Current problems of medical and social expertise

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Abstract

This article analyses legal framework of medical and social expertise. We have assessed and identified negative aspects of the existing order of interaction between health facilities and bureaus of medical and social expertise during disability determination. We have established the key role of health facilities in determination of persons that need social protection and rehabilitation because of persistent impairments of health. The article reflects significant gaps in the Classifications and Criteria, that are used in practice of bureaus of medical and social expertise, during development and implementation of individual rehabilitation and habilitation plan of a person with disabilities.

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About the authors

Sergey N. Puzin

Federal scientific and clinical center for resuscitation and rehabilitation; Russian medical Academy of continuing professional education

Email: s.puzin2012@yandex.ru
ORCID iD: 0000-0003-1030-8319

д.м.н., проф., академик РАН, заведующий кафедрой гериатрии и медико-социальной экспертизы; заместитель директора по науке 

Russian Federation, Moscow

Nina V. Dmitrieva

Federal scientific and clinical center for resuscitation and rehabilitation

Author for correspondence.
Email: ninamedexp@gmail.com
Russian Federation, Moscow

A. Yu. Paikov

Main Bureau of medical and social expertise in the Rostov region

Email: andrpaikov@gmail.com
Russian Federation, Rostov-on-don

V. V. Filippov

Krasnogorsk city hospital No. 3

Email: Filippov-doc@mail.ru

врач-хирург

Russian Federation, Krasnogorsk

F. D. Erkenova

Central Institute of dermatology

Email: drerkenovafatima@gmail.com
Russian Federation, Moscow

V. D. Fizitskaya

Russian medical Academy of continuing professional education

Email: fizitskaya@gmail.com
ORCID iD: 0000-0002-2019-926X

врач-ординатор, старший лаборант кафедры гериатрии и медико-социальной экспертизы

Russian Federation, Moscow

References

  1. Polozheniye invalidov Federal’naya sluzhba gosudarstvennoy statistiki [elektronnyy resurs]. (In Russ). Available from: https://www.gks.ru/folder/13964.
  2. Postanovleniye ot 20 fevralya 2006 g. № 95 “O poryadke i usloviyakh priznaniya litsa invalidom” (v red. Postanovleniya Pravitel’stva RF ot 04.09.2012 № 882). (In Russ). Available from: http://www.consultant.ru/document/cons_doc_LAW_58610/0c88e6e478943e3dd6d16857cf9c1d3da29a5847/.
  3. Prikaz Mintruda Rossii № 578n, Minzdrava Rossii № 606n ot 06.09.2018 (red. ot 28.08.2019) “Ob utverzhdenii formy napravleniya na mediko-sotsial’nuyu ekspertizu meditsinskoy organizatsiyey” (zaregistrirovano v Minyuste Rossii 26.11.2018 № 52777). (In Russ). Available from: http://www.consultant.ru/document/cons_doc_LAW_311963/.
  4. Postanovleniye Pravitel’stva RF ot 16.04.2012 № 291 (red. ot 21.02.2020) “O litsenzirovanii meditsinskoy deyatel’nosti (za isklyucheniyem ukazannoy deyatel’nosti, osushchestvlyayemoy meditsinskimi organizatsiyami i drugimi organizatsiyami, vkhodyashchimi v chastnuyu sistemu zdravookhraneniya, na territorii innovatsionnogo tsentra “Skolkovo”)” (vmeste s Polozheniyem o litsenzirovanii meditsinskoy deyatel’nosti, za isklyucheniyem ukazannoy deyatel’nosti, osushchestvlyayemoy meditsinskimi organizatsiyami i drugimi organizatsiyami, vkhodyashchimi v chastnuyu sistemu zdravookhraneniya, na territorii innovatsionnogo tsentra “Skolkovo”). (In Russ). Available from: http://www.consultant.ru/document/cons_doc_LAW_128742/.
  5. Federal’nyy zakon “Ob osnovakh okhrany zdorov’ya grazhdan v Rossiyskoy Federatsii” ot 21.11.2011 № 323-FZ (poslednyaya redaktsiya). (In Russ). Available from: http://www.consultant.ru/document/cons_doc_LAW_121895/.
  6. Bykovskaya TYu, Memetov SS, Sharkunov NP, et al. Organizatsionno-pravovyye voprosy napravleniya grazhdan na mediko-sotsial’nuyu ekspertizu. Uchebnoye posobiye dlya vrachey. Ed. by S.N. Puzin. Rostov na Donu; 2019. 330 р. (In Russ).
  7. Prikaz Mintruda Rossii n 52n, Minzdrava Rossii № 35n ot 31.01.2019 “Ob utverzhdenii perechnya meditsinskikh obsledovaniy, neobkhodimykh dlya polucheniya kliniko-funktsional’nykh dannykh v zavisimosti ot zabolevaniya v tselyakh provedeniya mediko-sotsial’noy ekspertizy” (zaregistrirovano v Minyuste Rossii 15.03.2019 № 54059). (In Russ). Available from: http://www.consultant.ru/document/cons_doc_LAW_320444/.
  8. Prikaz Ministerstva truda i sotsial’noy zashchity RF ot 27 maya 2019 g. № 355n “Ob utverzhdenii formy soglasiya grazhdanina na provedeniye mediko-sotsial’noy ekspertizy”. (In Russ). Available from: https://base.garant.ru/72265830/.
  9. Prikaz Ministerstva zdravookhraneniya i sotsial’nogo razvitiya RF ot 5 maya 2012 g. № 502n “Ob utverzhdenii poryadka sozdaniya i deyatel’nosti vrachebnoy komissii meditsinskoy organizatsii”. (In Russ). Available from: https://base.garant.ru/70190416/.
  10. Prikaz Ministerstva zdravookhraneniya i sotsial’nogo razvitiya RF ot 25 dekabrya 2006 g. № 874 “Ob utverzhdenii formy napravleniya na mediko-sotsial’nuyu ekspertizu, vydavayemogo organom, osushchestvlyayushchim pensionnoye obespecheniye, ili organom sotsial’noy zashchity naseleniya”. (In Russ). Available from: https://base.garant.ru/12151638/
  11. Prikaz Ministerstva zdravookhraneniya i sotsial’nogo razvitiya RF ot 15 maya 2012 g. № 543n “Ob utverzhdenii Polozheniya ob organizatsii okazaniya pervichnoy mediko-sanitarnoy pomoshchi vzroslomu naseleniyu” (s izmeneniyami i dopolneniyami). (In Russ). Available from: https://base.garant.ru/70195856/.
  12. Prikaz Ministerstva truda i sotsial’noy zashchity Rossiyskoy Federatsii, Ministerstva zdravookhraneniya Rossiyskoy Federatsii ot 31.01.2019 № 52n/35n “Ob utverzhdenii perechnya meditsinskikh obsledovaniy, neobkhodimykh dlya polucheniya kliniko-funktsional’nykh dannykh v zavisimosti ot zabolevaniya v tselyakh provedeniya mediko-sotsial’noy ekspertizy”. (In Russ). Available from: https://www.invalidnost.com/forum/3-3675-1.
  13. Prikaz Ministerstva zdravookhraneniya RF ot 7 noyabrya 2012 g. № 635n “Ob utverzhdenii standarta spetsializirovannoy meditsinskoy pomoshchi pri vnutricherepnoy travme”. (In Russ). Available from: https://base.garant.ru/70308186/.
  14. Federal’nyy zakon ot 21 noyabrya 2011 g. № 323-FZ «Ob osnovakh okhrany zdorov’ya grazhdan v RF». (In Russ). Available from: https://www.zakonrf.info/zakon-o-zdorovye-grazhdan/.
  15. Federal’nyy zakon ot 29.11.2010 № 326-FZ (red. ot 24.04.2020) «Ob obyazatel’nom meditsinskom strakhovanii v Rossiyskoy Federatsii». (In Russ). Available from: https://bazanpa.ru/gd-rf-zakon-n326-fz-ot29112010-h1567261/.
  16. Mokhov AA, Petyukova ON. Development of russian legislation on medical and social assessment and improvement of interdepartmental interaction. Vestnik Permskogo universiteta. Yuridicheskiye nauki. 2018;(42):587–615. (In Russ). https://doi.org/10.17072/1995-4190-2018-42-587-615.
  17. Prikaz Ministerstva truda i sotsial’noy zashchity Rossiyskoy Federatsii ot 29 dekabrya 2015 g. № 1171n “Ob utverzhdenii formy protokola provedeniya mediko-sotsial’noy ekspertizy grazhdanina v federal’nom gosudarstvennom uchrezhdenii mediko-sotsial’noy ekspertizy” s izmeneniyami, vnesennymi prikazom Mintruda Rossii». (In Russ). Available from: https://base.garant.ru/77680617/.
  18. Zakon RF ot 19.04.1991 № 032-1 «O zanyatosti naseleniya v Rossiyskoy Federatsii» (poslednyaya redaktsiya). (In Russ). Available from: http://www.consultant.ru/document/cons_doc_LAW_60/.
  19. Prikaz Mintruda Rossii ot 05.12.2013 № 715n “Ob utverzhdenii professional’nogo standarta “Spetsialist po mediko-sotsial’noy ekspertize”” (zaregistrirovano v Minyuste Rossii 31.12.2013 № 30942). (In Russ). Available from: http://fgosvo.ru/uploadfiles/profstandart/03.005.pdf.
  20. Prikaz Mintruda Rossii ot 11 oktyabrya 2012 № 310 “Ob utverzhdenii Poryadka organizatsii i deyatel’nosti federal’nykh gosudarstvennykh uchrezhdeniy mediko-sotsial’noy ekspertizy” (v red. Prikaza Mintruda Rossii ot 29.12.2016 № 847n). (In Russ). Available from: http://www.consultant.ru/document/cons_doc_LAW_139911/.
  21. Prikaz Ministerstva truda i sotsial’nogo razvitiya RF ot 27 avgusta 2019 g. № 585n “O klassifikatsiyakh i kriteriyakh, ispol’zuyemykh pri osushchestvlenii mediko-sotsial’noy ekspertizy grazhdan federal’nymi gosudarstvennymi uchrezhdeniyami mediko-sotsial’noy ekspertizy”. (In Russ). Available from: https://www.garant.ru/products/ipo/prime/doc/72921006/.
  22. Prikaz Mintruda Rossii ot 13 iyunya 2017 g. № 486n “Ob utverzhdenii poryadka razrabotki i realizatsii individual’noy programmy reabilitatsii i abilitatsii invalida, individual’noy programm reabilitatsii i abilitatsii rebenka-invalida, vydavayemykh federal’nymi gosudarstvennymi uchrezhdeniyami mediko-sotsial’noy ekspertizy i ikh form”. (In Russ). Available from: https://www.garant.ru/products/ipo/prime/doc/71634826/.

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