To address the issue of extending hospitalsheet, making decisions on various complex clinical situations, clarifying the degree of disability in hospitals carried out an examination of temporary disability. The main principle of its implementation is taking into account the peculiarities of the patients' diseases and the conditions of their work in a particular professional sphere. The purpose of the examination is to establish the possibility of continuing work or, conversely, to prevent the exit to work. Examination of temporary disability, conducted collectively by doctors at a special commission, is a real opportunity to predict the dynamics of the disease and to establish the correctness of the treatment carried out.
In accordance with Art.49 and 58 of the special document “Basics of the Legislation of the Russian Federation on the Preservation of Health”, defines the rules by which an examination of temporary disability is carried out. The attending physician at the reception or at home, upon detection of symptoms of the disease, confirming the patient’s disability, issues a sick-list. The disability certificate is the only document that certifies the inability of citizens to work and allows them to temporarily be released from work. By the way, the examination of temporary disability can be carried out only if there is a license document for this type of activity, issued by the relevant authorities.
Procedure for discharge of sick leave:
one.It is necessary to present a passport (or other document confirming personal data). When a citizen combines several workplaces with different employers, the doctor must issue the necessary number of sick-lists for each workplace.
2.Closing and issuing sick leave takes place only in one medical institution. With continued treatment in another medical organization, the sick-list is extended and closed by the medical institution to which the patient is sent for further observation.
3The period of exemption from work can be determined directly by the attending doctor. The day on which the patient is released from work (his date is indicated in the sick-list) becomes the day of mandatory attendance.
4. When released from work, a citizen must comply with the treatment regimen. Otherwise, a violation of the treatment regimen is indicated in the sick-list.
five.A violation of the treatment regimen will be considered the absence of the patient at the reception on the appointed day, independent visits to the doctor at the hospital with the bed rest prescribed earlier, driving a car, a trip to continue treatment to the territory of another administrative district without consulting the doctor, alcohol intoxication.
There are other situations when appointedmedical examination. Types of expertise are regulated by the already mentioned regulatory act - legislation on the preservation of health. According to him, medical and social, military-medical, forensic psychiatric, and forensic medical examinations are distinguished.
Стоит отметить, что судебно-медицинская The examination is appointed on the basis of the resolution of the investigator or judge and must be executed in writing as a special task. This decision should be provided for familiarization to the suspect and his defenders.
So, the examination in modern conditionsmedical practice helps not only to determine the effectiveness of treatment, but also helps to ensure that the rights of citizens are respected when they are provided with qualified medical assistance taking into account the specifics of the disease.
