工伤保险是社会保险各险种中保障项目最多、待遇最优厚、情况最复杂的险种,在工伤认定、劳动能力鉴定及待遇给付的过程中,往往会遇到自身疾病与事故伤害相互掺杂的情形。为了鉴别自身疾病与事故伤害两者的关系,在具体工作中衍生出了疾病与工伤因果关系确认或鉴定工作(以下称因果关系确认)。因果关系确认工作在开展过程中,却在法律层面、操作层面和现实层面存在问题和争议,一直困扰着用人单位、工伤职工以及工伤保险从业者。 Work-related injury insurance is the most comprehensive, highest-paid and most complex insurance scheme in all kinds of social insurance. In the process of identification of work-related injuries, appraisal of labor ability, and payment of treatment benefits, work-accident insurance often encounters mutual doping of diseases and accidents . In order to identify the relationship between their own disease and accidental injury, in the specific work derived from the causal relationship between disease and work to confirm or identify the work (hereinafter referred to as causal relationship confirmed). Confirmation of causation in the process of carrying out the work, but at the legal level, operational and practical aspects of the existence of problems and controversies, has been plagued employers, workers injured workers and work-related injury insurance practitioners.