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Tytuł:
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The Strategy of Evaluation Automatism for Disability Assessment: A Pragmatic Choice to Simplify the Decision-making Process in the Italian Welfare System.
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Autorzy:
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Consolazio G; INPS doctor, Istituto Nazionale della Previdenza Sociale/National Social Security Institute (INPS), Centro Medico Legale/Legal Medical Center, Iglesias, South Sardinia, Italy.
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Źródło:
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Journal of law and medicine [J Law Med] 2021 Mar; Vol. 28 (2), pp. 521-536.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: North Ryde, Australia : Law Book Co., [1993-
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MeSH Terms:
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Disability Evaluation*
Disabled Persons*
Automatism ; Humans ; Italy ; Social Security
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Contributed Indexing:
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Keywords: civil invalidity; disability; disability assessment; evaluation automatism; impairment; quantification of disease severity
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Entry Date(s):
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Date Created: 20210326 Date Completed: 20210329 Latest Revision: 20210329
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Update Code:
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20221213
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PMID:
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33768756
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The first instance assessment of all disability sectors in Italy takes place in most parts of the country in two stages. The first step is the applicant's examination and judgment performed by the Local Health Authority (ASL). The second phase is the verification of the National Social Security Institute (INPS) on the ASL report, which ends with its confirmation or suspension and repetition. Disability examination strategies can fluctuate between the evaluation automatism and the personalised approach. Evaluation automatism implies a necessary and shared prediction of the judgment due to a specific diagnosis. The personalised approach favours a rigorously individualised, unrepeatable assessment, specifically adapted to the case examined. In both perspectives, the criteria for defining disability belong to a medical model that measures the disease-related impairment. The degree of sharing of judgments between ASL and INPS can often imply and express the contribution of the evaluation automatism to the procedure.
Competing Interests: None.