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[临时残疾及其法律影响]

[Temporary disability and its legal implications].

作者信息

Martin-Fumadó Carles, Martí Amengual Gabriel, Puig Bausili Lluïsa, Arimany-Manso Josep

机构信息

Instituto de Medicina Legal de Cataluña. Departamento de Justicia. Barcelona. España.

Unidad de Medicina Legal y Forense. Departamento de Salud Pública. Facultad de Medicina. Universitat de Barcelona. Barcelona. España; Unidad Docente MIR de Medicina del Trabajo. Universitat de Barcelona. Barcelona. España.

出版信息

Med Clin (Barc). 2014 Mar;142 Suppl 2:37-42. doi: 10.1016/S0025-7753(14)70070-3.

Abstract

Temporary disability is the condition that workers face when, as the result of illness (common or professional) or accident (work-related or not), they are temporarily prevented from performing their work and require health care. The management of temporary disability is a medical act that involves (in addition to a complex clinical assessment) obvious social, occupational and financial connotations and requires continuing medical follow-up from doctors, as well as responses to medical-legal conflicts. The regulatory framework on the subject is extensive in the Spanish setting and highly diverse in the European setting. Beyond the regulatory framework, the repercussions of temporary disability are self-evident at all levels. Although determining temporary disability is a common medical act for practicing physicians, it is not exempt from risks or difficulties arising from the assessment itself and the characteristics of practicing medical care. Established medical-legal conflicts include the processing of health data and the requirements for transferring information related to workers' temporary disability to their company's medical services. The interest and usefulness demonstrated by the data obtained from forensic medicine for public health require the incorporation of these data into general healthcare information, as it could be essential to the surveillance of worker health. The recommendations established by medical societies, as good practice guidelines, are especially useful in this type of conflict.

摘要

临时残疾是指工人由于疾病(普通疾病或职业病)或事故(与工作相关或无关)而暂时无法工作并需要医疗护理时所面临的状况。临时残疾的管理是一项医疗行为,除了复杂的临床评估外,还涉及明显的社会、职业和财务内涵,需要医生持续的医学随访,以及应对医疗法律冲突。在西班牙,关于这一主题的监管框架广泛,在欧洲则高度多样化。除了监管框架外,临时残疾在各个层面的影响都不言而喻。尽管确定临时残疾对执业医生来说是一项常见的医疗行为,但它也难免会面临评估本身以及医疗实践特点所带来的风险和困难。既定的医疗法律冲突包括健康数据的处理,以及将与工人临时残疾相关的信息转移到其公司医疗服务部门的要求。法医学所获得的数据对公共卫生显示出的相关性和实用性,要求将这些数据纳入一般医疗保健信息中,因为这对于监测工人健康可能至关重要。医学协会制定的建议作为良好实践指南,在这类冲突中特别有用。

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