Development of an Evidence-to-Decision Framework for Occupational Disease Compensation: A Delphi Study with Application to Farmers

초록

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. Copyright © 2026 American College of Occupational and Environmental Medicine.

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