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Development of an Evidence-to-Decision Framework for Occupational Disease Compensation: A Delphi Study with
Hansoo Song1, Seok-Ju Yoo2, Kyungsu Kim3
1Department of Occupational and Environmental Medicine, Chosun University Hospital, Gwangju, Korea.
Objective:
To develop a structured evidence-to-decision (EtD) framework for occupational disease compensation that separates causal validity from socio-policy considerations.
Methods:
A three-round Delphi study was conducted with 18 of 20 invited occupational and environmental medicine experts, with 100% participation across all rounds. Round 1 generated 21 candidate criteria. After Round 2, 15 criteria were retained following evaluation using a predefined consensus threshold (Content Validity Ratio ≥0.44).
Results:
In Round 3, 14 criteria achieved consensus and were organized into two sequential tiers comprising four mandatory and five conditional scientific criteria, and three mandatory and two conditional socio-policy criteria.
Conclusions:
The proposed two-tier EtD framework enhances transparency and consistency in occupational disease compensation decision-making.
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