Basic concepts of medical and social expertise. Part 2: procedure for carrying out medical and social examination of a person


DOI: https://dx.doi.org/10.18565/therapy.2023.6.120-127

Lygina E.V., Yakushin S.S.

Ryazan State Medical University of the Ministry of Healthcare of Russia
Abstract. In medical and social expertise (MSE) procedure the following persons are participating: the inspected person, doctor referring the patient to the MSE, and doctor performing the MSE. The sequence of actions of each participant is regulated by the «Rules for recognizing a person as disabled» (The Rules) approved by the Government of the Russian Federation. There are statutory goals for MSE carrying out. According to The Rules, there are corresponding procedures for MSE performing, a procedure for re-examination of a disabled person and a procedure for appealing against decisions of the MSE bureau. The algorithm of the MSE procedure depends on the form of its implementation (with or without personal presence of the patient). Depending on the degree of impairment of body functions, rehabilitation potential, clinical and rehabilitation prognosis, the terms of disability are established (with or without indicating the period for the next re-examination). Strictly regulated causes of disability are not a specific disease, but represent a certain social category, on which additional benefits and payments depend.
Keywords: program of additional examination, procedure for re-examination of a disabled person, bureau of medical and social expertise, terms of disability, causes of disability, procedure for performing a medical and social expertise, referral for medical and social examination, disabled person, medical and social expertise
Read entire article

Literature

1. Постановление Правительства РФ от 05.04.2022 г. № 588 «О признании лица инвалидом». Доступ: https://normativ.kontur.ru/document?moduleId=1&documentId=419388&ysclid=l8o7w24imv87967172 (дата обращения – 01.08.2023). [Decree of the Government of the Russian Federation of April 5, 2022 No. 588 «On the recognition of a person as a disabled person». URL: https://normativ.kontur.ru/document?moduleId=1&documentId=419388&ysclid=l8o7w24imv87967172 (date of access – 01.08.2023) (In Russ.)].


2. Гражданский кодекс Российской Федерации от 30.11.1994 г. № 51-ФЗ. Доступ: https://www.consultant.ru/document/cons_doc_law_5142/?ysclid=l8o84eootx940708121 (дата обращения – 01.08.2023). [Civil Code of the Russian Federation dated November 30, 1994 No. 51-FZ. URL: https://www.consultant.ru/document/cons_doc_law_5142/?ysclid=l8o84eootx940708121 (date of access – 01.08.2023) (In Russ.)].


3. Семейный кодекс Российской Федерации от 29.12.1995 г. № 223-ФЗ. Доступ: https://www.consultant.ru/document/cons_doc_LAW_8982/?ysclid=l8o8255vtc801428262 (дата обращения – 01.08.2023). [Family Code of the Russian Federation dated December 29, 1995 No. 223-FZ. Доступ: https://www.consultant.ru/document/cons_doc_LAW_8982/?ysclid=l8o8255vtc801428262 (date of access – 01.08.2023) (In Russ.)].


4. Федеральный закон от 24.04.2008 г. № 48-ФЗ «Об опеке и попечительстве». Доступ: https://www.consultant.ru/document/cons_doc_LAW_76459/?ysclid=l8o86o3grp604097541 (дата обращения – 01.08.2023). [Federal Law No. 48-FZ of April 24, 2008 «On custody and guardianship». URL: https://www.consultant.ru/document/cons_doc_LAW_76459/?ysclid=l8o86o3grp604097541 (date of access – 01.08.2023) (In Russ.)].


5. Приказ Минтруда России № 488н, Минздрава России № 551н от 12.08.2022 г. «Об утверждении формы направления на медико-социальную экспертизу медицинской организацией и порядка ее заполнения» (зарегистрировано в Минюсте России 10.11.2022 г. № 70900). Доступ: https://www.garant.ru/products/ipo/prime/doc/405585943/ (дата обращения – 01.08.2023). [Order of the Ministry of Labor of Russia No. 488n, Ministry of Healthcare of Russia No. 551n dated August 12, 2022 «On approval of the form for referral for medical and social examination by a medical organization and the procedure for filling it out» (registered in the Ministry of Justice of Russia on November 10, 2022 No. 70900).URL: https://www.garant.ru/products/ipo/prime/doc/405585943/ (date of access – 01.08.2023) (In Russ.)].


6. Приказ Минтруда России от 30.12.2020 № 979н «Об утверждении Порядка организации и деятельности федеральных учреждений медико-социальной экспертизы» (зарегистрирован в Минюсте России 02.06.2021 г. № 63784). Доступ: http://www.consultant.ru/document/cons_doc_LAW_386158/ (дата обращения – 01.08.2023). [Order of the Ministry of Labor of Russia dated December 30, 2020 No. 979n «On approval of the procedure for the organization and activities of federal institutions of medical and social expertise» (registered in the Ministry of Justice of Russia on June 2, 2021 No. 63784).URL: http://www.consultant.ru/document/cons_doc_LAW_386158/ (date of access – 01.08.2023) (In Russ.)].


7. Приказ Минтруда России от 30 мая 2022 г. № 326н «Об утверждении формы программы дополнительного обследования гражданина и порядка ее заполнения» (зарегистрирован в Минюсте России 05.08.2022 г. № 69554). Доступ: https://base.garant.ru/405038499/ (дата обращения – 01.08.2023). [Order of the Ministry of Labor of Russia dated May 30, 2022 No. 326n «On approval of the form of the program for an additional examination of a citizen and the procedure for filling it out» (registered in the Ministry of Justice of Russia on August 5, 2022 No. 69554). URL: https://base.garant.ru/405038499/ (date of access – 01.08.2023) (In Russ.)].


8. Приказ Минтруда России от 28.11.2019 г. № 742н «Об утверждении Порядка установления причин инвалидности» (зарегистрирован в Минюсте России 21.02.2020 г. № 57579). Доступ: https://www.garant.ru/products/ipo/prime/doc/73562006/ (дата обращения – 01.08.2023). [Order of the Ministry of Labor of Russia dated November 28, 2019 No. 742n «On approval of the procedure for establishing the causes of disability» (registered in the Ministry of Justice of Russia on February 21, 2020 No. 57579).URL: https://www.garant.ru/products/ipo/prime/doc/73562006/ (date of access – 01.08.2023) (In Russ.)].


About the Autors

Elena V. Lygina, PhD in Medical Sciences, associate professor, associate professor of the Department of hospital therapy with a course of medical and social expertise, Ryazan State Medical University of the Ministry of Healthcare of Russia. Address: 390026, Ryazan, 9 Vysokovoltnaya Str.
E-mail: dr.lygina@gmail.com
ORCID: https://orcid.org/0000-0001-6746-6743
Sergey S. Yakushin, MD, professor, head of the Department of hospital therapy with a course of medical and social expertise, Ryazan State Medical University of the Ministry of Healthcare of Russia. Address: 390026, Ryazan, 9 Vysokovoltnaya Str.
E-mail: ssyakushin@yаndex.ru
ORCID: https://orcid.org/0000-0002-1394-3791


Similar Articles

Back to Content

Бионика Медиа