Disability indicators for the social protection and rehabilitation measures in the population of the Russian Federation

Abstract

BACKGROUND: To improve social policy and to study the mechanisms of public administration, it is important to analyze the trends in the development of the social phenomenon –population disability. The need for a systematic analysis in the planning and regulation of social protection measures for people with disability and rehabilitation to minimize the risks of negative socioeconomic consequences leads to a long-term comprehensive study and analysis of disability indicators in the population of the Russian Federation.

AIM: To identify the medical and social characteristics of the state and trends of disability in the Russian Federation and St. Petersburg for 2015–2019.

MATERIALS AND METHODS: The study analyzed people with primary disability living in St. Petersburg and the Russian Federation. Data were obtained from the State Statistical Reporting 7 Social Security. Analytical, expert assessment methods, and statistical analysis were performed.

RESULTS: During the study period (2014–2019), the level of primary disability in the adult population of the Russian Federation tended to decrease: in 2015, it was 58.9 per 10 thousand adult populations, and in 2019, it was 53.1 per 10 thousand people. The dynamics showed an uneven rate of decrease in the level of primary disability, with a peak decline in 2016. In the analysis of the indicators of people with primary disability by age, for over 5 years, the proportion of people of working age and with disabilities decreased from 46.8% in 2015 to 42.3% in 2019. A study of the need for vocational rehabilitation measures for people with disability, specifically the need to create special jobs for the employment of people with primary and secondary disabilities, showed that medical and social specialists identified the need to create special jobs for 27.7% of the analyzed population (n=15,977), and the largest share of recommendations on the need to create a special workplace was issued to people with secondary disability, i.e., 89.8% (n=14,341). The share of the recommendations on the creation of special jobs for people with secondary disability was 2.6 times higher than for those with primary disability, with an average of 72.3% (n=41,769), and recommendations were drawn up mainly for people with secondary disability, with 88.4% (n=36,937).

CONCLUSIONS: At present, it is relevant to plan the socioeconomic costs for the implementation of social and vocational rehabilitation programs of people with disability and the creation of conditions for their employment in special jobs. This enables the delivery of organized and optimal rehabilitation for the constituents of the Russian Federation.

Keywords

first called up by disabled / special jobs / planning / rehabilitation costs / need / dynamics

References

[1] Puzin SN, Dmitrieva NV, Paikov AYu, et al. Actual problems of medical and social expertise. Medical and social expertise and rehabilitation. 2020;23(1):29–37. (In Russ). doi: 10.17816/MSER34613

[2] Пузин С.Н., Дмитриева Н.В., Пайков А.Ю., и др. Актуальные проблемы медико-социальной экспертизы // Медико-социальная экспертиза и реабилитация. 2020. Т. 23, № 1. С. 29–37. doi: 10.17816/MSER34613

[3] Dymochka MA, Krasnovskaya ES, Verigina NB. Indicators of disability in the adult population of the Russian Federation for the period 2017–2019 (information and analytical material). Medico-social problems of disability. 2020;(2):7–26. (In Russ).

[4] Дымочка М.А., Красновская Е.С., Веригина Н.Б. Показатели инвалидности у взрослого населения Российской Федерации за период 2017–2019 гг. (информационно-аналитический материал) // Медико-социальные проблемы инвалидности. 2020. № 2. С. 7–26.

[5] Puzin SN, Iksanov HV. Aspects of professional rehabilitation as the basis of economic efficiency of recovery of working capacity. In: Modern stage of development of science and practice of medical rehabilitation and sports medicine in the Russian Federation: Materials of the All-Russian scientific and practical conference with international participation, April 10–11, 2017. Kazan: MeDDoK; 2017. Р. 149–151. (In Russ).

[6] Пузин С.Н., Иксанов Х.В. Аспекты профессиональной реабилитации как основа экономической эффективности восстановления трудоспособности // Современный этап развития науки и практики медицинской реабилитации и спортивной медицины в Российской Федерации: материалы Всероссийской научно-практической конференции с международным участием, 10–11 апреля 2017. Казань: МеДДоК, 2017. С. 149–151.

[7] Statistics of medical and social expertise: an educational and methodological manual. Ed. by M.V. Korobov. Saint Petersburg; 2015. 116 p. (In Russ).

[8] Статистика медико-социальной экспертизы: учебно-методическое пособие под ред. проф. М.В. Коробова. Санкт-Петербург, 2015. 116 с.

[9] Karaseva LA, Goryainova MV, Tarbushkin AA. Medical statistics as a tool for studying and analyzing indicators of public health and healthcare. Study guide. Saint Petersburg: Raduga; 2019. 31 p. (In Russ).

[10] Карасаева Л.А., Горяйнова М.В., Тарбушкин А.А. Медицинская статистика как инструмент изучения и анализа показателей общественного здоровья и здравоохранения. Учебное пособие. Санкт-Петербург: Радуга, 2019. 31 с.

[11] Karasaeva LA, Goryainova MV, Karol EV, Belavina EA. The study of the need for vocational rehabilitation measures for persons recognized as disabled for the first time in St. Petersburg in 2019. In: Materials of the III National Congress with international participation “Rehabilitation – XXI century: Traditions and innovations”. Saint Petersburg; 2020. Р. 156–159. (In Russ).

[12] Карасаева Л.А., Горяйнова М.В., Кароль Е.В., Белавина Е.А. Изучение потребности в мероприятиях профессиональной реабилитации у лиц, впервые признанными инвалидами в Санкт-Петербурге в 2019 г. // Материалы III Национального конгресса с международным участием «Реабилитация – XXI век: Традиции и инновации». Санкт-Петербург, 2020. С. 156–159.

RIGHTS & PERMISSIONS

Goryainova M.V., Karasaeva L.A., Nurova A.A., Pavlova S.V., Azovtsev D.Y., Goryainov I.V.