Issues of temporary disability examination and medical and social examination in the case of gastrointestinal diseases

Abstract

The article deals with the fact that the prevalence of the pathology of the digestive organs is well known. The most common diseases, for example, gastritis most often appear in the examination of temporary disability. In the case of severe pain syndrome, dyspeptic disorders, body weight deficiency, significant disorders of the secretory and motor-evacuation function of the gastro-duodenal system, as well as pancreatitis, cholecystitis, hepatitis with a sharp disruption of the liver and pancreas, the authors recommend to solve the question of referring to medical and social expertise for establishing a group of disabilities. There are problems in the direction and examination of citizens in institutions of medical and social expertise (MSE). The reasons for not meeting the standards of medical care are mainly low resource and information provision and low legal literacy of medical workers. The purpose of the study was to conduct an analysis of the contingent of citizens sent to the medical commission with a view to prolonging the sheets of disability and referral to MSE. Methods and materials of the study: a large hospital-polyclinic association with a hospital for 637 beds and a polyclinic for 834 visits per shift was selected for study. On average, 69% of all patients who underwent inpatient treatment in the study organization were sent to the hospital on an emergency basis every year. Results and their discussion: the study showed that among the total number of complaints to the medical commission for the purpose of prolonging the leaflet of disability, appeals for diseases of the digestive organs were 9.9%, of which 39.2% were treatment for malignant tumors with localization in the digestive organs. The main conclusions were the following: over the past 5 years, the incidence, prevalence and primary disability of patients with pathology of the digestive system have increased in the Nizhny Novgorod region, and the primary exit to disability of patients with malignant neoplasms, including many tumors of the gastrointestinal tract; persons with malignant neoplasms of the digestive system constitute the main contingent of gastro-enterological patients, directed to MSE, both primarily and repeatedly.