The peculiarity of the current stage of the development of medical and social expertise (MSE) is, first of all, the ratification of the Convention on the Rights of Persons with Disabilities in the Russian Federation. An attempt to ensure the participation of citizens with restrictions in activities in the civil, political, social and cultural life of the society required significant changes and additions to the regulatory and legislative framework of the Russian Federation that regulates various aspects of the life of Russian citizens. Changes in regulatory and legislative acts increase the role and importance of medical organizations in MSE in terms of establishing and formulating a medical diagnosis of the patient, determining the nature and persistence of disorders of the body’s functions, developing and implementing intra-institutional rehabilitation programs for people with disabilities. In this regard, it is important to take into account the readiness of medical organizations to respond promptly to changes in expert legislation and to make contributions into the provision of the continuity, consistency, succession and complexity of the expert - rehabilitation process. The purpose of this study was to identify the main trends in the work of disability evaluation boards of medical organizations on the example of a large hospital-polyclinic association for the referral of patients for MSE. It was succeed to clarify out that to date the procedure for referral citizens to MSE in the association is well managed, targeted at individuals, both of senior and middle ages and their need for examination, taking into account results of rehabilitation. During the period of observation, there was noted the gain in the number of people referred for MSE, mainly at the expense of persons referred for the reassessment, which is related both with the severity of the contingent appealing to the organization and using modern treatment technologies requiring a long rehabilitation period and with the accumulation of a contingent disabled people. Therefore, in examination persons of the older age group, the participation of geriatricians will probably be necessary.

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N. K Guseva

Nizhny Novgorod State Medical Academy

Nizhny Novgorod, 603005, Russian Federation

Vitaliy A. Berdutin

Volga District Medical Centre

Nizhny Novgorod, 603001, Russian Federation
MD, Ph., Deputy Head of the Contract, Nizhny Novgorod, 603001, Russian Federation

P. S Zubeev

Nizhny Novgorod State Medical Academy; Municipal Hospital No №33

Nizhny Novgorod, 603005, Russian Federation; Nizhny Novgorod, 603076, Russian Federation

S. V Baranova

Municipal Hospital No №33

Nizhny Novgorod, 603076, Russian Federation


  1. Данилова С.Т. Новые правила установления инвалидности с позиции медицинской организации. Здравоохранение. 2016; (5): 36-40.
  2. Пузин С.Н., Меметов С.С., Шургая М.А., Балека Л.Ю. Особенности государственной службы медико-социальной экспертизы на современном этапе. Медико-социальная экспертиза и реабилитация. 2016; 19(3): 159-63.
  3. Пузин С.Н., Шургая М.А., Меметов С.С., Шевченко С.Б., Смольников Е.В., Гончарова О.В. Принципы формирования врачебного заключения. Клинический диагноз. Медико-социальная экспертиза и реабилитация. 2017; 20(1): 46-9.
  4. Гончаренко А.Г., Акимов Е.И. Принципы и критерии определения стойкости нарушения функций организма в практике проведения медико-социальной экспертизы. Медико-социальная экспертиза и реабилитация. 2016; (3): 123-4.



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