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目的探讨职业病诊断调查取证遇到问题的各种对策。方法通过分析近年来东莞市在职业病诊断过程调查取证中遇到的问题,提出应对建议。结果职业病诊断调查取证存在以下难点:如何进行职业接触史回顾性调查,职业卫生技术服务机构难以调查取证,工厂倒闭、搬迁后如何进行调查取证,怎么保证调查采样的公正、公平,急性职业中毒事件发生后如何进行调查取证等。结论建议修订《中华人民共和国职业病防治法》,加强职业卫生监督检查力度,对存在职业病危害因素的工厂企业应加强工作场所监测。
Objective To explore various countermeasures for the problems encountered in the investigation and evidence collection of occupational diseases. Methods By analyzing the problems encountered in the investigation and evidence collection of occupational diseases in Dongguan City in recent years, suggestions are put forward. Results There are some difficulties in the investigation and evidence collection of occupational diseases: how to conduct a retrospective survey of occupational exposure history, how to investigate and collect evidence from technical service agencies of occupational health and how to investigate and collect evidence after the relocation of factories and how to ensure a fair, equitable and acute occupational poisoning How to conduct investigation after the occurrence of evidence. Conclusion It is suggested that the Law of the People’s Republic of China on Prevention and Treatment of Occupational Diseases should be amended to strengthen the supervision and inspection of occupational health. Workplace monitoring should be strengthened for factories and enterprises that have occupational hazards.