title: [Expert statement and assessment of medical impairment in work-related pulmonary disease].
abstract: The Norwegian Societies of Thoracic Medicine and Occupational Medicine established a working group to standardise diagnostic procedures and evaluation of work-related respiratory disorders. In cases of suspected work-related diseases the physician may be asked by the National Insurance Administration or an insurance company to make a statement which will be one of the documents used to decide the patient's right to compensation benefit. We discuss the role of the physician as an independent expert. This is different from his role as clinician. The statement should include a balanced presentation of information from different sources, including health and occupational history, and the employer's information about the work environment (quantitative and qualitative exposure data). The statement must also include the results of a clinical examination and an assessment of functional status based on objective tests. The paper contains recommendations for evaluation of permanent impairment in light of the present Norwegian laws and regulations.
authors.affiliation: Lungeavdelingen, Rikshospitalet, Olso.
authors.forename: J
authors.initials: J
authors.lastname: Kongerud
authors.forename: K I
authors.initials: KI
authors.lastname: Myhre
authors.forename: O A
authors.initials: OA
authors.lastname: Hauge
authors.forename: H
authors.initials: H
authors.lastname: Kjuus
authors.forename: E
authors.initials: E
authors.lastname: Melbostad
authors.forename: T B
authors.initials: TB
authors.lastname: Aasen
mesh_terms: D000395:Air Pollutants, Occupational / Q000009:adverse effects*; D004185:Disability Evaluation; D005104:Expert Testimony; D006801:Humans; D007345:Insurance Claim Review; D008171:Lung Diseases / Q000175:diagnosis* / Q000209:etiology; D009664:Norway; D009784:Occupational Diseases / Q000175:diagnosis* / Q000209:etiology; D010819:Physician's Role; D012016:Reference Values
chemical_list: D000395:Air Pollutants, Occupational
vernacular_title: Spesialisterklaeringen og fastsettelse av medisinsk invaliditet ved yrkesrelaterte lungesykdommer.