论职业病再诊断  

On the re-diagnosis of occupational diseases

作　　者：胡世杰[1] HU Shijie(Guangdong Province Hospital for Occupational Disease Prevention and Treatment,Guangzhou,Guangdong 510300,China)

机构地区：[1]广东省职业病防治院,广东广州510300

出　　处：《中国职业医学》2024年第6期601-605,共5页China Occupational Medicine

基　　金：广东省自然科学基金(2021A1515010081)。

摘　　要：我国职业病诊断与鉴定制度设定了“一次诊断、两级鉴定”工作模式,省级鉴定为最终鉴定。职业病再诊断是指原职业病诊断或鉴定结论生效后,当事人依照规定再次向职业病诊断机构提请的职业病诊断;其是当事人的一种权利救济特殊程序,能更好地体现职业病诊断制度的公正性,更有利于保障当事人相关权益。我国职业病诊断制度未对启动职业病再诊断的条件作出具体规定,可以参照司法诉讼程序中再审的启动条件衡量确定职业病再诊断的启动条件。职业病再诊断“新的证据”,一是“形式”上的新,即提交的新证据材料属于职业病诊断、鉴定结束后新发现,或职业病诊断、鉴定期间未提交但不属于提交方当事人责任的材料;二是“实体”上的新,即提交的新证据材料经初步判断,能够改变原有的职业病诊断或鉴定生效结论。职业病再诊断的启动主体,应当首先考虑利益相关者,即劳动者与用人单位。现行职业病诊断制度中,相关规定仅仅在部门文件中出现关于职业病再诊断的内容,由于法律位阶不高,缺乏具体实施规定,实际过程中不易执行。有待国家在职业病诊断制度立法中实现职业病再诊断的实体与程序法制化,切实保障劳动者和用人单位正当权益。China's occupational disease diagnosis and identification system has the working mode of"one-time diagnosis,twolevel identification",with the provincial-level identification serving as the final judgment.The re-diagnosis of occupational disease refers to the re-application for an occupational disease diagnosis,which is submitted to the occupational disease diagnosis institution by the party,after the initial occupational disease diagnosis or identification has become effective.It is a special procedure for legal remedy that allows the party involved to better ensure the fairness of the occupational disease diagnosis and protect their rights.China's occupational disease diagnosis system has not specifically outlined the initiation conditions for initiating an occupational disease re-diagnosis.The conditions for initiating occupational disease re-diagnosis can be determined by referring to the initiation conditions of retrial in judicial litigation procedures.The"new evidence"for the rediagnosis of occupational disease includes:i)"formal"new evidence,meaning evidence discovered after the completion of the occupational disease diagnosis or identification,or evidence that was not submitted during the diagnosis or identification process but is not the responsibility of the party to submit it;ii)"substantial"new evidence,meaning evidence that,upon preliminary judgment,could change the original occupational disease diagnosis or identification conclusion.The initiating entities for occupational disease re-diagnosis should be considered firstly to stakeholders such as employees and employers.Occupational disease re-diagnosis of current occupational disease diagnosis system content is only listed in departmental document.Because of its low legal status and lack of specific implementation regulations,it is difficult to execute in practice.It is necessary for the country to legislate the entity and procedural legalization of occupational disease re-diagnosis within the occupational disease diagnosis system to effectively pro

关 键 词：职业病 再诊断 职业病诊断 权利救济 劳动者 用人单位 

分 类 号：R13[医药卫生—劳动卫生]