Flores SG

Language: Spanish
References: 26
Page: 49-62
PDF size: 1003.97 Kb.

ABSTRACT

In daily medical practice, assessment of working capacity regardless of the field of action of the evaluating physician, either by common or occupational disease or accident, is a difficult challenge that requires incorporating an analysis of the validity of each case given the personal and social repercussions. In addition medically unexplained physical symptoms are common in the consultations, high cost, associated with incapability at work, generate frustration to the patient and the doctor, and can be reported in relation to occupational contingencies. In order to identify the procedure of evaluating medicine to grant certificate of incapacity and useful parameters in case of medically unexplained physical symptoms, a descriptive review was conducted and it was found that the impact of these symptoms on incapacity varies from patient to patient and that there are few studies regarding labor implications. Besides the analysis of validity is a very complex task that requires the assessment of matters / objective tests, including an adequate clinical approach, understanding of complementary diagnostic tests (including psychiatric assessment) and job loads, contrasted with other variables of the functional capacity to work as age, education, functional classification according to scales, injured structure and prognosis of the injury. Hence, it is concluded that in order to improve the validity of results become important skills, regarding medical training, legal knowledge, experience, information management, capacity for continuous learning and ethical reasoning.

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