Features of rehabilitation of medical workers with occupational diseases

Abstract

Introduction . There are few publications analyzing the specifics of rehabilitation measures for medical workers (MW) affected by occupational diseases (OD). This circumstance makes it relevant in the Russian Federation to research on the problems of assessing the quality and improving the effectiveness of rehabilitation of MW who were injured as a result of OD. The aim of the study is to determine the specifics of medical and professional rehabilitation of medical workers with OD and to determine ways to improve the rehabilitation of this contingent. Materials and methods . According to archival materials of the centers of occupational pathology and the bureau of medico-social examination of the North-West Federal district of the Russian Federation for the period 2000-2017 the documentation was analyzed for 225 MW affected by OD, evaluated the data to determine the degree of disability and of disability, the dynamics of the health status of patients in process of rehabilitation, assessed the availability of medical assistance and sanatorium-resort therapy for these patients. Results. Rehabilitation measures were carried out for MW with infectious, allergic, and physical overload-related diseases. Most patients could continue working in healthcare if their working conditions changed. However, employment of MW in conditions that exclude the impact of harmful production factors that are contraindicated by them was carried out only in isolated cases. The need for medical rehabilitation measures was determined by only 75% of MW with OD, of which 73% of patients were provided with medication, and 12% with Spa treatment. In dynamic follow-up, a positive dynamic during OD was observed in 22.5% of patients. Conclusions. Rehabilitation of MW with OD has several features, primarily related to legal regulation. Also requires interagency cooperation between medical and social expertise and FSS on matters of insurance coverage, healthcare leaders with the employment service for MW rational employment, strengthening of the monitoring of victims MW as the result of OD in the required rehabilitation.