The results of the state population policy in the field of rehabilitation, medical and social expertise, social insurance, labor and employment of work-injured people
- Authors: Sevastianov MA1, Bozhkov IA2, Vladimirova ON1, Didelev AV3, Goryainova MV1
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Affiliations:
- Institute of advanced education of medical experts
- North-Western State Medical University named after I.I. Mechnikov
- Main Bureau of Medical and Social Expertise in the Moscow Region
- Issue: Vol 102, No 5 (2021)
- Pages: 726-735
- Section: Social hygiene and healthcare management
- Submitted: 26.02.2021
- Accepted: 22.09.2021
- Published: 13.10.2021
- URL: https://kazanmedjournal.ru/kazanmedj/article/view/61979
- DOI: https://doi.org/10.17816/KMJ2021-726
- ID: 61979
Cite item
Abstract
Aim. To study the indicators of industrial injuries and occupational morbidity in the Russian Federation and the effectiveness of measures for the professional rehabilitation of injured workers in the context of the implementation of state programs aimed at enhancing the labor force and employment.
Methods. The analysis of statistical indicators on the number of workers, insured and injured at work from 2007 to 2018 and the results of measures for victim rehabilitation between 2014 and 2019, using data from Rosstat, reporting form No. 7 — social security and open data of the social insurance fund. Descriptive statistics were used in the analysis.
Results. The level of employment of disabled people planned by the Government of the Russian Federation by 2020 at the level of 40% in relation to people who are injured at work has not been achieved. At the same time, about 80% of the injured person had mild and moderate dysfunctions, about 50% were of working age. Against this background, employment at the level of 0.2 to 6.6% per year indicates the insufficient effectiveness of vocational rehabilitation. In most EU countries, where the return to work rate for work-injured people exceeds 90%, the employer and the insurer jointly participate in the professional rehabilitation of the injured, applying and financing all the necessary organizational and rehabilitation measures. In the Russian Federation, measures for occupational adaptation, maintenance of employment and the creation of special jobs are not subject to reimbursement from insurance funds, only educational events are financed. An employer who has caused harm to the health of work-injured is not economically interested in restoring his professional status. The authors encouraged to amend the regulations of the Russian Federation to ensure financing of the entire range of measures for vocational rehabilitation and the economic interest of employers in restoring the occupational status of work-injured people.
Conclusion. Despite the favorable decreasing trend of industrial injuries and occupational morbidity at the enterprises of the Russian Federation over the past 12 years, the number of industrial injuries with permanent disability remains high, and the effectiveness of their vocational rehabilitation is low, which requires an expansion of the list of measures for vocational rehabilitation financed from the social insurance fund and ensuring the economic interest of employers in restoring the professional status of work-injured people.
Full Text
About the authors
M A Sevastianov
Institute of advanced education of medical experts
Author for correspondence.
Email: mike.seva1972@yandex.ru
Russian Federation, Saint Petersburg, Russia
I A Bozhkov
North-Western State Medical University named after I.I. Mechnikov
Email: mike.seva1972@yandex.ru
Russian Federation, Saint Petersburg, Russia
O N Vladimirova
Institute of advanced education of medical experts
Email: mike.seva1972@yandex.ru
Russian Federation, Saint Petersburg, Russia
A V Didelev
Main Bureau of Medical and Social Expertise in the Moscow Region
Email: mike.seva1972@yandex.ru
Russian Federation, Moscow, Russia
M V Goryainova
Institute of advanced education of medical experts
Email: mike.seva1972@yandex.ru
Russian Federation, Saint Petersburg, Russia
References
- Popova A.Yu. Working conditions and occupational morbidity in the Russian Federation. Occupational health and human ecology. 2015; (3): 7–13. (In Russ.)
- Vladimirova O.N., Bashkireva A.S., Korobov M.V., Khorkova O.V., Lomonosova O.V. Disability as a medical and social indicator of health status and aging among russian population. Uspekhi gerontologii. 2017; (3): 398–402. (In Russ.)
- Izmerov N.F., Bukhtiyarov I.V., Prokopenko L.V., Shigan E.E. Russian Federation implementation of who global efforts plan on workers health care. Meditsina truda i promyshlennaya ekologiya. 2015; (9): 4–10. (In Russ.)
- Izmerov N.F. Modern problems of occupational medicine in Russia. Occupational medicine and human ecology. 2015; (2): 5–12. (In Russ.)
- Tikhonova G.I., Churanova A.N., Gorchakova T.Yu. Occupational injuries as a problem of social and labor relations in Russia. Studies on russian economic development. 2012; (3): 282–292. doi: 10.1134/S1075700712030094.
- Sytin L.V., Zhestikova M.G. The problems of disability and rehabilitation of disabled people after labour injury in Kuzbass. Politravma. 2014; (3): 83–87. (In Russ.)
- Kuznetsov V.P., Svishchev A.V. Evaluation of the effectiveness of comprehensive rehabilitation of injured workers. Modern research and development. 2016; (7): 417–419. (In Russ.)
- Karol E.V., Khandrikova Ya.N., Yakimova E.A. Analysis of results of medical-social expertise of the citizens suffered in the result of an industrial accident in the city of Saint-Petersburg for a period 2013–2015 years. Mediko-sotsial'nye problemy invalidnosti. 2016; (3): 96–101. (In Russ.)
- Russian statistical yearbook. https://rosstat.gov.ru/folder/210/document/12994)?print=1 (access date: 15.02.2021). (In Russ.)
- Portal of open data of the Social Insurance Fund of the Russian Federation. https://fss.ru/ru/statistics/254806.shtml (access date: 15.02.2021). (In Russ.)
- Отчёт Росстата «Положение инвалидов». https://rosstat.gov.ru/folder/13964 (дата обращения: 15.02.2021). [Rosstat report “Situation of disabled people”. https://rosstat.gov.ru/folder/13964 (access date: 15.02.2021).
- Rosstat report “Working conditions”. https://rosstat.gov.ru/working_conditions?print=1 (access date: 15.02.2021). (In Russ.)
- Kolesnichenko O.V. Foreign experience of application of special systems of restitution for damages to health as a result of work accidents and occupational diseases (on the example of Germany and Great Britain) and prospects of borrowing it by Russia. Pravo i politika. 2020; (8): 18–32. (In Russ.) doi: 10.7256/2454-0706.2020.8.33119.
- Anema J.R., Schellart A.J.M., Cassidy J.D., Loisel P., Veerman T.J., van der Beek A.J. Can cross country differences in return-to-work after chronic occupational back pain be explained? An exploratory analysis on disability policies in a six country cohort study. J. Occupational Rehabilitation. 2009; 19: 419–426. doi: 10.1007/s10926-009-9202-3.
- Bazzini G., Panigazzil M., Prestifilippo E., Capodaglio E.M., Candura S.M., Scafa F., Nuccio C., Cortese G., Matarrese M.R., Miccio A. Role of occupational rehabilitation therapy in returning to work: experimental experience. G. Ital. Med. Lav. Ergon. 2014; 36 (4): 282–291. PMID: 25558723.