Venerdì, 10 Febbraio 2017 15:46

La responsabilità della Asl per condotte negligenti del medico

di 
Vota questo articolo
(0 Voti)

La Cassazione ha lungamento dibattuto circa la responsabilità dell’ASL per la condotta negligente del medico e tale tematica è stata trattata in termini innovativi con sentenza della Cassazione n.6243 del 2015.

La Suprema Corte, quindi, non è stata chiamata soltanto a dirimere il contrasto tra natura extra contrattuale e contrattuale della responsabilità del medico, con decisioni non sempre concordanti, ma ha affrontato anche il caso dell’eventuale responsabilità dell’ASL nel caso in cui il  medico, in una visita domiciliare, non ha rilevato le gravi condizioni del paziente e non ha posto lo stesso nella condizione di essere ricoverato, con conseguenti gravi ed irrimediabili danni fisici in capo al paziente. In primo grado, la Corte territoriale aveva negato la responsabilità dell’ASL ex art. 1228 (da contatto sociale), perché la responsabilità per la prestazione professionale grava soltanto sul medico, mentre al Servizio Sanitario Nazionale competono obblighi di tipo organizzativo. I giudici di merito, quindi, avevano sottolineato che non si potesse far riferimento alla teoria del contatto sociale, in quanto l’ASL non ha alcun rapporto diretto con il paziente, né alcun potere di controllo nei confronti del medico che opera in totale autonomia. L’ASL essendo estranea al rapporto medico/paziente, non può essere ritenuta responsabile per l’errore medico.

La teoria del contatto sociale è una forma di responsabilità contrattuale, che non nasce, però, dal contratto, ma da un “contatto sociale”, cioè da un rapporto che si instaura tra due soggetti in virtù di obbligo legale.

La Suprema Corte, però, in controtendenza a quanto affermato dal Tribunale di merito ha ritenuto che anche in casi come quelli su indicati l’ASL deve essere ritenuta responsabile e ciò sulla base di ben quattro passaggi motivazionali:

  • la legge istitutiva del SSN n.833/1978 attribuisce al Servizio Sanitario il compito di garantire i livelli minimi ed uniformi per le prestazioni sanitarie ai cittadini e quindi anche quella di “assistenza medico-generica”;
  • in base a tale legge, la scelta del medico deve avvenire nei confronti della ASL, che tiene gli appositi elenchi dei professionisti, anche in base ad accordi regionali, e quindi i medici sono legati all’ASL in un rapporto di convenzionamento;
  • alla luce di quanto esposto, sulla ASL grava una obbligazione ex lege di prestazione ed assistenza medica, tramite il rapporto di convenzionamento;
  • in mancanza di un contratto tra l’ASL e paziente, trova applicazione la responsabilità da contatto sociale, cui conseguono l’applicazione delle norme del codice civile ed in particolare dell’art. 1228 c.c..

Secondo la Cassazione recente, quindi, l’ASL è sempre ritenuta responsabile nei confronti dei pazienti ai sensi dell’art. 1228 c.c., sub specie di responsabilità da contatto sociale, in quanto l’obbligo di assistenza grava per legge sull’ASL che lo adempie con l’ausilio dei medici, che intervengono, così, nella fase esecutiva del rapporto di convenzionamento.

Letto 4436 volte

77 commenti

  • Link al commento adidas ultra boost Martedì, 19 Giugno 2018 05:02 inviato da adidas ultra boost

    I must express my gratitude for your kindness for women who require help with this field. Your real dedication to passing the message along ended up being extraordinarily invaluable and have really encouraged girls much like me to achieve their goals. This warm and friendly information means so much a person like me and substantially more to my colleagues. Many thanks; from each one of us.

  • Link al commento michael kors outlet Martedì, 19 Giugno 2018 00:15 inviato da michael kors outlet

    Thank you for all of your labor on this blog. Gloria loves conducting research and it is simple to grasp why. A number of us learn all about the powerful means you create vital solutions on the web blog and therefore recommend response from the others on the issue while our girl is starting to learn a great deal. Have fun with the rest of the new year. Your conducting a splendid job.

  • Link al commento adidas iniki Lunedì, 18 Giugno 2018 22:48 inviato da adidas iniki

    I wish to express thanks to this writer for rescuing me from this particular scenario. Right after searching throughout the search engines and obtaining advice which were not helpful, I assumed my entire life was done. Living without the answers to the issues you've sorted out by means of the guide is a crucial case, and the kind that could have badly damaged my career if I had not noticed your blog post. That capability and kindness in touching a lot of things was very useful. I don't know what I would have done if I hadn't come upon such a stuff like this. I can at this moment look forward to my future. Thanks very much for your impressive and effective guide. I will not hesitate to endorse the blog to any person who desires assistance about this subject.

  • Link al commento nike free run Lunedì, 18 Giugno 2018 11:06 inviato da nike free run

    I precisely needed to say thanks once again. I am not sure the things I would've used without these strategies provided by you on this subject. Completely was a very frightening matter in my opinion, but finding out a new specialised way you managed that took me to weep over gladness. Now i am happy for this information and even sincerely hope you find out what an amazing job you're doing teaching many others with the aid of your site. I am sure you haven't come across all of us.

  • Link al commento Elenasam Lunedì, 18 Giugno 2018 05:15 inviato da Elenasam

    wow look it cialis generic|cialis vente|the best place cialis germany|cialis venta en argentina|female cialis tablets 40mg|enter site cialis purchase|le cialis forum|achat cialis pour la suisse|cialis plus in australia|cialis soft tabs 10 pills usa|best uk price for cialis|is 40mg or 20mg of cialis best|seguro y cialis|over counter brand cialis|cialis best offer online|cialis sicher internet kaufen|what does cialis feel like|generic cialis 20mg shape|price cialis 5mg australia|cialis ontario canada|cialis 100mg for sale|cialis daily prices|do you take cialis with water|tadalafil cialis generico|i want to buy cialis|best place buy cialis uk|generic cialis 20 mg soft|cialis bought online|cialis uk sconto|click here cialis to buy|generic cialis uk review|cialis meilleur prix canada|buy cialis cialisnarodru|cialis 10 mg tadalafil|cialis jus de pamplemousse|cialis tadalafil 20 mg price|cialis 20 mg quando si prende|all types cialis soft pills|we like it cialis to buy|purchase cialis on the web|generic cialis lilly|cialis 100|20mg generic cialis pills|vente cialis 20mg|order cialis online india|usefull link 5 mg daily cialis|cialis italia paypal|cialis prices pharmacy|cialis ou kamagra|nz buy cialis|cialis levitra no rx needed|levitra 10mg cialis|approved generic cialis|cialis pris|cialis promotion|cialis generic soft order|do you take cialis often|cialis 20 mg price 3 pill|recommended site cheap cialis|generic cialis india safe|cialis billige preise|does cialis work on women|soft cialis price|buying cialis in delhi|prices of generic cialis|cialis generico a cosa serve|pack sample cialis|cialis aus apotheke|cialis 5 mg online kaufen|daily use cialis online|cialis tablets manufacturer|cialis generic when|visit web site cialis 20mg|only best offers cialis cialis|monthly cost of cialis daily|existe generico de cialis|cialis without rx overnight|couponsforcialisdailyuse|cialis con receta|cialis generika levitra forum|generic alternative cialis|cialis e levitra insieme|wow cheapest cialis online|cialis online apotheke|visit our site soft cialis|cialis 5 mg pareri|cialis daily use for bph|ou trouver cialis sur le net|cialis pas cher rennes|buy brand cialis online canada|acquistare cialis farmacia|cialis 10mg gunstig kaufen|forum cialis tadalafil|buying cialis in dubai|precio cialis 20 mg farmacia|indian cialis brand name|cialis 10 mg onlin|click here liquid cialis|cialis 5 beipackzettel|cialis 10mg or 20 mg|buying 20mg cialis|cialis per erezion|price of cialis tablet|lowest price 5m cialis|to price cialis compared|comprare cialis milan|is 40 mg cialis dosage safe|buy cialis online in australia|compra cialis itali|cialis jelly prescription only|cialis 20 mg generico|cialis 20 mg alcohol|nebenwirkungen cialis forum|canadien cialis gnrique|questions generic cialis|cialis bulk|cialis tadalafil 20mg legality|best cialis online price|cialis 10mg price comparison|il migliore cialis generico|cialis for daily use canada|we recommend cialis australia|cialis once daily dosage|i recommend best price cialis|cialis vist|cialis preise 40mg|canada cialis 25 mg|cialis achat sur|cialis ohne|us generic cialis|le meilleur prix 20 mg cialis|only today pharmacy cialis|pastillas cialis preci|cheap cialis find|precios de cialis en amrica|cialis medicinas baratas|buy cialis egypt view|us pharmacy online cialis soft|achat cialis canada|venta de cialis usa|generico cialis on line|good choice cialis on line|cialis cipla 20mg|cialis pharmacie maroc|venta de cialis en espa241a|cheap cialis 60mg|kauf cialis|try it rx cialis|buy cialis jelly mg|try it pfizer cialis|cialis en ligne moins cher|cialis coialmer|cialis rx contact|cialissoft tabs|pastilla cialis con alcoho|cialis 10 e 20 mg prezz|cialis 20mg au|cialis 4 sale au|cialis svizzera senza ricetta|only for you canada cialis|cialis ship to canada|recommended site cialis 50 mg|cost of brand cialis|order states united cialis|cialis generico india|meileur prix cialis|preise cialis deutschland|sample free cialis|cialis levitra chile|cialis wirkungsdaue|can i get cialis online|only now q buy cialis online|taking cialis daily|cialis buy generic ed|link for you generic cialis|cialis blutdrucksenker|buy cialis in chatsworth|sale canada cialis|cialis walgreen discounts|cialis en interne|cialis come comprarlo|comprar cialis genrico|cialis costo en colombia|buy cialis from|comprar cialis calidad|what happens take 2 cialis 5mg|way take best cialis|cialis order online discount|click now cialis cialis online|cheap brand cialis online|cialis 5 mg cost|dove comprare il cialis online|cialis sovradosaggio|100mg cialis online price|cialis in der eu kaufen|cialis 10mg prix|cialis ligne achat|cialis in sconto|price cialis 5mg 10mg|cialis in the usa|cialis phone|cialisonline de|precio de cialis generico|cialis original generico|cialis daily use safe|genericsmed buy generic cialis|cialis low cost alternitive|cialis a cosa serve|side effects of cialis 20 mg|pharmacie de cialis|donde comprar cialis segur|uk cheap generic cialis|cost of 25mg cialis|cialis 5mg preis schweiz|cost of 10mg cialis|cialis uk campione|cialis generic belgique|comparar precios cialis|cialis 20 vida|acquisto pharnacy di cialis|cialis tadalafil cost|generic cialis 60mg mastercard|preisvergleich cialis lilly|only now buying cialis|compre la pastilla cialis|soft cialis generic|cialis vasodilatator|cialis tadalafil achat|pharmacy us cialis|buy cialis or kumora|comprar cialis en linea|costo de pastillas cialis|cialis euro in farmaci|just try 5mg cialis samples|the best site cialis buying|cialis typical dose|cialis daily us price|cialis lilly prix|will a 5mg cialis work|look there how much cialis|enter site online cialis sales|cialis niedrige preise|generic cialis thailand|levitra generische cialis|comprar cialis mais barato|cialis cvs price|cialis import canada|do i take cialis everyday|achat en gros cialis|buy generic cialis from eu

    [url=http://cialisiuqcheap.com/]cialis fast delivery[/url]
    cialis

    wow look it cialis generic|cialis vente|the best place cialis germany|cialis venta en argentina|female cialis tablets 40mg|enter site cialis purchase|le cialis forum|achat cialis pour la suisse|cialis plus in australia|cialis soft tabs 10 pills usa|best uk price for cialis|is 40mg or 20mg of cialis best|seguro y cialis|over counter brand cialis|cialis best offer online|cialis sicher internet kaufen|what does cialis feel like|generic cialis 20mg shape|price cialis 5mg australia|cialis ontario canada|cialis 100mg for sale|cialis daily prices|do you take cialis with water|tadalafil cialis generico|i want to buy cialis|best place buy cialis uk|generic cialis 20 mg soft|cialis bought online|cialis uk sconto|click here cialis to buy|generic cialis uk review|cialis meilleur prix canada|buy cialis cialisnarodru|cialis 10 mg tadalafil|cialis jus de pamplemousse|cialis tadalafil 20 mg price|cialis 20 mg quando si prende|all types cialis soft pills|we like it cialis to buy|purchase cialis on the web|generic cialis lilly|cialis 100|20mg generic cialis pills|vente cialis 20mg|order cialis online india|usefull link 5 mg daily cialis|cialis italia paypal|cialis prices pharmacy|cialis ou kamagra|nz buy cialis|cialis levitra no rx needed|levitra 10mg cialis|approved generic cialis|cialis pris|cialis promotion|cialis generic soft order|do you take cialis often|cialis 20 mg price 3 pill|recommended site cheap cialis|generic cialis india safe|cialis billige preise|does cialis work on women|soft cialis price|buying cialis in delhi|prices of generic cialis|cialis generico a cosa serve|pack sample cialis|cialis aus apotheke|cialis 5 mg online kaufen|daily use cialis online|cialis tablets manufacturer|cialis generic when|visit web site cialis 20mg|only best offers cialis cialis|monthly cost of cialis daily|existe generico de cialis|cialis without rx overnight|couponsforcialisdailyuse|cialis con receta|cialis generika levitra forum|generic alternative cialis|cialis e levitra insieme|wow cheapest cialis online|cialis online apotheke|visit our site soft cialis|cialis 5 mg pareri|cialis daily use for bph|ou trouver cialis sur le net|cialis pas cher rennes|buy brand cialis online canada|acquistare cialis farmacia|cialis 10mg gunstig kaufen|forum cialis tadalafil|buying cialis in dubai|precio cialis 20 mg farmacia|indian cialis brand name|cialis 10 mg onlin|click here liquid cialis|cialis 5 beipackzettel|cialis 10mg or 20 mg|buying 20mg cialis|cialis per erezion|price of cialis tablet|lowest price 5m cialis|to price cialis compared|comprare cialis milan|is 40 mg cialis dosage safe|buy cialis online in australia|compra cialis itali|cialis jelly prescription only|cialis 20 mg generico|cialis 20 mg alcohol|nebenwirkungen cialis forum|canadien cialis gnrique|questions generic cialis|cialis bulk|cialis tadalafil 20mg legality|best cialis online price|cialis 10mg price comparison|il migliore cialis generico|cialis for daily use canada|we recommend cialis australia|cialis once daily dosage|i recommend best price cialis|cialis vist|cialis preise 40mg|canada cialis 25 mg|cialis achat sur|cialis ohne|us generic cialis|le meilleur prix 20 mg cialis|only today pharmacy cialis|pastillas cialis preci|cheap cialis find|precios de cialis en amrica|cialis medicinas baratas|buy cialis egypt view|us pharmacy online cialis soft|achat cialis canada|venta de cialis usa|generico cialis on line|good choice cialis on line|cialis cipla 20mg|cialis pharmacie maroc|venta de cialis en espa241a|cheap cialis 60mg|kauf cialis|try it rx cialis|buy cialis jelly mg|try it pfizer cialis|cialis en ligne moins cher|cialis coialmer|cialis rx contact|cialissoft tabs|pastilla cialis con alcoho|cialis 10 e 20 mg prezz|cialis 20mg au|cialis 4 sale au|cialis svizzera senza ricetta|only for you canada cialis|cialis ship to canada|recommended site cialis 50 mg|cost of brand cialis|order states united cialis|cialis generico india|meileur prix cialis|preise cialis deutschland|sample free cialis|cialis levitra chile|cialis wirkungsdaue|can i get cialis online|only now q buy cialis online|taking cialis daily|cialis buy generic ed|link for you generic cialis|cialis blutdrucksenker|buy cialis in chatsworth|sale canada cialis|cialis walgreen discounts|cialis en interne|cialis come comprarlo|comprar cialis genrico|cialis costo en colombia|buy cialis from|comprar cialis calidad|what happens take 2 cialis 5mg|way take best cialis|cialis order online discount|click now cialis cialis online|cheap brand cialis online|cialis 5 mg cost|dove comprare il cialis online|cialis sovradosaggio|100mg cialis online price|cialis in der eu kaufen|cialis 10mg prix|cialis ligne achat|cialis in sconto|price cialis 5mg 10mg|cialis in the usa|cialis phone|cialisonline de|precio de cialis generico|cialis original generico|cialis daily use safe|genericsmed buy generic cialis|cialis low cost alternitive|cialis a cosa serve|side effects of cialis 20 mg|pharmacie de cialis|donde comprar cialis segur|uk cheap generic cialis|cost of 25mg cialis|cialis 5mg preis schweiz|cost of 10mg cialis|cialis uk campione|cialis generic belgique|comparar precios cialis|cialis 20 vida|acquisto pharnacy di cialis|cialis tadalafil cost|generic cialis 60mg mastercard|preisvergleich cialis lilly|only now buying cialis|compre la pastilla cialis|soft cialis generic|cialis vasodilatator|cialis tadalafil achat|pharmacy us cialis|buy cialis or kumora|comprar cialis en linea|costo de pastillas cialis|cialis euro in farmaci|just try 5mg cialis samples|the best site cialis buying|cialis typical dose|cialis daily us price|cialis lilly prix|will a 5mg cialis work|look there how much cialis|enter site online cialis sales|cialis niedrige preise|generic cialis thailand|levitra generische cialis|comprar cialis mais barato|cialis cvs price|cialis import canada|do i take cialis everyday|achat en gros cialis|buy generic cialis from eu

  • Link al commento birkin bag Domenica, 17 Giugno 2018 22:37 inviato da birkin bag

    I want to voice my affection for your kind-heartedness for individuals that really want guidance on this one matter. Your personal commitment to passing the message along has been extremely practical and has truly permitted somebody just like me to attain their aims. Your new useful guidelines signifies this much to me and far more to my office colleagues. Warm regards; from everyone of us.

  • Link al commento michael kors Domenica, 17 Giugno 2018 21:07 inviato da michael kors

    I enjoy you because of every one of your work on this web page. My mom really loves conducting internet research and it's easy to see why. I notice all concerning the compelling mode you convey efficient tips and tricks on the website and in addition improve contribution from the others on this concern so our favorite child is truly being taught a great deal. Enjoy the remaining portion of the year. You are always performing a remarkable job.

  • Link al commento over the counter std test walgreens Domenica, 17 Giugno 2018 20:00 inviato da over the counter std test walgreens

    More habitually than not, the haleness departments provide confidential clinics that advance free STD testing very HIV but will also offer tests on other sexually transmitted diseases.
    STD Clinic (17th High road Testing and Treatment) [url=https://sites.google.com/view/overthecounterstdtest/]over counter std test[/url] at the Orange County Haleness Heed Medium (OCHCA) offers testing and treatment pro sexually transmitted diseases (STD) and HIV testing.

  • Link al commento Antonioced Domenica, 17 Giugno 2018 14:57 inviato da Antonioced

    More often than not, the constitution departments care for confidential clinics that sell self-governed STD testing exceptionally HIV but hand down also put forward tests on other sexually transmitted diseases.
    STD Clinic (17th Passage Testing and Treatment) [url=https://sites.google.com/view/overthecounterstdtest/]std test walgreens[/url] at the Orange County Vigour Heed Mechanism (OCHCA) offers testing and treatment pro sexually transmitted diseases (STD) and HIV testing.

  • Link al commento oakley Domenica, 17 Giugno 2018 07:23 inviato da oakley

    Thanks for all your valuable labor on this website. Gloria take interest in managing internet research and it's easy to understand why. Almost all hear all about the compelling ways you create vital items through this web site and therefore improve contribution from people on this topic then our favorite girl is now being taught a lot. Take advantage of the remaining portion of the year. You are conducting a really great job.

Lascia un commento

Assicurati di inserire (*) le informazioni necessarie ove indicato.
Codice HTML non è permesso.

Chiudi