Avv. Dr. Denise Amram
Scuola Superiore Sant’Anna Roma, 21 maggio 2016
VERSO UN APPROCCIO INTERDISCIPLINARE E TRANSFRONTALIERO AL RISARCIMENTO DEL DANNO ALLA PERSONA: GLI OBIETTIVI E I CONTENUTI DEL PROGETTO EUROPEO AREYOUFINE?
Congresso Nazionale - Melchiorre Gioia
AreYouFine
• Progetto finanziato Erasmus + Azione K2 partenariati strategici.
• Nuovo corso di formazione online in materia di quantificazione del danno attraverso l’uso di tecniche e l’applicazione di principi di
biomeccanica
• Giuristi, ingegneri, medici-legali
• Spagna (IBV, USC), Italia (SSSUP), Polonia (Ciop), CEREDOC, IALM
Obiettivi
• Stabilire standard e requisiti ai fini dell’offerta formativa
• Identificazione dell’iter risarcitorio e dei criteri di liquidazione del danno nei paesi
rappresentati dal consorzio
• Implementazione di un corso di formazione innovativo per gli operatori in materia su
piattaforma online
Caratteristiche
• Contenuti e materiali in inglese, italiano, spagnolo e polacco
• Approccio multidisciplinare volto ad armonizzare i criteri di liquidazione:
– Comparazione giuridica – Valutazione medico-legale – Principi di biomeccanica
Fasi
1) Analisi dei bisogni formativi degli operatori 2) Analisi comparata dei sistemi di riferimento 3) Ruolo della biomeccanica nella valutazione
del danno alla persona 4) Selezione dei contenuti 5) Elaborazione del corso
6) Validazione del corso e implementazione su piattaforma online
Research Output WP1
• Report Personal injury assessment in extracontractual liability. Focus on traffic accidents (Italia, Spagna, Polonia + Francia, Belgio, Portogallo + Regno Unito, Ungheria e Olanda)
• Questionario sui bisogni formativi in materia
Contenuti
• Main actors involved
• Legal frameworks
• Main musculoskeletal pathologies
• Role of Biomechanics
• Bibliography
Target Group
Common institutions:
• Insurance Company (IC)
• Private clinical services of the IC
• Private healthcare providers
• Private medical services
• Tribunals and Courts
• National Healthcare Service
Target Group
Main actors and professional profiles:
• IC physicians - experts in BHE.
• IC managers of the accident.
• Lawyers.
• Forensic doctors/ BHE experts.
• Clinical professionals.
Legal Frameworks
- Combinazione di ADR e tutela giudiziaria - Nuove riforme legislative
- Nuove applicazioni giurisprudenziali
- Permangono difficoltà ad identificare criteri oggettivi che consentano un’armonizzazione europea
Main Musculoskeletal Pathologies
• In Spain WAD is present in over 80% of accidents
• In Italy minor cervical spine injuries take as a percentage of all bodily injuries up to 66%.
• In Poland: intracranial trauma (14.4%); superficial trauma to the head (12,3%); Superficial injuries involving multiple body regions (10.3%).
Role of Biomechanics
• No official data on the role of biomechanical assessment are available. However, legal frameworks enable the use of biomechanics as an adjunctive non-invasive exam for ascertaining and evaluating the degree of permanent impairment.
• An understanding of injury mechanics begins with an appreciation of how individuals respond to the kinds of perturbations that produce whiplash injury.
• Damage to cervical ligaments from whiplash trauma has been well studied, yet these injuries are still often difficult to diagnose and treat.
Questionario - Primi risultati
16%
24%
12%
2%
11%
19%
1% 15%
Indicate your professional profile: Insurance Company Doctor (expert in BHA)
Forensic doctor
Expert doctors in BHA Manager of the accident Clinical professionals Lawyer
Magistrates
Other (please specify):
Primi risultati
11%
22%
35%
24%
7% 1%
Indicate the number of years of experience in BHA:
(Years)
< 5 5 to10 11 to 20 21 to 30
> 30 n/a
Primi risultati
52%
48%
According to your experience are personal injuries objectively evaluated?
Yes No
Primi risultati
45%
55%
Do you usually apply biomechanical techniques in personal injury damages assessment?
Yes No
Primi risultati
38,7% 40,7%
24,7%
44,4%
60,1%
17,7%
51,0%
22,6%
16,0% 20,2%
11,1%
Besides the biomechanical assessment of whiplash injuries what kind of biomechanical assessment could be useful for traffic
accidents injuries:
Consortium:
Project Number: 2015-1-ES01-KA202-016294 Project Title: "Training in assessment of personal injury based on biomechanical analysis to improve sustainability and efficacy of the health care system"
This project has been funded with support from the European Commission.
This publication reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein"
