Belotti L, Molinero G, Maccarana G, Mosconi G
USC Medicina del Lavoro Ospedali Riuniti di Bergamo, Italy.
G Ital Med Lav Ergon. 2012 Jul-Sep;34(3 Suppl):786-7.
Workers, former workers or unemployed workers with disabilities of various kinds often come to the Occupational Health Hospital Department (UOOML), requiring a report on their fitness for work that often is generic or not suitable for specific situations: a detailed knowledge of both working and health conditions, mainly disabilities and job items are needed. The UOOML was never directly involved in the proceedings of targeted fitting-up of the disabled people, while some Doctors of the Department of Prevention of ASL have an advisory role participating in the Technical Committee under Law 68 and the 'Disabled Commission'. INAIL (the National Insurance Institute for Occupational Accidents and Diseases), in case of allocation of percentages of disability higher than 33% (necessary requirement for the targeted employment) provides an assessment of the 'residual capacity'. The Company Occupational Physician cooperates and intervenes in the management of the employment of the disabled worker in very different ways and at several stages of the path of integration or reintegration. Considering the prolonged and effective cooperation among the Doctors of the UOOML and the Psysiatrists of our Hospital, we are developing a specific out-patients' department where a report on the fitness for job, as close as possible to the patient/work-task compliance, is provided to the disabled.
各类残疾工人、曾经的工人或失业残疾工人经常前往职业健康医院部门（UOOML），要求出具一份关于他们工作适应性的报告，而这份报告往往是通用的或不适用于特定情况：需要详细了解工作和健康状况，主要是残疾情况和工作项目。UOOML从未直接参与针对残疾人的定向适配程序，而当地卫生局预防部门的一些医生在根据第68号法律成立的技术委员会和“残疾人委员会”中发挥咨询作用。国家职业事故和疾病保险机构（INAIL）在残疾比例高于33%（定向就业的必要条件）的情况下，会对“剩余能力”进行评估。公司职业医生以非常不同的方式并在融入或重新融入过程的几个阶段参与残疾工人就业管理并进行干预。考虑到UOOML的医生与我们医院的精神科医生之间长期而有效的合作，我们正在设立一个特定的门诊部，为残疾人提供一份尽可能贴近患者/工作任务适配情况的工作适应性报告。
