What are the documents for disability? Obtaining a disability: description of the procedure

Every year the number of people unable to lead a full-fledged life increases. Dysfunctions of the body due to diseases, traumatization or birth defects, which caused the limitation of life, the need for social protection - all this gives a person a status of "disabled".Confirmation of the patient's condition is carried out by the medical and social expert commission( MCEC).Documents on disability, which are examined by the representatives of the commission, assure the person's right to disability.

What is a disability

The condition in which a person is unable to perform a complete mental, mental or physical activity is called a disability. This term is used not only in the medical field, but also in the legal sphere, since the establishment of a patient's disability is carried out by special bodies in accordance with the law.

The medical and social expert commission is engaged in determining the state of a person. The procedure called disability is based on the evaluation of the following criteria:

• type of impaired function in the human body;
• degree of severity of the disorder;
• class of human life;
• degree of restriction of the class of vital activity;
• criteria for establishing disability and disability groups.

List of diseases giving the right to apply to MSEC

One opinion of the patient that he needs a disability is not enough. There is a certain list of pathological conditions, on the basis of which the commission determines the status of the patient. Generalized groups of persistent changes in the functionality of the body include:

• psychosomatic functions;
• speech and language functions;
• functionality of the senses;
• motor functions;
• state of metabolism;
• internal secretion;
• function of hematopoiesis and cardiovascular system;
• the work of the systems of respiration, digestion and secretion;
• the state of the immune system;
• birth defects( if any).

These violations are manifested to a greater or lesser extent. The fluctuations in the indicators of changes in functionality range from minor to pronounced.

Classes of life

Obtaining a disability requires assessing the life of a person and the degree of change, taking into account the biological age of the patient. When disability is given, the following indicators are determined:

1. Self-service self-assessment includes determining how much time a person spends on everyday household affairs without resorting to outside help. It can range from partial use of ancillary facilities to total dependence on outside help.
2. The analysis of the ability to move independently takes into account the partial need for additional technical structures or complete dependence on outsiders.
3. Indicators of the ability to navigate in space, terrain, own thoughts range from independence to absolute incapacity for such orientation and the need for assistance from third parties.
4. Assessment of the ability to communicate is based on the determination of the need to use technical means or non-verbal factors of language speech.
5. The ability to monitor behavior varies from partial self-correction of behavioral reactions to absolute impossibility to answer for it alone.
6. Analysis of the ability to study includes the possibility of attending general educational or specialized educational institutions, as well as the lack of opportunities for independent learning.
7. Assessment of the ability to work is based on determining the conditions necessary for the work process of a particular patient, the intensity of the load, the volume of tasks performed. In the opposite case, it is confirmed that it is impossible to work independently.

Disability groups

In the case when the status of a disabled person is given to a minor patient, his category is called a "disabled child".Persons over 18 years of age are divided into 3 main groups. The first group of disability is given to a person in the following cases:

• a pronounced impairment of the functions of an organism of a persistent nature is observed;
• presence of criteria of absolute inability for one or several classes of vital activity;
• patient needs social care and rehabilitation.

The second group is assigned to persons who meet the following criteria:

• a pronounced impairment of the body's functions of a persistent nature is observed;
• availability of intermediate criteria of inability for one or several classes of vital activity;
• man needs social protection and recovery after illness.

The third group of incapacity for work is based on the following indicators, which are taken into account by the medical and social expert commission: moderate disruption of body functions;

availability of initial criteria of inability for one class of vital activity;

requires social protection and rehabilitation.

Disability duration

Persons who received 1 group of incapacity for work should submit their disability documents to the Ministry of Health in the next time after 2 years. Representatives of the remaining groups are reviewed annually."Child-invalid" is formalized for 1, 2 years or until reaching adulthood.

After the deadline, it is necessary to pass an examination at the ITU to confirm or deny the state of health. Confirmation of the group may leave the patient in the same category, and may determine the need for his transfer to another.

Indefinite disability

Establish lifelong( perpetual) disability based on the presence of malignant or benign tumorous processes, incurable diseases of the nervous system, mental pathologies, irreversible changes in the brain, progressive systemic diseases, limb defects, deafness and blindness.

The following groups of the population have the right to have permanent disability:

• men over 60 years and women after 55 years( regardless of group);
• men who must undergo the next revision after the onset of 60 years( regardless of the group);
• women who turn 55 before the next reissue( regardless of the group);
• servicemen who received injuries, wounds and defects during the period of service( regardless of the group).

Documentation

In the case of the first determination of incapacity for work, the patient asks the question: "What are the documents for disability to submit to the Ministry of Healthcare?"Let's consider this issue in more detail.

A medical and preventive institution, a pension agency or a social security office issues a referral to a commission. The hospital and polyclinic draw up such a document only after diagnosing the disease, conducting treatment and rehabilitation. The directions that the other organs give out must be confirmed by the appropriate directions of the health facility.

Refusal to give a person a referral to the MCEC should be documented so that the patient can apply to the office on his own.

List of documents that are mandatory for determining the capacity of a particular person:

• a copy of the passport or birth certificate( depending on the age);
• in the case of a representative of the patient - a document confirming his person;
• statement with the stated purpose of the examination;
• referral to the IEC, issued by the health facility or other authority;
• medical records;
• a copy of the employment record;
• documents on the education received;
• production or pedagogical characteristics;
• when re-used, a certificate of disability;
• individual rehabilitation card;
• other documents on request.

A copy of the passport must be confirmed by the original document. A copy of the work record card should be assured in the personnel department where the patient is working. The medical card should include extracts about in-patient treatment, the results of examinations, analyzes, X-ray pictures. Previous inspections of specialists should be officially certified by seals and signatures. In the presence of pathology on the part of the musculoskeletal system, it is necessary to describe the X-ray image taken immediately before contacting the Ministry of Health.

More specifically, the medical registrar of a particular bureau will answer the question of what documents should be submitted to the Ministry of Internal Affairs for disability.

The course of the examination of

The commission's specialists conduct a comprehensive examination of a person who has applied for disability, analyzing his psychological, physical, social and professional status. In some cases, additional examinations are carried out directly during the examination. The patient may refuse these activities, which is recorded in the documentation. In this case, the decision is made on the basis of available facts.

The examination is carried out in the bureau located territorially in the place of residence or registration of the applicant. If the person is unable to arrive at the commission, it is possible to carry out the procedure at home, in the hospital or in the absence of a patient( only on the basis of available documents).

The establishment of the disability group is confirmed by an appropriate certificate issued by the commission with signatures and seals. An individual rehabilitation card is also filled in, where the following data are indicated:

• disability period;
• passport data;
• intensity and volume of the recommended work schedule;
• terms of the necessary treatment in the hospital for the rehabilitation period;
• consultations of experts before the next re-examination.

Composition of MSEC

The general committee includes a therapist, surgeon, neurologist, representative of the social protection body, representative of the trade union and registrar.

The Commission, which has a narrow focus, consists of two specialists in the specialization profile, a doctor of related specialization, representatives of social protection and the trade union and registrar.

There are following directions of narrowly specialized commissions:

• psychiatry;
• phthisiology;
• ophthalmology;
• cardiothorumatology;
• oncology;
• traumatology;
• occupational pathology.

Refusal to receive disability

If a citizen has not been found incapacitated, he is issued with a certificate fixing the decision. With this document, the applicant can apply to a higher bureau to review his question.

All the same documents are submitted for appeal, adding to them a denial of disability and a personal application. This must be done within a month after receiving the first decision of the commission. The issue is reviewed and a decision is made no later than 30 days after the date of submission of the application for appeal.

Conclusion

The decision of the commission is mandatory and requires the performance of public service obligations to the applicant. It can be appealed in a court order on the basis of instructions established by law.