АНАЛИЗ НОРМАТИВНО-ПРАВОВОЙ БАЗЫ УЧРЕЖДЕНИЙ МЕДИКО-СОЦИАЛЬНОЙ ЭКСПЕРТИЗЫ В УСЛОВИЯХ ПАНДЕМИИ (COVID-19)

Abstract

The article analyzes regulatory framework governing performance of medical and social expertise (MSE) facilities in the Republic of Bashkortostan. The paper uses methods of copying information from primary and reporting medical documents and logical analysis of regulatory documents. In the conditions of the COVID-19 pandemic, activities of MSE facilities are guided by the Temporal procedure for examination. The Procedure guides establishment of disability, development of rehabilitation or habilitation programs for the disabled (disabled children), as well as determination of the degree of loss of professional ability to work as a result of industrial accidents and occupational diseases, and development of rehabilitation programs for victims of industrial accidents and patients with occupational diseases. The examination is carried out in absentia, without presence in person. Also, the Order of the Ministry of Labor of the Russian Federation No. 979n dated 12/30/2020 approved the "Procedure for organization and performance of federal institutions of medical and social expertise", stipulating the rules, sequence and timing of the provision of MSE services to the citizens. The Order of the Ministry of Labor of the Russian Federation No. 106n dated 05.03.2021 approved the "List of indications and contraindications for providing the disabled people with technical means of rehabilitation", which has introduced a number of changes to the technical means of rehabilitation of the disabled people. The main feature of the MSE procedure was the automatic extension of disability for 6 months if there is no referral for examination (form 088/y) from a health care facility. In the framework of the Temporal Procedure, disability was automatically extended for 29,624 citizens in 2020 (38.0% of the total number of examinations), and 31442 citizens for the six months of 2021 – (70.0% of the total number of examinations). Further improvement of the legislative complex during the taugh epidemiological situation becomes an essential element of the legal regulatory process in order to restore social justice for the most socially vulnerable segments of the population in urgent need of the state legal protection under the current difficult circumstances.