Solari F, Guerri A, Deamici M G, Todaro A
Servizio di Medicina del Lavoro SEA, Aeroporti Milano Linate e Malpensa.
G Ital Med Lav Ergon. 2007 Jul-Sep;29(3 Suppl):797-8.
The main purpose of the medical surveillance, in conformity with the Italian D.L. 626/94, is the formulation of ability judgements. The above-mentioned D.L. 626/94 gives the workers the possibility to file a petition versus the judgement itself addressing it to the ASL concerned. The aim of the present work is to report experiences made with the occupational health service as for versus appeals. About 2000 examinations a year are carried out at our occupational health service and the concerned judgements are pronounced. 29 versus appeal have been forwarded between 2002 and half 2007. The ASL decision has been favourable to the "competent" doctor judgement in 21 cases, and adverse in 8. Most appeals concerned osteoarticular problems. Finally some remarks are made about the necessity of improving the cooperation between "competent" physicians and supervision national health services.
根据意大利第626/94号法令，医学监测的主要目的是做出能力判断。上述第626/94号法令赋予工人向相关地方卫生机构（ASL）就该判断本身提出申诉的可能性。本研究的目的是报告职业健康服务部门在应对上诉方面的经验。我们的职业健康服务部门每年进行约2000次检查并做出相关判断。在2002年至2007年上半年期间，共收到29份上诉。地方卫生机构（ASL）的决定在21起案件中支持了“主管”医生的判断，在8起案件中则相反。大多数上诉涉及骨关节问题。最后，就改善“主管”医生与国家卫生监督服务部门之间的合作的必要性发表了一些看法。
