MEDICAL-SOCIAL EXAMINATION IN RUSSIA

MEDICAL-SOCIAL EXAMINATION is conducted in order to determine the

needs of the tested individual in social protection measures, including rehabilitation, on
the basis of assessment of life activity limitation caused by persistent disorder of body
functions.

Medical-social examination of permanent disability is realized by

• Bureau of MSE (medical social examination)

• Main Bureau of MSE
• Federal Bureau of MSE

Bureau of medical and social examination is responsible for:

1) determination of permanent disability (invalidity), its causes, duration and time
of onset, needs of the disabled in various forms of social protection;
2) working out of individual rehabilitation programs;
3) study of the level and causes of invalidity of the population;
4) participate in the development of comprehensive programs for the rehabilitation
of persons with disabilities, disability prevention and social protection of the disabled;
5) determination the degree of occupational disability;
6) determination of the cause of death of the disabled in cases where the legislation
of the Russian Federation provides for the provision of social support to the family of
the deceased.

A DISABLED PERSON (INVALID) is an individual who has health problems

with persistent dysfunctions of the body due to illness, trauma or defects leading to life
activity limitation and causes need of social protection.
Life activity limitation is a full or partial loss of the ability or possibility of a
person to exercise self-care, to move independently, navigate, communicate, control
their behavior, learn and engage in labor activity.
Depending on the degree of disorder of body functions and limitations of life to
persons recognized as disabled, the group of invalidity is established and for persons
under the age of 18 years the category of "disabled child" is established.

Causes (types) of invalidity:

• Systemic disease;
• Occupational diseases;
• Labor mutilation;
• Childhood invalidity;
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 • In connection with the Chernobyl accident;
• Ex-servicemen invalidity;
• Invalidity preceding working age.

Groups of invalidity
1st group is determined to persons with stable or continuous disability, who
needs constant outside care, supervision or assistance (re-examination in 2 years).
2nd group is determined to individuals who has significant dysfunctions, and
almost completely disabled, but do not need outside assistance and supervision, i.e. they
can service themselves (re-examination in 1 year).
3d group provides the opportunity to continue working activity (re-examination
in 1 year).
• It is necessary considerably reduce work activity;
• With considerable reduction or loss of professional qualifications;
• With considerable difficulty of carrying out their professional duties because of
the anatomical defects.

Invalidity when needn`t re-examination:

• When stable nonreversible morphological and functional disorders;
• When ineffectiveness of rehabilitation measures;
• When unfavorable clinical and labor prognosis.

Statistics of Invalidity:
• Crude invalidity rate
;

• Primary invalidity rate

10 000;

• Primary invalidity structure by reasons, groups;

Basic parameters of MSE activity:

• Effectiveness of rehabilitation measures;
• Divergence in MC and MSE bureau decisions;
• Proportion of exit MSE conferences.

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 Rehabilitation

By rehabilitation is meant the preparation of people with disabilities to adapt to and

positively interact with the society, through a host of social programs and activities, as
well as offering them jobs; work is no less important for them than all other people.
Rehabilitation is “a set of measures that assist individuals who experience, or are
likely to experience, disability to achieve and maintain optimal functioning in
interaction with their environments” (WHO).
Rehabilitation, commonly known as rehab is a scientifically developed for
insuring the recovery from any kind of disability, injury or the habit. Rehabilitation is a
slow but a steady process.

Types of rehabilitation
1. Medical
Medical rehabilitation includes treatment programs that help a person perform
better in all his daily physical and mental activities. Medical rehabilitation is a
follow up treatment after any kind of treatment program.
2. Psychological (neurological)
Psychological rehabilitation aims at making the patient self-dependant, helps create
a positive thinking in patient. The patient is treated so that he leads a improved life
physically, emotionally, and socially.
3. Vocational
Vocational rehabilitation program is designed to help those people who find it
difficult to get employment or retain it after they have gone through certain
situations that caused mental or physical disability in them.
4. Social