{"id":10624,"date":"2015-12-17T15:55:44","date_gmt":"2015-12-17T14:55:44","guid":{"rendered":"http:\/\/sentinellesante.ca\/?p=1941"},"modified":"2015-12-17T15:55:44","modified_gmt":"2015-12-17T14:55:44","slug":"lexpertise-medicale-independante","status":"publish","type":"post","link":"https:\/\/cliniquesmedicaleslacroix.com\/fr\/lexpertise-medicale-independante\/","title":{"rendered":"L’expertise m\u00e9dicale ind\u00e9pendante"},"content":{"rendered":"

\"\"<\/strong>Qu\u2019est ce qu\u2019une expertise m\u00e9dicale?<\/h3>\n

L\u2019expertise m\u00e9dicale consiste \u00e0 l\u2019\u00e9valuation d\u2019une personne fait par un m\u00e9decin expert ind\u00e9pendant afin de formuler une opinion m\u00e9dicale. L\u2019expertise m\u00e9dicale est habituellement demand\u00e9e par un tiers tels que\u00a0: employeur, avocat et compagnie d\u2019assurance.<\/p>\n

Le m\u00e9decin expert vs le m\u00e9decin traitant\u00a0:<\/h3>\n

Contrairement au m\u00e9decin traitant, le m\u00e9decin expert n\u2019a pas de lien th\u00e9rapeutique avec la personne consult\u00e9e. Il doit tout de m\u00eame suivre les m\u00eames obligations \u00e9thiques et respecter le code de d\u00e9ontologie de leur association professionnelle (art. 65-69. Code de d\u00e9ontologie des m\u00e9decins<\/em>).<\/p>\n

Quand demander une expertise m\u00e9dicale?<\/h3>\n

Dossier CSST\u00a0:<\/h4>\n

Par exemple….<\/p>\n

Il y a plus de 6 mois, un travailleur s’est bless\u00e9 au travail et a re\u00e7u un diagnostic d’entorse lombaire.\u00a0Le diagnostic a \u00e9t\u00e9 accept\u00e9 par la CSST. \u00a0Il est en arr\u00eat de travail depuis et son m\u00e9decin traitant n’a toujours pas consolid\u00e9 la l\u00e9sion.\u00a0\u00a0 Consid\u00e9rant que 90% des travailleurs qu\u00e9b\u00e9cois sont consolid\u00e9s d\u2019une entorse lombaire en dedans de 90 jours, l’employeur veut conna\u00eetre les raisons pour lesquelles la p\u00e9riode de consolidation est aussi longue\u00a0et si\u00a0une condition personnelle sous jacente en est responsable.<\/em><\/p>\n

Selon l\u2019article 209 de la LATMP (Loi sur les accidents et maladies professionnelles<\/em>), l\u2019employeur peut demander une 2e<\/sup> opinion m\u00e9dicale s\u2019il est en d\u00e9saccord avec les conclusions du\u00a0 m\u00e9decin traitant sur l\u2019un des points de l\u2019article 212.\u00a0 Il doit donc d\u00e9signer un m\u00e9decin expert et assumer tous les co\u00fbts reli\u00e9s \u00e0 l\u2019\u00e9valuation\u00a0: honoraires du professionnels et d\u00e9penses du travailleur pour se rendre au rendez-vous, etc.\u00a0 L’employeur doit ensuite transmettre une copie de ce rapport \u00e0 la CSST dans\u00a0 les 30 jours de la date de la r\u00e9ception de l’attestation ou du rapport qu’il d\u00e9sire contester.<\/p>\n

Qu\u2019est ce que l\u2019article 212 de la LATMP?<\/h4>\n

Les 5 sujets sp\u00e9cifiques de l\u2019article 212\u00a0:<\/p>\n

    \n
  1. Le diagnostic<\/li>\n
  2. Les traitements\u00a0: nature, n\u00e9cessit\u00e9, dur\u00e9e, suffisance<\/li>\n
  3. La date ou la p\u00e9riode de consolidation<\/li>\n
  4. L\u2019atteinte permanente \u00e0 l\u2019int\u00e9grit\u00e9 physique et psychique<\/li>\n
  5. Les limitations fonctionnelles<\/li>\n<\/ol>\n
    D\u00e9finition\u00a0:<\/h5>\n

    Consolidation\u00a0: <\/em><\/p>\n

    Selon la CSST,\u00a0\u2018\u2019La consolidation est en fait l\u2019atteinte d\u2019un plateau de r\u00e9habilitation par le travailleur (…) une date de consolidation sera \u00e9mise lorsque les m\u00e9decins seront d\u2019avis qu\u2019aucun traitement \u00e9volutif n\u2019est possible dans le dossier de l\u2019accident\u00e9.\u2019\u2019<\/p>\n

    Atteinte permanente<\/em>\u00a0:<\/p>\n

    Perte ou anomalie irr\u00e9versible d\u2019une structure ou d\u2019une fonction psychique ou anatomique en raison d\u2019une l\u00e9sion professionnelle (Centre patronal de sant\u00e9 et s\u00e9curit\u00e9 du travail du Qu\u00e9bec<\/em>, 2005, p.4).\u00a0 L\u2019atteinte permanente permet d\u2019\u00e9tablir le montant final d\u2019indemnit\u00e9.<\/p>\n

    Limitation fonctionnelle<\/em>\u00a0:<\/p>\n

    Restrictions concernant les conditions de travail, elles peuvent \u00eatre temporaires ou permanentes.\u00a0 \u2018\u2019Les limitations fonctionnelles sont des pertes ou des diminutions des fonctions corporelles, soit physiques, cognitives, ou sensorielles, associ\u00e9es \u00e0 la l\u00e9sion professionnelle (…)\u00a0 Elle vise \u00e0 d\u00e9terminer le degr\u00e9 de difficult\u00e9 ou d’astreinte \u00e9prouv\u00e9e par le travailleur dans la r\u00e9alisation de ses activit\u00e9s de travail\u2019\u2019 (IRSST, Bilans des connaissances, rapport B-023<\/em>)<\/p>\n

    Dossier m\u00e9dico-l\u00e9gal\u00a0:<\/h4>\n

    Par exemple…<\/p>\n

    Un individu a chut\u00e9 dans un magasin et a subi une fracture\u00a0\u00e0 un\u00a0membre inf\u00e9rieur.\u00a0 Il a d\u00fb recevoir plusieurs interventions chirurgicales et\u00a0a \u00e9t\u00e9 en arr\u00eat de travail pendant une longue p\u00e9riode.\u00a0 Depuis, il est\u00a0toujours\u00a0limit\u00e9 dans ses activit\u00e9s quotidiennes.\u00a0 Il veut donc faire appel \u00e0 un avocat pour un recours en responsabilit\u00e9 civil afin de recevoir une compensation pour cette p\u00e9riode d’invalidit\u00e9.\u00a0 \u00a0<\/em><\/p>\n

    L\u2019expertise m\u00e9dicale peut \u00eatre demand\u00e9e pour aider le travail des avocats dans certains recours judiciaires\u00a0: tribunaux administratifs, civils et criminels.<\/p>\n

    L’appel\u00a0\u00e0 un m\u00e9decin expert est souvent utilis\u00e9 dans le cadre d\u2019une proc\u00e9dure d\u2019indemnisation. Le m\u00e9decin expert devra alors se prononcer sur l\u2019incapacit\u00e9 de la personne et la nature\/gravit\u00e9 des s\u00e9quelles qui seront \u00e9valu\u00e9 selon un bar\u00e8me \u00e9tabli.<\/p>\n

    D\u00e9finition\u00a0:<\/h5>\n

    Bar\u00e8me<\/em>\u00a0:<\/p>\n

    Outil permettant d\u2019\u00e9valuer et mesurer de fa\u00e7on pr\u00e9cise l\u2019atteinte permanente de l\u2019expertis\u00e9. Par exemple, la SAAQ et la CSST ont leur propre bar\u00e8me pour \u00e9tablir le % d\u2019atteinte permanente.<\/p>\n

    Quelles sont les responsabilit\u00e9s du demandeur (mandant) ?<\/h4>\n
      \n
    • Analyser le dossier et d\u00e9signer un m\u00e9decin expert selon le diagnostic;<\/li>\n
    • R\u00e9diger un mandat clair et pr\u00e9cis qui contient les questions sp\u00e9cifiques;<\/li>\n
    • Obtenir et fournir les renseignements pertinents, par exemple\u00a0: dossier m\u00e9dical complet, description de t\u00e2ches, expertise ant\u00e9rieures, certificat m\u00e9dicaux etc, et ce, avant l\u2019\u00e9valuation.<\/li>\n<\/ul>\n

      Important \u00e0 noter…<\/h4>\n

      Il est convenu que l\u2019expertise m\u00e9dicale \u00e0 \u00eatre effectu\u00e9e sera r\u00e9alis\u00e9e de mani\u00e8re ind\u00e9pendante. Elle est \u00e9galement effectu\u00e9e en fonction du mandat confi\u00e9 et le m\u00e9decin ne sera pas tenu de se conformer aux instructions ou directives re\u00e7ues du mandant relativement \u00e0 toute question sur laquelle le m\u00e9decin est tenu \u00e0 exercer un jugement professionnel et impartial.<\/p>\n

       <\/p>\n

      R\u00e9f\u00e9rence\u00a0:<\/em><\/p>\n

      Coll\u00e8ge des m\u00e9decins, La m\u00e9decine d\u2019expertise, septembre 2006<\/em><\/p>\n

      Lois sur les accidents et maladies professionnelles, \u00e9diteur officiel du Qu\u00e9bec, 1er<\/sup> novembre 2015<\/em><\/p>\n

      IRSST, Proc\u00e9dure d’int\u00e9gration professionnelle \u00e0 l\u2019usage du conseiller en r\u00e9adaptation<\/em><\/p>\n

      Gestion de la sant\u00e9 et s\u00e9curit\u00e9 au travail, Cheneli\u00e8re \u00c9ducation inc., 2013<\/em>\t\t<\/p>\n","protected":false},"excerpt":{"rendered":"

      Qu\u2019est ce qu\u2019une expertise m\u00e9dicale? L\u2019expertise m\u00e9dicale consiste \u00e0 l\u2019\u00e9valuation d\u2019une personne fait par un m\u00e9decin expert ind\u00e9pendant afin de…<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"om_disable_all_campaigns":false,"footnotes":""},"categories":[260],"tags":[258,259],"class_list":["post-10624","post","type-post","status-publish","format-standard","hentry","category-medecine-du-travail-en","tag-expertise-medicale-en","tag-medecin-expert-en"],"yoast_head":"\nL'expertise m\u00e9dicale ind\u00e9pendante - Cliniques m\u00e9dicales Lacroix<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cliniquesmedicaleslacroix.com\/fr\/lexpertise-medicale-independante\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L'expertise m\u00e9dicale ind\u00e9pendante - Cliniques m\u00e9dicales Lacroix\" \/>\n<meta property=\"og:description\" content=\"Qu\u2019est ce qu\u2019une expertise m\u00e9dicale? 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