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A Journal on Forensic Medicine
REFINDABLE AND REIMBURSABLE COSTS OF REHABILITATION.
PRELIMINARY GUIDELINES FOR FORENSIC DOCTORS, LAWYERS AND INSURANCE ADJUSTERS
Minerva Medicolegale 2012 June;132(2):93-104
Relationships between the orthopedist, the physiatrist and the physiotherapist regulated by health legislation
Medico Chirurgo, Specialista in Ortopedia e Traumatologia, Medico Competente per gli accertamenti in materia di lavoro, Consulente Tecnico del Giudice, Perito del Tribunale di Torino, Torino, Italia
The article examines the interaction between the principal health care providers involved in the care of the patient requiring orthopedic, trauma and physiatric therapy. Following a brief historic overview of the three specialties, the discussion focuses on a practical analysis of the gaps in their coexistence, with particular attention to the operative role and particularities of the physiotherapist, once considered a mere handmaiden who carryied out orders, now regarded as a qualified allied health professional. The author points out that in the recoupment of expenses in insurance medicine no precisely defined guidelines can be provided to the insurance adjuster for quantifying necessary physiotherapy because such treatment must be carefully evaluated case-by-case with a “weighted analysis” of the patient’s clinical history.