Disclaimer and autonomy in medical expertise social security in Brazil

Abstract

The medical examination is a mandatory requirement for the granting of most of the benefits granted by the National Social Security Institute. It is a complex activity that requires extensive knowledge of medicine and law and aims to ensure the maintenance of the insured worker when incapacitated. It was found that several elements are modifiable and which would benefit the work of the expert. The adequacy of the physical environment, clarification of the population about the particularities of expert activity, the end of the obligation by the physician to deliver the Communication of Results, the improvement of the computerized system available, the discussion about the number of scheduled activities per day that respects the ability of the expert, away from the exhaust and thus the errors, as well as respect for the rules that guide the best medical practice issued by the medical council, would allow the work to the exemption and the necessary autonomy.