SI "Institute for Occupational Health of NAMS of Ukraine", Kyiv
Introduction. In the period of health care system reform in Ukraine the integration of its main provisions to European standards is very important. The systems of recognition and compensation of occupational diseases are different in different countries. Studying of experience of occupational safety and health in the developed countries is useful to occupational health workers in Ukraine.
Purpose. Studying and assessment of the basic principles and provisions of recognition and compensation system of occupational diseases in France.
Material and methods. The presented materials are result of analysis of legislative and the regulations documents, regulating system of recognition of occupational diseases in France.
Results. The main principles and regulations of recognition and compensation system of occupational diseases in France and also the list of occupational diseases in the industry are presented in this article. Author give clinical, legal and administrative aspects of this system and focus attention on presumption of occupational origin, declaration of occupational disease by patients, mechanism of recognition of occupational diseases, cooperation of occupational health service with social insurance institutions. Schemes of principal and additional systems of occupational diseases recognition in France and also features of recognitions of acute and chronic diseases are described.
Conclusion. Occupational diseases in France are compensated by the state, thus working employees of both the state, and private enterprises have access to occupational health services. Approach to recognition of occupational diseases in France more strict in comparison with the Ukrainian system from the point of view of clinical manifestations which are confirmed by objective clinical, functional and laboratory methods of examination. Unlike Ukraine in the French system the post-exposition periods for each occupational disease are accurately defined.
Key words: occupational diseases, social insurance, criteria of diagnostics, legislation