Il concetto medico legale di lavoro usurante in ambito previdenziale: corretta applicabilità nella pratica valutativa presso i Centri Medico Legali (CML) INPS.

Abstract

[The medico-legal concept of «arduous work» in the social security medicine and its proper application in evaluation practices among the medico-legal departments (CML) of the Italian national welfare institute (INPS)] Some work categories are considered difficult for the effort they need, thus requiring a specific categorization. These work categories are defined as “arduous”. The article describes the recognition for certain job categories of the arduous status in the evaluation practice among the medico legal departments (Centri Medico Legali – CML) of the Italian national welfare institute (Istituto Nazionale della Previdenza Sociale – INPS). Frequently, the adjective “arduous” is attributed to work categories that are not defined in that way by the physicians of the INPS Institute, by the family doctors who draw up the medico legal certificates (the so called “SS3” certificates) and by the doctors who work at the so called “Patronato”, an Italian social organization which offers medical and legal services to all citizens. The article aims to define the working activities for which it is suitable to use the categorization “arduous” and highlight at the same time those work categories for which such a categorization is not always applicable. This research describes some cases observed by our medico legal department of the incorrect use of the categorization “arduous” for work activities that should not be considered as such. The purpose of the article is to provide a short guide to family doctors and physicians who work at “Patronato” on how to properly categorize a work as “arduous” in the context of the social security medicine.