Current issues of medical and social expertise of children with diseases of the cardiovascular system

Abstract

The use of International Classification of Diseases 10th revision (ICD-10) and International Classification of Functioning, Disability and Health (ICF) are proposed for objective evaluation of impaired functions. A set of significant clinical and functional factors was identified. The study presents an example of the new disability criteria for children with cardiovascular diseases.

To determine the main directions for improving the organizational, legal, and methodological approaches to the establishment of disability in children in the Russian Federation.

Data from the state statistics (Rosstat and Ministry of Labor and Social Protection of the Russian Federation), current Russian legal documents, provisions of the Convention on the Rights of Persons with Disabilities, ICF biopsychosocial concept of disability, methodological and information materials, experience of federal institutions of medical and social expertise in the Russian Federation were analyzed regarding the disability in children.

The use of ICD-10 and ICF was proposed for the objective evaluation of impaired functions. A set of significant clinical and functional factors was identified. An example of new disability criteria for children with cardiovascular disease was presented.

To eliminate information barriers in medical and public organizations, among parents, and other interested parties, systematic work information is needed to disseminate knowledge about methodological, organizational, and methodological approaches to establishing disability in children.

Keywords

disabled child / child disability / convention on the rights of disabled persons / criteria for disability in children

References

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[2] Владимирова О.Н, Пронина Е.В., Поддубная Т.Б., и др. Проблемы направления детей на медико-социальную экспертизу // Российский вестник перинатологии и педиатрии. 2013. Т. 58, № 5. С. 97–101.

[3] The methodology for conducting medical and social expertise and the formation of conclusions on rehabilitation measures for children. Ed. by V.G. Pomnikov, G.O. Penina, O.N. Vladimirova. Moscow: Mintrud Rossii; 2014. 300 р. (In Russ). Available from: http:// www.rosmintrud.ru/docs/mintrud/handicapped/103. Accessed: 15.02.2022.

[4] Методика проведения медико-социальной экспертизы и формирование заключений о реабилитационных мероприятиях у детей / под ред. В.Г. Помникова, Г.О. Пениной, О.Н. Владимировой. Москва: Минтруд России, 2014. 300 с. Режим доступа: http:// www.rosmintrud.ru/docs/mintrud/handicapped/103. Дата обращения: 15.02.2022.

[5] Pronina EV, Vladimirova ON. Medical and social expertise of the child population in the Russian Federation: history of the issue, current state, directions of reform. Pediatriya. Zhurnal im. G.N. Speranskogo. 2015;94(4):193–199. (In Russ).

[6] Пронина Е.В., Владимирова О.Н. Медико-социальная экспертиза детского населения в Российской Федерации: история вопроса, современное состояние, направления реформирования // Педиатрия. Журнал им. Г.Н. Сперанского. 2015. Т. 94, № 4. С. 193–199.

RIGHTS & PERMISSIONS

Adrianov A.V., Kolcheva J.A., Nepomnyashchaya S.A.