https://doi.org/10.4081/mem.2017.512

Funamboli tra i dati sensibili: luci e ombre della normativa sulla tutela della privacy in tema di certificazione medica di malattia e medico-legale di invalidità previdenziale e assistenziale / Tightrope walkers among medical sensitive data: positive and negative aspects of the legislation concerning the protection of privacy regarding the medical certification of illness and the medical legal aspects of social security and disability assistance

V. 66 N. 5 (2017)
Ricevuto: dicembre 20, 2017
Accettato: dicembre 20, 2017
Pubblicato: dicembre 20, 2017
Privacy, previdenza sociale, invalidità civile / Privacy, social security, civil disability
Abstract Views: 518
PDF: 2
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Autori

Michele Sammicheli
michele.sammicheli@alice.it
Medici esterni convenzionati presso C.M.L. (Centro Medico Legale) INPS di Siena, Italy.
Marcella Scaglione
Medici esterni convenzionati presso C.M.L. (Centro Medico Legale) INPS di Siena, Italy.
Il contributo analizza le normative inerenti la tutela della privacy nelle certificazioni di malattia, nella certificazione medica introduttiva all'ottenimento dei benefici assistenziali e previdenziale e, infine, nei verbali medico legali conclusivi che vengono utilizzati negli ambiti dell'invalidità civile e previdenziale. Scopo del lavoro, oltre quello di ripercorrere, in maniera sintetica, l'evoluzione normativa e giurisprudenziale nell'ambito della tutela della privacy nel contesto della certificazione medica di malattia e medico legale ai fini di invalidità assistenziale e previdenziale, è quello di far emergere i passi avanti compiuti nel rispetto della riservatezza del dato sensibile medico. D'altro canto, al contempo, il lavoro si prefigge l'arduo compito di porre in rilievo alcuni coni d'ombra della vigente normativa, tutt'ora irrisolti, soprattutto nel merito di quali dati sensibili debbano essere considerati necessari e sufficienti al confezionamento del giudizio (la giustificabilità nel caso di assenza alla visita di controllo fiscale; la valutazione medicolegale nel caso dei verbali di invalidità civile e previdenziale), ma non eccedenti la necessità di riservatezza del paziente.
----------
The article analyses the legislation governing the protection of privacy regarding the medical certification of illnesses, medical certification allowing for social security and welfare benefits, and finally as regards legal medical records that are drawn up by appropriate commissions or individual medical examiners in the areas of legal disability and social security. The purpose of the work, in addition to synthetically reviewing legislative and legal development in the field of privacy protection in the context of the medical certification of illness and medical examinations for the purpose of social security assistance, is to highlight the progress made regarding the confidentiality of sensitive medical data. On the other hand, at the same time, the work is also intended to illustrate some grey areas of current legislation, which are still unresolved. In particular, the issue of how to define which sensitive data should be considered necessary and sufficient in order to arrive at a judgement (communication between a family doctor and social security institutions, justification in the case of absence during a tax inspection visit, medical assessment in the case of social security reports), but without breaching patient confidentiality.

Dimensions

Altmetric

PlumX Metrics

Downloads

I dati di download non sono ancora disponibili.

Citations

Crossref
Scopus
Google Scholar
Europe PMC

Come citare

Sammicheli, M., & Scaglione, M. (2017). Funamboli tra i dati sensibili: luci e ombre della normativa sulla tutela della privacy in tema di certificazione medica di malattia e medico-legale di invalidità previdenziale e assistenziale / Tightrope walkers among medical sensitive data: positive and negative aspects of the legislation concerning the protection of privacy regarding the medical certification of illness and the medical legal aspects of social security and disability assistance. Medicina E Morale, 66(5), 643–658. https://doi.org/10.4081/mem.2017.512

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.

An Open Access Publication is one that meets the following two conditions:

  1. the author(s) and copyright holder(s) grant(s) to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship, as well as the right to make small numbers of printed copies for their personal use.
  2. a complete version of the work and all supplemental materials, including a copy of the permission as stated above, in a suitable standard electronic format is deposited immediately upon initial publication in at least one online repository that is supported by an academic institution, scholarly society, government agency, or other well-established organization that seeks to enable open access, unrestricted distribution, interoperability, and long-term archiving.

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.