THE QUALIFIED OCCUPATIONAL DERMATOLOGICAL COUNSELING PROCEDURE AS PREPARATION FOR THE OCCUPATIONAL ILLNESS PROCEDURE

To prevent and document the occupationally induced dermatology disease s as well as quick clarification of the actual situation and cost achi evement in the occupational doctor's procedure, an occupational illnes s procedure similar to the accident doctor's procedure is desirable. T he pilot project ''model for a qualified occupational illness counseli ng procedure as preparation for the occupational illness procedure'' h as clearly proven that such a procedure can reduce the amount of exper ts opinions. With the timely introduction of preventive measures, the appearance of compensatory occupational illnesses can be prevented. In this pilot project, 33 patients were exposed and questioned according to an occupational illness catalog (''Model of a qualified occupation al dermatologic counseling procedure''), which is presented here. Fift y cases were also reworked according to the older procedure, where dia gnoses according to the dermatologist review, occupational illness rep ort, expert opinion, and the decision of the state-trade-doctor vary i mmensely. The state-trade-doctor often requires the experts opinion du e to a lack of information in the dermatologists review and the occupa tional illness report from which an insurance and medically sound deci sion is not possible. In the new procedure, however the state-trade-do ctor was able to make a decision according to the counseling doctor's report in all but one of the 33 cases. The same is true for the questi on of the occupational relevance.