La malattia comune nei lavoratori agli albori di un cambiamento epocale: l'INPS quale gestore unico della malattia indennizzabile

Abstract

The article looks at the history of medical inspection visits in Italy, and describes in detail, the regulations that have been passed over the years relating to the management and control of common compensable illnesses: in the private sector, which has always been run by the National Institute for Social Security (INPS) which manages the system using its own listed occupational health physicians; and in the department of public administration which, until August 2017, saw management entrusted to the same public administrations with the help of medical staff from the Local Health Authority (so called Aziende Sanitarie Locali - ASL), who were operating in the capacity of official medical inspectors. As of 1 September 2017, in accordance with Legislative Decree No. 75 of 27 May 2017, the INPS will conduct all management and inspection of compensable common illnesses, in both the private and the public sectors. A nascent single official medical inspection center is thus taking its first insecure steps, against a backdrop of organizational uncertainties and the recognition of an increased workload for an entity which, for many years, has handled invalidity support in Italy.