Analysis of loss of professional employment and ability to perform labor activities in sufficiated

Abstract

BACKGROUND: In medical and social expertise, to determine the degree of loss of professional working capacity and disability to victims of industrial accidents and occupational diseases, it is of fundamental importance to assess the possibility of continuing professional activity and the ability to work.

AIMS: To study the structure and dynamics of determining the degree of loss of professional ability to work, the dynamics of disability and the structure of disability groups, the structure of nosological forms among the victims.

MATERIALS AND METODS: The results of the medical and social examination in the FGI «The Main Bureau of Medical and Social Expertise in the Novosibirsk region» for the period 2013–2020 have been studied among 1528 victims of industrial accidents and occupational diseases. Of these, the loss of professional ability to work of varying degrees was established by 96.6% of the victims, disability with limited ability to work ― 36.2% of the victims.

RESULTS: The largest share (62.5%) was made up of victims with a loss of professional working capacity from 10 to 30 percent. Among the victims with disabilities, the largest proportion (75.2%) were disabled persons of the third group with limited ability to perform labor activities of the 1st degree. The dynamics of establishing the degree of loss of professional ability to work and disability with limited ability to perform labor activity in the study period was characterized by an increase to a maximum value in 2014, followed by an intermittent decrease to a minimum value in 2020. production and disability with limited ability to perform work activities, the largest number of persons with the consequences of injuries of the upper limb, the consequences of injuries of the lower limb and the consequences of spinal injuries. Among those injured as a result of occupational diseases, persons with sensorineural hearing loss, vibration disease and lung diseases prevailed. Disability with limited ability to perform work activities among victims of occupational diseases in the overwhelming majority of cases was established in persons with sensorineural hearing loss and lung diseases.

CONCLUSION: The decrease in the ability to perform professional activities and the limitation of the ability to perform work activities were more pronounced among victims of industrial accidents than among those injured as a result of occupational diseases.

Keywords

medical and social expertise / professional ability to work / disability / labor injury / occupational diseases

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