Resumo

KORTA MURUA, Iñaki. Reflexiones sobre la incapacidad y aptitud laboral. Nuevas sinergias entre medicina evaluadora y medicina laboral. Historia clínica laboral única: la incapacidad laboral, un continuo evolutivo. Med. segur. trab. [online]. 2014, vol.60, suppl.1, pp.131-141. ISSN 1989-7790.

Given that a large part of the activity of the National Institute of Social Security's (INSS) medical evaluators is closely linked to or even based on the relationship between active employees and their general and specific working conditions, it is striking that there is no standardised mechanism for communication with specialists in Occupational Medicine from the Risk Prevention Services whose activities are specifically focussed on workers and their working conditions. It is claimed that those agents of evaluative or preventive medicine or medical care who are responsible for making decisions about the psychological and physical condition of a person and their working conditions should have all of the necessary information about both, to ensure that their decisions are based on reality and are therefore fairer. The Risk Prevention Service's Occupational Physicians are the specialists with the information about working conditions and are the people who are best equipped to interpret it. The information about these conditions should be shared by Occupational Physicians with the rest of the agents. We present experiences that are aimed at standardising the flow of information about working conditions and health conditions between the different parties. Based on the principle that the heath of an individual is unique and is shaped by everything that affects it, both in their professional activity and their life outside the workplace, in a complex set of interrelationships that are dynamically and continuously influenced and modified, we propose that it may be beneficial to develop a single medical history, sharing certain aspects that are considered to be basic and enabling fast, efficient and dynamic communication between everyone who plays a role in the health of a worker, although at the moment this is little more than a pipe dream. Before achieving that goal, we show that it will first be necessary to create a Single Medical-Occupational History, and we describe a number of actions aimed at meeting this objective.

Palavras-chave : Occupational Medicine; Evaluative Medicine; Single Medical History; Single Medical-Occupational History.

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