In 2018, the UN Committee on the Rights of Persons with Disabilities recommended the Russian Federation to amend the rules for establishing the degree of loss of professional ability to work in order to increase the level of transparency and efficiency of guarantees provided to workers injured as a result of accidents and occupational diseases. Objective: to assess the need to amend the existing Temporary criteria for determining the degree of UPT based on an analysis of established expert practice in various constituent entities of the Russian Federation and other factors that can affect the severity of the consequences of work-related injuries and occupational diseases. To assess the existing practice of establishing the degree of loss of professional ability to work, expert decisions were analyzed in 77 constituent entities of the Russian Federation over the past 3 years, existing regulatory legal documents, indicators of the quality and accessibility of medical care in the constituent entities of the Russian Federation, as well as data on the duration of cases of temporary disability in injured persons at work . The analysis revealed a high level of variability of expert decisions made and the absence of a relationship between the quality and availability of medical care in the constituent entities of the Russian Federation and the length of time on the sick leave for the consequences of injuries at work. Given the high level of variability of expert decision making in the constituent entities of the Russian Federation for similar expert cases (coefficient of variation of 21.6%), the authors conclude that it is necessary to change approaches to the methodology for assessing the nature of professional activity (qualifications, quality and volume of work, ability to perform it) .
degree of loss of occupational ability, social insurance, injured at work, medical and social examination
1. Bozhkov I. A., Vladimirova O. N., Dikaev S. U., Sevast'yanov M. A. Normativno-pravovye voprosy obespecheniya reabilitacionnymi meropriyatiyami lic, postradavshih na proizvodstve: sravnitel'nyy analiz rossiyskogo i mezhdunarodnogo zakonodatel'stva. Yuridicheskaya mysl'. 2016;3(95):96-103.
2. Grazhdanskiy kodeks Rossiyskoy Federacii (chast' vtoraya) ot 26.01.1996 № 14-FZ. Sobranie zakonodatel'stva RF, 1996, 5.
3. Federal'nyy zakon ot 24.07.1998 № 125-FZ «Ob obyazatel'nom social'nom strahovanii ot neschastnyh sluchaev na proizvodstve i professional'nyh zabolevaniy» - «Sobranie zakonodatel'stva RF», 03.08.1998, № 31, st. 3803.
4. Federal'nyy zakon ot 24.11.1995 № 181-FZ «O social'noy zaschite invalidov v Rossiyskoy Federacii». Sobranie zakonodatel'stva RF. 1995, 48.
5. Postanovlenie Pravitel'stva RF ot 16.10.2000 № 789 «Ob utverzhdenii Pravil ustanovleniya stepeni utraty professional'noy trudosposobnosti v rezul'tate neschastnyh sluchaev na proizvodstve i professional'nyh zabolevaniy». Sobranie zakonodatel'stva RF. 2000, 43.
6. Resolution of the Ministry of Labor of the Russian Federation of July 18, 2001 No. 56 “On 2020, tom 23, № 1 approval of temporary criteria for determining the degree of loss of occupational disability as a result of industrial accidents and occupational diseases, a form of rehabilitation program for an injured person in an industrial accident and occupational disease”. Byulleten' normativnyh aktov federal'nyh organov ispolnitel'noy vlasti. 2001, 36.
7. Puzin S. N., Dmitrieva N. V., Pehov A. I. Praktika primeneniya zakonodatel'nyh i normativnyh pravovyh aktov po opredeleniyu stepeni utraty professional'noy trudosposobnosti v procentah zastrahovannym ot neschastnyh sluchaev na proizvodstve i professional'nyh zabolevaniy. Vestnik Vserossiyskogo obschestva specialistov po mediko-social'noy ekspertize, reabilitacii i reabilitacionnoy industrii. 2011;1:10-15.
8. Zaklyuchitel'nye zamechaniya po pervonachal'nomu dokladu Rossiyskoy Federacii. Prinyaty na devyatnadcatoy sessii Komiteta po pravam invalidov OON 14 fevralya – 9 marta 2018 g. Available at: https://rosmintrud.ru/docs/mintrud/ handicapped/272
9. Tablicy iz byulletenya «Proizvodstvennyy travmatizm v Rossiyskoy Federacii v 2018 godu». Dostupno po: https://www.gks.ru/working_ conditions. Ssylka aktivna na 09.06.2020.
10. Shishkin S. V., Pankratova O. F., Potapchik E. G., Sazhina S. V. Reyting dostupnosti i kachestva medicinskoy pomoschi v sub'ektah Rossiyskoy Federacii. M.: Izd. dom Vysshey shkoly ekonomiki; 2019.
11. Zaycev V. M., Liflyandskiy V. G., Marinkin V. I. Prikladnaya medicinskaya statistika. SPb: OOO «Izdatel'stva Foliant»; 2003.
12. Sevast'yanov M. A., Korobov M. V., Vladimirova O. N., Sarana A. M. Metody upravleniya processom reabilitacii postradavshih na proizvodstve. Vestnik vosstanovitel'noy mediciny. 2016;3(173):2-7.
13. Fedina I.N., Preobrazhenskaya E.A. Osobennosti snizheniya sluha, vyzvannogo vozdeystviem shuma v sovremennyh usloviyah. Medicina truda i promyshlennaya ekologiya. 2017;9:200.
14. Artamonova V.G., Muhin N.A. Professional'nye bolezni. M.: «Medicina»; 2004.
15. Postanovlenie Mintruda RF ot 18.07.2001 № 56 «Ob utverzhdenii vremennyh kriteriev opredeleniya stepeni utraty professional'noy trudosposobnosti v rezul'tate neschastnyh sluchaev na proizvodstve i professional'nyh zabolevaniy, formy programmy reabilitacii postradavshego v rezul'tate neschastnogo sluchaya na proizvodstve i professional'nogo zabolevaniya»// Rossiyskaya gazeta. 2001. 29 avgusta.
16. Garkusha L. G., Baranova L. Yu. Zabirova V. I. Sudebnaya praktika FGU Glavnoe byuro mediko-social'noy ekspertizy po Irkutskoy oblasti po obzhaluemym resheniyam ob ustanovlenii stepeni utraty professional'noy trudosposobnosti zastrahovannym ot neschastnyh sluchaev na proizvodstve i professional'nyh zabolevaniy. Mediko-social'naya ekspertiza i reabilitaciya. 2012;3:40-42.
