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.
Song et al. (Tue,) studied this question.