Perm University Herald. Juridical Sciences. 2018. Issue 4 (42)

Title: DEVELOPMENT OF RUSSIAN LEGISLATION ON MEDICAL AND SOCIAL ASSESSMENT AND IMPROVEMENT OF INTERDEPARTMENTAL INTERACTION
Authors:

A. A. Mokhov, Kutafin Moscow State Law University (MSAL)

This email address is being protected from spambots. You need JavaScript enabled to view it.
ORCID: 0000-0001-8139-7932 ResearcherID: V-4520-2018
Articles of «Scopus» & «Web of Science»:       ---

O. N. Petyukova, Financial University under the Government of the Russian Federation

This email address is being protected from spambots. You need JavaScript enabled to view it.
ORCID: 0000-0003-0127-9747 ResearcherID: D-1571-2016
Articles of «Scopus» & «Web of Science»:       --- 
Requisites: Mokhov A. A., Petyukova O. N. Sovershenstvovanie rossiyskogo zakonodatel'stva o provedenii mediko-sotsial'noy ekspertizy i uluchshenii mezhvedomstvennogo vzaimodeystviya [Development of Russian Legislation on Medical and Social Assessment and Improvement of Interdepartmental Interaction]. Vestnik Permskogo universiteta. Juridicheskie nauki – Perm University Herald. Juridical Sciences. 2018. Issue 4. Pp. 587–615. (In Russ.). DOI: 10.17072/1995-4190-2018-42-587-615
DOI: 10.17072/1995-4190-2018-42-587-615
Annotation:

Introduction: the paper presents the results of the analysis of federal and regional legislation on medical and social assessment (MSA) procedure and rehabilitation of disabled people as well as on determining the powers of the subjects of the Russian Federation in this area; it analyzes 2017 Pilot Project implemented in the Smolensk and Voronezh regions to develop new approaches to the examination of citizens under 18, and 2018 Pilot Projects in the Stavropol and Sverdlovsk regions to develop new approaches to determining the degree of loss of professional working ability. It also brings into focus the legal status and role of public organizations of people with disabilities, socially oriented non-profit organizations in social and labor integration of the disabled. Particularly, the study is focused on the procedure for developing an individual program of rehabilitation/ habilitation. Purpose: development of Russian legislation on medical and social assessment and rehabilitation of persons with disabilities in order to enhance the quality, objectivity, patient-centered approach, including the focus on improving interdepartmental interaction. Methods: a complex of methods of scientific cognition was used, including such general ones as analysis, synthesis, induction, deduction, and also specific ones, in particular, comparative, formal legal, statistical and others. Results: based on the results of the study, the authors formulated their suggestion for improvement of the system of managing the relevant bodies and institutions when conducting medical and social assessment and rehabilitation of disabled people, mechanisms of their interaction, optimization of document flow, as well as improvement of the legal status of medical and social assessment subjects. Conclusions: the system of organizational and legal support for medical and social assessment in relation to individual groups (categories) of citizens, as well as individual regions, requires modernization, especially in terms of the quality and accessibility of services provided by MSA institutions. The rehabilitation system for people with disabilities, built on a mixed sectoral and functional basis, belongs to the group of complex systems, which contributes to its failures, requires increased attention to the issues of management, organization and maintenance of subordinate and coordination links.

Keywords: social legislation, interdepartmental interaction, medical and social assessment, disability, rehabilitation, habilitation, health care, social care.
  download the full-version article
References: 1. Bukalerova L. A., Polukarov A. V., Kurakin A. V. O neobkhodimosti povysheniya effektivnosti pravovogo protivodeystviya korrupcii v social'noy sfere [On the Necessity of Improving the Effectiveness of Legal Combating Corruption in the Social Sphere]. Sovremennoe pravo – Modern Law. 2017. Issue 1. Pp. 87–95. (In Russ.).
2. Vlasov Ya. V., Kurapov M. A., Churakov M. V. Rol' pacientskikh obschestvennykh organizaciy v povyshenii kachestva okazaniya medicinskoy i social'noy pomoschi naseleniyu (na primere obscherossiyskoy obschestvennoy organizacii invalidov – bolnykh rasseyannym sklerozom) [The Role of Patient Non-Govern¬mental Organizations in Improving the Quality of Medical and Social Assistance to the Population (a Case Study of the All–Russian Public Organization of Disabled People with Multiple Sclerosis)]. Vestnik Roszdravnadzora – Vestnik Roszdravnadzora. 2011. Issue 5. Pp. 70–77. (In Russ.).
3. Gabay P. G. «Pravovaya formula» kvalifikacionnykh trebovaniy k vracham-specialistam: korrektnost', problemy, puti resheniya ["Legal Formula" of Qualification Requirements to Specialist Doctors: Correctness, Problems, Ways of Solution]. Medicinskoe pravo – Medical Law. 2016. Issue 4. Pp. 11–23. (In Russ.).
4. Gagarina A.E. Problema socializacii detey-invalidov v sovremennom obschestve [The Socialization of Disabled Children in Modern Society]. Amurskiy nauchnyj vestnik – Amur Scientific Bulletin. 2016. Issue 3. Pp. 15–22; Kuznecova V. Osnovnye puti i problemy socializacii invalidov v sovremennom rossiyskom obschestve [Basic Ways and Problems of Socialization of Disabled People in Modern Russian Society]. Vestnik TOGIRRO – Bulletin of the Tyumen State Institute of Regional Education Development. 2016. Issue 2. Pp. 339–343. (In Russ.).
5. German S. V. Osnovnye problemy pri naprav¬lenii grazhdan na mediko-social'nuyu eksper¬tizu organizaciyami, okazyvayuschimi lecheb¬no-profilakticheskuyu pomosch', i puti ikh resheniya [The Main Problems when Referring Citizens to Medical and Social Assessment Organizations Providing Medical and Preventive Care, and Ways to Solve Them]. Sovremennye problemy mediciny: teoriya i praktika: materialy mezhdunarodnoy zaochnoy nauchno-prakticheskoy konferencii (5 noyabrya 2012 g.) [Current Issues of Medicine: Theory and Practice: Proceedings of the International Correspondence Scientific-Practical Conference (November 5, 2012)]. Novosibirsk, 2012. P. 63. (In Russ.).
6. Golovko S. G. Reabilitacionnye vozmozhnosti obschestvennykh organizaciy invalidov v regional'noy social'noy politike [Rehabilitation Opportunities of Public Organizations of Disabled People in Regional Social Policy]. Otechestvennyj zhurnal social'noy raboty – Domestic Journal of Social Work. 2010. Issue 1. Pp. 117–121. (In Russ.).
7. Guseva N.K., German S.V. Vliyanie zakonotvorcheskogo processa v sfere social'noy politiki na uroven' i dinamiku pervichnoy invalidnosti v Rossiyskoy Federacii i Nizhegorodskoy oblasti [Influence of the Legislative Process in the Field of Social Policy on the Level and Dynamics of Primary Disablement in the Russian Federation and Nizhny Novgorod Region]. Mediko-social'naya ekspertiza i reabilitaciya – Medico-Social Expert Evaluation and Rehabilitation. 2010. Issue 2. Pp. 5–8. (In Russ.).
8. Guseva N. K., Doyutova M. V., Sokolov V. A., Sokolova I. A. Nekotorye problemy mediko-social'noy ekspertizy i analiz vozmozhnostey ikh resheniya [Several Issues of Medical and Social Expert Studies and Analysis of Possibilities of Their Solution]. Medicinskiy al'manakh – Medical Almanac. 2015. Issue 4. Pp. 17–19. (In Russ.).
9. Davydova Yu. V., Klyushina E. A., Samoylenko A. B. Problemy dostupnosti i kachestva medicinskogo obsluzhivaniya [Problems of Accessibility and Quality of Medical Care]. Byulleten' medicinskikh internet-konferenciy - Bulletin of Medical Internet Conferences. 2013. Vol. 3. Issue 11. P. 1287. (In Russ.).
10. Danilova S. G., Panov A. V. O sootnoshenii pravovoy reglamentacii i svobody usmotreniya pri provedenii mediko-social'noy ekspertizy [On the Correlation of Legal Regulation and Margin of Appreciation when Carrying out Medical and Social Examination]. Medicinskaya ekspertiza i pravo – Medical Expertise and Law. 2010. Issue 1. Pp. 11–14. (In Russ.).
11. Dargan A. A. Problemy social'noy integracii invalidov i rol' obschestvennykh organizaciy v ikh reshenii [Issues of Social Integration of the Disabled People and the Role of Non-Governmental Organizations in Their Solution]. Vestnik mezhdunarodnogo instituta ekonomiki i prava – Herald of International Institute of Economics and Law. 2013. Issue 4. Pp. 96–103. (In Russ.).
12. Evdakov V. A., Bant'eva M. N., Kuznecova V. P. Sostoyanie ambulatornoy pomoschi po medicinskoy reabilitacii, okazyvaemoy naseleniyu Rossii i ee sub"ektov [The State of Outpatient Care with Medical Rehabilitation Provided for the Population of Russia and Its Subjects]. Sovremennye problemy zdravookhraneniya i medicinskoy statistiki – Current Problems of Health Care and Medical Statistics. 2015. Issue 3. Pp. 17–41. (In Russ.).
13. Kabakovich G. A., Polezhaeva K. V. Vliyanie social'nykh i pravovykh bar'erov na rol' i mesto invalidov v obschestve [The Influence of Social and Legal Barriers on the Role and Place of the Disabled in the Society]. Vestnik Bashkirskogo universiteta – Vestnik Bashkirskogo Universiteta. 2015. Issue 2. Pp. 635–644. (In Russ.).
14. Karaseva L. A. Nauchnoe obosnovanie i sovershenstvovanie organizacionno-metodiches¬kikh, pravovykh i mediko-social'nykh osnov sistemy professional'noy reabilitacii invalidov v Rossiyskoy Federacii: avtoref. dis. ... d-ra med. nauk [Scientific Rationale and Improvement of Organizational, Methodological, Legal, Medical and Social Foundations of the System of Professional Rehabilitation of Disabled People in the Russian Federation: Synopsis of Dr. med. sci. diss.]. St. Petersburg, 2010. P. 10. (In Russ.).
15. Kirillovykh A. A., Surmanidze I. N. Pravovye aspekty obespecheniya social'nogo statusa obschestvennykh ob"edineniy invalidov v sisteme nekommercheskikh organizaciy [The Legal Aspects of Providing the Social Status of Public Associations of Persons with Disabilities in the System of non-Profit Organizations]. Vestnik gumanitarnogo obrazovaniya – Herald of Humanitarian Education. 2017. Issue 1. Pp. 78–83. (In Russ.).
16. Kozlov S. V., Avdeev A. I., Solokhina L. V. K voprosu ob organizacii proizvodstva sudebno-medicinskikh ekspertiz po tak nazyvaemim «vrachebnym» delam [To the Organization of Forensic Examinations on the so-Called "Medical" Cases]. Problemy ekspertizy v medicine –Medical Examination Problems. 2010. Vol. 10. Issue 1–2. Pp. 28–30. (In Russ.).
17. Koz'minykh E. V. Sudebno-medicinskaya ekspertiza po vrachebnomu delu: fatal'noe vliyanie na professional'nuyu sud'bu vrachey [Forensic Medical Examination on Medical Case: Fatal Impact on the Professional Future of Doctors]. Pravovye voprosy v zdravookhranenii – Legal Issues in Health Care. 2013. Issue 5. Pp. 84–92. (In Russ.).
18. Kokorev R. A. Ispol'zovanie medicinskikh znaniy pri rassledovanii prestupleniy protiv lichnosti: diss. ... kand. yurid. nauk [Using Medical Knowledge in the Investigation of Crimes against the Person: Cand. jurid. sci. diss.]. Moscow, 2017. Pp. 18–37. (In Russ.).
19. Kolyabin A. Yu., Glukhova T. V. Mediko-social'naya ekspertiza kak kriteriy yuridicheskogo priznaniya pacienta invalidom: problemy teorii i praktiki [Medical-Social Examination as a Criterion of Legal Recognition of the Patient's Disability: Problems of Theory and Practice]. Vestnik Mezhdunarodnogo yuridicheskogo instituta – Bulletin of the International Law Institute. 2017. Issue 3. P. 15. (In Russ.).
20. Krom I. L. Perspektivy issledovaniya kachestva zhizni v praktike mediko-social'noy ekspertizy [Perspectives of the Quality-of-Life Assessment in the Disability Examination]. Palliativnaya medicina i reabilitaciya – Palliative Medicine and Rehabilitation. 2006. Issue 3. Pp. 35–38. (In Russ.).
21. Medencov A. A., Mokhov A. A. K voprosu o naznachenii «nezavisimykh» ekspertiz pri otpravlenii pravosudiya [On the Issue of Ordering "Independent" Expertise in the Administration of Justice]. Arbitrazhnyj i grazhdanskiy process – Arbitrazh and Civil Procedure. 2005. Issue 12. Pp. 15–18. (In Russ.).
22. Mikhaylova I. N., Mikhaylov I. V., Razin'kov D. V., Khalilov M. A. Mediko-social'¬naya ekspertiza: sovremennye aspekty pravovogo regulirovaniya [Medico-Social Examination: the Modern Aspects of Legal Regulation]. Vestnik novykh medicinskikh tekhnologiy (elektronnyj zhurnal) – Journal of New Medical Technologies, eEdition. 2014. Issue 1. Pp. 195–196. (In Russ.).
23. Mokhov A. A. Ispol'zovanie special'nykh znaniy v grazhdanskom sudoproizvodstve Rossii: teoriya i praktika: dis. ... d-ra yurid. nauk [The Use of Special Knowledge in Civil Justice in Russia: Theory and Practice: Dr. jurid. sci. diss.]. St. Petersburg, 2006. P. 161. (In Russ.).
24. Mokhov A. A. Medicinskaya deyatel'nost' – vid social'nogo predprinimatel'stva [Medical Activities as a Kind of Social Entrepreneurship]. Medicinskoe pravo – Medical Law. 2016. Issue 1. Pp. 6–10. (In Russ.).
25. Nuzhenkova M. V., Bursikova D. V. Formirovanie ponyatiya «medicinskaya reabilitaciya» v sisteme sovremennogo zakonodatel'stva ob okhrane zdorov'ya grazhdan [The Formation of the Concept of "Medical Rehabilitation" in the System of Modern Legislation on the Protection of Citizens' Health]. Nauchnyj poisk - Scientific Search. 2015. Issue 2–3. Pp. 40–42. (In Russ.).
26. Petyukova O. N., Popova A.V . et al. Sover-shenstvovanie zakonodatel'stva ob okhrane zdorov'ya grazhdan v Rossiyskoy Federacii / pod red. O.N. Petyukovoy [Improvement of Legislation on the Protection of Citizens' Health in the Russian Federation; ed. by O. N. Pe¬tyukova]. Moscow, 2017. (In Russ.).
27. Pravo i social'noe razvitie kak novaya gumanisticheskaya ierarkhiya cennostey: monografiya / T. Ya. Khabrieva, A. V. Gabov, Yu. A. Tikhomirov i dr. // Otv. red. A. V. Gabov, N. V. Putilo [Law and Social Development as a New Humanistic Hierarchy of Values: Monograph; T. Ya. Khabrieva, A. V. Gabov, Yu. A. Tikhomirov et al.; ed. by A. V. Ga-bov, N. V. Putilo]. Moscow, 2015. 32 p. (In Russ.).
28. Pravovye modeli i real'nost: monografiya / otv. red. Yu.A. Tikhomirov, E.E. Rafalyuk, N.I. Khludeneva [Legal Models and Reality: Monograph; ed. by Yu. A. Tikhomirov, E. E. Rafalyuk, N. I. Khludeneva]. Moscow, 2014. 280 p. (In Russ.).
29. Putilo N. V., Volkova N. S. et al. Pravo grazhdan na lekarstvennoe obespechenie: monografiya [The Right of Citizens to Provision of Medicines: Monograph]. Moscow, 2017. P. 5. (In Russ.).
30. Romanovskiy G. B. Modernizaciya pravovogo regulirovaniya provedeniya mediko-social'¬noy ekspertizy v Rossiyskoy Federacii [Modernization of Legal Regulation of Carrying out Medico-Social Examination in the Russian Federation]. Nauka. Obschestvo. Gosudarstvo – Science. Society. State. 2014. Issue 2. Pp. 3–11. (In Russ.).
31. Sabanov Z. M. Osnovnye principy social'nogo obsluzhivaniya invalidov [Basic Principles of Social Services for Persons with Disabilities]. ANI: pedagogika i psikhologiya – Azimuth of Scientific Research: Pedagogy and Psychology. 2017. Vol. 6. Issue 2. Pp. 326–329. (In Russ.).
32. Sergeev Yu. D., Mokhov A. A. Nenadlezhaschee vrachevanie: vozmeschenie vreda zdorov'yu i zhizni pacienta [Improper Treatment: Compensation for Harm Caused to Health and Life of Patient]. Moscow, 2007. 309 p. (In Russ.).
33. Sergeeva O. V. Opyt mezhvedomstvennogo vzaimodeystviya i sotrudnichestva s obschestvennoy organizaciey invalidov s cel'yu optimizacii reabilitacii v Voronezhskoy oblasti [Experience of Interdepartmental Interaction and Cooperation with the Public Organization of Disabled People in Order to Optimize Rehabilitation in Voronezh Region]. Invalidy i obschestvo – Disabled People and Society. 2016. Issue 2. Pp. 35–37. (In Russ.).
34. Smychek V. B. Medicinskaya reabilitaciya i ekspertiza v Respublike Belarus' [Medical Rehabilitation and Expertise in the Republic of Belarus]. Zdravookhranenie – Health Care. 2016. Issue 12. P. 17. (In Russ.).
35. ¬Son I. M., Evdakov V. A., Bant'eva M. N., Kuz¬ne¬cova V. P. Sostoyanie obespecheniya po¬mo¬schi po medicinskoy reabilitacii, okazyvaemoy v ambulatornykh usloviyakh naseleniyu Rossii [Provision of Medical Rehabilitation Care for the Population of the Russian Federation on an Outpatient Basis]. Mene¬dzher zdravo¬okhraneniya – Manager of Health Care. 2016. Issue 3. Pp. 16–27. (In Russ.).
36. Sochinskaya T. I., Aroslankina A. P., Zine-tul¬lina N. Kh. et al. Medicinskaya reabilitaciya kak osnova profilaktiki predotvratimykh poter' zdorovykh let zhizni vsledstvie prezhdevremennoy smerti i invalidnosti [Medical Rehabilitation as Base for Pro¬phy¬laxis of Preventable Losses of Healthy Years of Life Caused by Premature Morbidity and Disa¬bility]. Upravlenie kachestvom me¬dicinskoy pomoschi – Quality of Medical Care Mana¬gement. 2014. Issue 2. P. 19. (In Russ.).
37. Farber E. V. Eticheskie i pravovye aspekty provedeniya mediko-social'noy ekspertizy segodnya [Current Ethical and Legal Aspects of the Medico-Social Examination Carrying out]. Medicinskoe pravo: teoriya i praktika – Medical Law: Theory and Practice. 2016. Vol. 2. Issue 1. P. 258. (In Russ.).
38. Khasanova D. A., Stepanenko R. F. Social'-naya funkciya prava v praktikakh mediko-social'noy ekspertizy: nekotorye voprosy obschey teorii prava [Social Function of Law in the Practice of Medical and Social Expertise: Some Issues of the General Theory of Law]. Obschestvo, gosudarstvo, lichnost': modernizaciya sistemy vzaimootnosheniy v sovremennykh usloviyakh: Materialy XVI Vserossiyskoy nauchno-prakticheskoy konferencii (g. Kazan, 22 aprelya 2016 g.) [Society, State, Personality: Modernization of the System of Relations in Current Conditions: Proceedings of the XVI All-Russian Scientific and Practical Conference (Kazan, April 22, 2016)]. Kazan, 2016. P. 134. (In Russ.).
39. Chernova G. I., Svincov A. A., Chernyakina T. S., Raduto V. I. Ocenka effektivnosti mediko-social'noy reabilitacii invalidov v sub"ektakh Sibirskogo i Privolzhskogo federal'nykh okrugov Rossiyskoy Federacii [The Evaluation of the Effectiveness of Medical and Social Rehabilitation of Disabled People in the Subjects of Siberian and Volga Federal Districts of the Russian Federation]. Profilakticheskaya i klinicheskaya medicina – Preventive and Clinical Medicine. 2015. Issue 3. Pp. 58–62. (In Russ.).
40. Shestakov V. P., Chernova G. I. et al. Sovremennye aspekty effektivnosti realizacii individual'nykh programm reabilitacii invalidov v Rossiyskoy Federacii [Contemporary Issues of Ef-ficient Implementations of Individual Re-ha¬bi¬litation Programs in the Russian Fe¬de-ra¬tion]. Nauchnye vedomosti Belgorod-skogo gosu¬dars¬tvennogo univer¬si¬teta. Seriya «Me¬di¬ci¬na. Farmaciya» – Belgorod State University Scien¬tific Bulletin. Medicine. Pharmacy. 2013. Vol. 24. Issue 25. Pp. 181–186. (In Russ.).
41. Schukin N. N., Belokrylova G. S. et al. Analiz defektov napravleniya na mediko-social'nuyu ekspertizu v Khabarovskom krae [Analysis of Defects in the Referrals for Medical and Social Expertise in the Khabarovsk Territory]. Zdra¬vookhranenie Dal'nego Vostoka – Public Health of the Far East. 2010. Issue 2. Pp. 19–21. (In Russ.).
42. Callaghan Gillian, Wistow Gerald. Publics, Patients, Citizens, Consumers? Power and Decision Making in Primary Health Care. Public Administration. 2006. Vol. 84. Issue 3. Pp. 583–601. DOI: 10.1111/j.1467-9299. 2006.00603.x. (In Eng.).
43. De Souza Annabelle, Rougé-Maillart Clotilde, Clément Renaud, Jousset Nathalie. Assessment of Loss of Opportunity in Medical Liability, a Mission to be Redefined for the Expert. Médecine & Droit. July-August 2016. Issue 139. Pp. 95–101. DOI: 10.1016/j.meddro. 2016.02.001 (In Eng.).
44. Kaehne Axel, Taylor Helen. Do Public Consultations Work? The Case of the Social Services and Well-Being (Wales) Bill. Public Policy and Administration. January 2016. Vol. 31. Issue 1. Pp. 80–99. DOI: 10.1177/ 09520767 15595676. (In Eng.).
45. Krasheninnikova Yulia A. External Control over Temporary Disability Examination in the Russian Federation. Public Administration Issues. 2018. Issue 2. Pp. 153–176. (In Eng.).
46. Svirin Yury A., Mokhov Alexandr A. Gureev et al. Legal Personality in the Russian Civil Law. Modern Journal of Language Teaching Methods. June 2018. Vol. 8. Issue 6. Pp. 88–98. (In Eng.).
Received: 01.06.2018
Financing: ---

 


     

      

 
The Perm State University
614990, Perm, street Bukireva, 15
+7 (342) 2 396 275, +7 963 012 6422
vesturn@yandex.ru
ISSN 1995-4190 ISSN (eng.) 2618-8104
ISSN (online) 2658-7106
DOI 10.17072/1995-4190
(с) Editorial board, 2010
The magazine is registered in Federal Agency of supervision in sphere of communication and mass communications.
The certificate on registration of mass media ПИ № ФС77-33087 from September, 5th, 2008
The certificate on reregistration of mass media ПИ № ФС77-53189 from Marth, 14th, 2013

The magazine is included in List ВАК and in the Russian index of scientific citing

The founder & Publisher: the State educational institution of the higher training
“The Perm State University”.
Publishing 4 times a year