M.V. Korobov¹, O.N. Vladimirova¹, N.K. Guseva², S.V. German^2
1Saint-Petersburg Institute of Advanced Training of Doctors-experts, Ministry of Labor and Social Protection, Saint-Petersburg
²Nizhny Novgorod State Medical Academy, Nizhny Novgorod

Summary. Opinion and suggestions of practicing specialists are of great value for reforming the state system of medical and social assessment and rehabilitation of the disabled since it is those specialists who implement such reforms, experience and evaluate effects of changes and innovations.

The aim of the study is to develop and introduce into practice suggestions on improving referrals for medical and social assessment and provision of the state service on implementing medical and social assessment based on the opinion survey of specialists of medical institutions, institutions of medical and social assessment, rehabilitation facilities and other stakeholders of the health care system.

Methods and data. Sociological research was conducted using specially designed questionnaires during the All-Russia seminar organized by the Ministry of Labour and Social Protection of the Russian Federation according to the State Program “Accessible environment, 2011-2015”.

Results. Evaluating the current procedure of patient referrals for medical and social assessment 84.0% of respondents mentioned diverse problems; evaluating the current organization of medical and social assessment problems were reported by 79.0% of respondents.

According to respondents’ opinion problems related to resources, organization and methodology constitute the main barrier to effective implementation of the medical and social assessment and rehabilitation.

Conclusions. Design of a new efficient process model of medical and social assessment and rehabilitation will contribute to better social protection of people with disabilities.

Scope of application. Information obtained during the sociological research can be considered to further reform the system of medical and social assessment and rehabilitation of the disabled both at the regional and federal levels.

Keywords: organization of medical and social assessment; rehabilitation of the disabled; people with disabilities; sociological research.

References

1. Vladimirova O.N., Shelomanova T.N., Makedonova I.E., Rokhmanova M.V. Studying the needs of the disabled people with low mobility in creation of barrier-free environment in St. Petersburg. Vestnik Vserossiyskoy gil'dii protezistov-ortopedov 2012; (1-2): 47-53. (In Russia).
2. Convention on the Rights of Persons with Disabilities. [Internet]: The Resolution of UN General Assembly 61/106 of December 13, 2006. [cited 2014 Jan 15]. Available from: http://www.un.org/en/ga/search/view_doc.asp?symbol=A/RES/61/106&Lang=E (In Russia).
3. Concept of long-term social and economic development of the Russian Federation up to 2020 approved by the Regulation of the Government of the Russian Federation of November 17 2008 ¹1662-ð. (with changes for 2009). Collection of legislations of the Russian Federation ¹47, 24.11.2008, art. 5489. (In Russia).
4. Concept of improving the state system of health and social expertise and rehabilitation of the disabled. [Internet ] [cited 2014 Jan 15]. Available from: http://www.google.ru/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=1&ved=0CCkQFjAA&url=http%3A%2F%2Fwww.rosmintrud.ru%2Fdocs%2Fmzsr%2Fhandicapped%2F3%2Fmsword&ei=OavVUvzIB8a44ATG_IGYAw&usg=AFQjCNH_3K381LpTdLP1D3Vnwb5E8WqoA&bvm=bv.59378465,d.bGE&cad=rjt (In Russia).
5. Koryukov A.A., Vladimirova O.N., Nikolaev N.F., Andrievskaya A.O. Experience in implementation of International Ñlassification of Functioning, Disability and Health for rehabilitation of children with musculoskeletal pathology. Vestnik Vserossiyskogo obshchestva spetsialistov po mediko-sotsial'noy ekspertize, reabilitatsii i reabilitatsionnoy industrii 2012; (3): 86-93. (In Russia).
6. International Ñlassification of Functioning, Disability and Health: 54-th Session of the World Health Organization Assembly May 22, 2001. WHO Library service. St. Petersburg Extension Cause Institute for Medical Practitioners-experts of the Ministry of Labor and Social Development; 2003. 228 p. (In Russia).
7. On “Barrier-free Environment” the State Program of the Russian Federation for 2011-2015: Regulation of the Government of the RF of November 26, 2012 N 2181-r. Collection of legislations of the Russian Federation ¹49, 03.12.2012, art. 6900. (In Russia).

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