Scaglione Marcella, Agate Vita Maria, Sammicheli Michele
Medico specialista in medicina legale, medico convenzionato esterni presso il Centro Medico Legale (CML) INPS di Siena.
Medico specialista in nefrologia, dirigente medico responsabile dell'UO di Nefrologia e Dialisi dell'ospedale di Barga - Val del Serchio (LU).
G Ital Nefrol. 2019 Apr;36(2).
After a quick description of the anatomopathology and physiopathology of renal failure, the Authors delve into the problem of assessing its medicolegal aspects in the fields of civil invalidity and social security. In Italy, civil invalidity involves protecting the psychological and physical welfare of the disabled, as sanctioned by law 118 of 1971; this law protects all citizens with a debilitating condition, including those who do not work or are not of working age. A disabled person is someone who, if of working age (between 18 and retirement) has a reduction of more than ⅓ (34%) of their general work capacity; if under or over the retirement age, they have a persistent difficulty in carrying out age-appropriate functions and tasks. In support of an application for being awarded civil invalidity, people can also refer to law no. 104 of 1992, which assesses social, relational and work disadvantages of a disabled person. INPS (Italian Social Security Institute) protection, on the other hand, is a social security protection based on health requirements (having a capacity for work which is reduced by more than ⅓, as established by law no. 222 of 1984), as well as on the following administrative requirement: having paid, as a worker, at least 260 weekly contributions, equivalent to five years of contribution and insurance, of which 156, equal to three years of contribution and insurance, were made in the five-year period preceding the date of submitting the application. If this is the case, the protected person, thus insured, can enjoy protection for their illness by virtue of the stipulations for social security.
在对肾衰竭的解剖病理学和生理病理学进行简要描述之后,作者深入探讨了在民事残疾和社会保障领域评估其法医学方面问题。在意大利,民事残疾涉及保护残疾人的心理和身体福利,这在1971年第118号法律中有规定;该法律保护所有患有使人衰弱疾病的公民,包括那些没有工作或未达到工作年龄的人。残疾人是指,如果处于工作年龄(18岁至退休年龄之间),其一般工作能力降低超过三分之一(34%);如果低于或超过退休年龄,他们在执行适合其年龄的功能和任务方面持续存在困难。为了支持授予民事残疾的申请,人们还可以参考1992年第104号法律,该法律评估残疾人的社会、人际关系和工作方面的不利因素。另一方面,意大利国家社会保障局(INPS)的保护是一种基于健康要求(工作能力降低超过三分之一,如1984年第222号法律所规定)以及以下行政要求提供的社会保障保护:作为工人,至少缴纳了260周的保险费,相当于五年的缴费和保险,其中156周,相当于三年的缴费和保险,是在提交申请之日前的五年内缴纳的。如果是这种情况,受保护的人,即被保险人,可以根据社会保障规定享受其疾病的保护。