safework/documents/publication/wcms_150323.pdf. [Last Accessed March 20, 2023]
3. Kim EA, Kang SK. Historical review of the List of Occupational Diseases recommended by the International La-bour organization (ILO). Ann Occup Environ Med. 2013;25:14. Doi: https://doi.org/10.1186/2052-4374-25-14
4. Article L461-1 – Code de la sécurité sociale - Légifrance [Internet]. Available on: https://www.legifrance.gouv.fr/codes/article_lc/LEGIARTI000036393217 [Last Accessed 22-01-2023]
5. Barlet B, Prete G (2021). The under-recognition of occupational diseases in France. Bibliographical review of so-cial science and public health works (1990-2020). Research report, CRD Anses/Inserm (IRIS) (in French). Available on: https://www.anses.fr/fr/system/files/Rapport-IRIS_INSERM2021.pdf. [Last Accessed 20-03-2023]
6. Marchand A (2018). Recognition and concealment of occupational cancers: the right to compensation challenged by practice (Seine-Saint-Denis). Doctoral Thesis, University of Paris-Saclay (in French). Available on: https://www.theses.fr/2018SACLE005 [Last Accessed 31-08-2022]
7. Viau A, Arnaud S, Ferrer S, et al. Factors associated with physicians' under-reporting of asbestos-related bron-chopulmonary cancers. Telephone survey conducted among general practitioners and pulmonologists randomly selected in the French region of Provence-Alpes-Côte-d’Azur. Rev Prat. 2008;58:9‑16.
8. Gehanno JF, Bulat P, Martinez-Jarreta B, et al. Undergraduate teaching of occupational medicine in European schools of medicine. Int Arch Occup Environ Health. 2014;87(4):397-401. Doi: 10.1007/s00420-013-0878-5
9. Arnaud S, Cabut S, Viau A, et al. Different reporting patterns for occupational diseases among physicians: a study of French general practitioners, pulmonologists and rheumatologists. Int Arch Occup Environ Health. 2010; 83:251‑8. Doi: https://doi.org/10.1007/s00420-009-0457-y
10. Saliba ML, Iarmarcovai G, Souville M, et al. Physicians and occupational health: a qualitative study in south-eastern France. Rev Epidemiol Sante Publique. 2007;55:376‑81. Doi: https://doi.org/10.1016/j.respe.2007.07.002
11. Counil É, Henry E. Producing ignorance rather than knowledge. Expertise in occupational health. Travail et em-ploi. 2016;148:5‑29. Doi: https://doi.org/10.4000/travailemploi.7347
12. Gilg Soit Ilg A, Ducamp S, Grange D, Audignon S, et al. National Pleural Mesothelioma Surveillance Programme (PNSM): twenty years of monitoring cases, their exposures and their medico-social compensation (France, 1998-2017). Bull Epidémio Hebd. 2020;12:234-43. Available on: http://beh.santepubliquefrance.fr/beh/2020/12/2020_12_1.html
13. Direction générale de l’offre de soins (2019) F10: Regional Centers for Occupational and Environmental Pa-thologies (CRPPE) (in French). Available on: https://solidarites-sante.gouv.fr/IMG/pdf/fiche_mig_f10_crppe.pdf [Last Accessed 31-08-2022]
14. Chapitre IX : Centres régionaux de pathologies professionnelles et environnementales (Articles R1339-1 à R1339-4) (2019) Légifrance [Internet]. Available on: https://www.legifrance.gouv.fr/codes/section_lc/LEGITEXT000006072665/LEGISCTA000039426527/#LEGISCTA000039426527 [Last Accessed 31-08-2022]
15. Arrêté du 16 février 2021 relatif aux centres régionaux de pathologies professionnelles et environnementales. Available on: https://www.legifrance.gouv.fr/jorf/id/JORFTEXT000043173393 [Last Accessed 13-04-2023]
16. Gisquet E, Chamming’s S, Pairon JC, et al. The determinants of under-reporting occupational diseases. The case of mesothelioma. Rev Epidemiol Sante Publique. 2011;59:393‑400. Doi: https://doi.org/10.1016/j.respe.2011.06.006
17. Thébaud-Mony A. Building the visibility of occupational cancers. An ongoing survey in Seine-Saint-Denis. Revue française des affaires sociales. 2008 ;237‑54. https://doi.org/10.3917/rfas.082.0237
18. Brisacier AC, Thébaud-Mony A, Lazarus A. Physicians’ contribution to the reporting and recognition of work-related cancers in France. Doctoral Thesis, University of Paris 6 (in French). 2008.
19. Bensefa-Colas L, Choudat D. Reconnaissance et réparation des maladies professionnelles en France. EMC - Pa-thologie professionnelle et de l’environnement. 2019; 14 :1-12. https://dx.doi.org/10.1016/S1877-7856(18)88532-4
20. Assurance Maladie - Risques professionnels (2021) Annual report 2020 of the Assurance Maladie. Occupational risks. Caisse nationale de l’Assurance Maladie, Paris. Available on line at: https://assurance-maladie.ameli.fr/sites/default/files/rapport_annuel_2020_de_lassurance_maladie_-_risques_professionnels_decembre_2021_0.pdf [Last Accessed 10-03-2023]
21. Carlier S, Nasser M, Fort E, et al. Role of the occupational disease consultant in the multidisciplinary discussion of interstitial lung diseases. Respir Res. 2022;23:332. Doi: https://doi.org/10.1186/s12931-022-02257-6
22. Varin M, Charbotel B, Perol O, et al. Propoumon project: implementation and evaluation of a systematic search for the occupational origin of bronchopulmonary cancers: validation of a self-questionnaire for identifying occupa-tional exposure. Arch Mal Prof Environ. 2016;77:505. Doi: https://doi.org/10.1016/j.admp.2016.03.348
23. Pérol O, Charbotel B, Perrier L, et al. Systematic Screening for Occupational Exposures in Lung Cancer Patients: A Prospective French Cohort. Int J Environ Res Public Health. 2018;15:65. Doi: https://doi.org/10.3390/ijerph15010065
24. Eurogip (2018) Occupational cancer incidence and detection of occupational cancers in nine European coun-tries. Available on line at: https://www.eurogip.fr/images/documents/5125/Eurogip-141F-Sinistralite-Reperage_cancers_professionnels_Europe.pdf. [Last Accessed on 06-09-2022]
25. Britel M, Pérol O, Blois Da Conceiçao S, et al. Motivations and obstacles to occupational disease claims in lung cancer patients: an exploratory psychosocial study. Sante Publique. 2017;29:569‑78. Doi: https://doi.org/10.3917/spub.174.0569
26. Benavides FG, Ramada JM, Ubalde-López M, et al. A hospital occupational diseases unit: an experience to in-crease the recognition of occupational disease. Med Lav. 2019;110:278‑84. Doi: https://doi.org/10.23749/mdl.v110i4.8138
27. De Lamberterie, G, Maître A, Goux S, et al. How do we reduce the under-reporting of occupational primary lung cancer. Rev Mal Respir. 2002;19:190-5.
28. Audureau E, Karmaly M, Daigurande C, et al. Bladder cancer and occupation: a descriptive analysis in Haute Normandie in 2003. Prog Urol. 2007;17:213–8. Doi: https://doi.org/10.1016/s1166-7087(07)92266-6
29. Legrand Cattan K, Chouaïd C, Monnet I, et al. Evaluation of occupational exposures in lung cancer. Rev Mal Respir. 2020;17:957–62.
30. Grignoux J, Lodde B, Dewitte JD, et al. Better screening for work-related cancers: The experience of Brest Univer-sity Hospital Occupational Disease Center inpatient service. Arch Mal Prof Environ. 2020;81:726. Doi: https://doi.org/10.1016/j.admp.2020.03.770
31. Blum le Coat JY, Pascual M (2017). The difficult recognition of the occupational character of mental health dam-ages. Perspectives interdisciplinaires sur le travail et la santé. 19-1: https://doi.org/10.4000/pistes.4922. Avail-able on line at: http://journals.openedition.org/pistes/4922 [Last Accessed 10-03-2023]
Article Sidebar
Article Details
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reproductions with commercial intent will require written permission and payment of royalties.
This work is licensed under a CC BY-NC-SA 4.0 Creative Commons Attribution-NonCommercial ShareAlike 4.0 International License.
Mathilde Scherer, CRPPE-Lyon, Centre Régional de Pathologies Professionnelles et Environnementales de Lyon, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, 69495 Pierre Bénite, France
CRPPE-Lyon, Centre Régional de Pathologies Professionnelles et Environnementales de Lyon, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, 69495 Pierre Bénite, France
Université de Lyon, Université Lyon 1, Université Gustave Eiffel—Ifsttar, Umrestte, UMR T 9405, Domaine Rockefeller, 8 Avenue Rockefeller, 69008 Lyon, France
How to Cite
