Features for referring citizens 18 years and older with HIV-AIDS for medical and social examination (to help a practicing doctor)

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Abstract

The establishment of disability is entrusted to the federal institutions of medical and social expertise (ITU). A number of regulatory documents regulate the process of examination of patients in the ITU Bureau. A citizen is sent to the ITU by a medical organization, regardless of its organizational and legal form. It is necessary to refer the patient to the ITU bureau in the formation of persistent disorders of the body’s functions, which persist when an adequate and complete set of therapeutic and rehabilitation measures is carried out. A mandatory document in the examination process is “Referral for medical and social examination by a medical organization” (form No. 088/y).

The Ministry of Labor and Social Protection of the Russian Federation and the Ministry of Health of the Russian Federation, by joint Order No. 27n/36n, approved the procedure for filling out the referral to the ITU on Form No. 088/y. The new procedure comes into effect on January 1, 2022. The document analyzes and analyzes in detail each point of the referral to the ITU; specifies how the referral points should be filled in; specifies the timing of the transfer of the referral to the ITU territorial bureau; identifies cases when it is possible to issue a referral on paper; The procedure for sending foreign citizens to the ITU is stipulated.

The form 088/y has not changed, but from January 1, 2022, the direction will be formed in the form of an electronic document. If it is impossible to form an electronic version of the document and if there is no information system or access to it in the medical organization, the referral will be formed on paper.

An extremely important and responsible moment is filling out the form 088 /y by specialists of a medical organization, since when deciding on the establishment of disability, ITU doctors rely largely on the information recorded in this document.

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About the authors

Elena M. Ugleva

St. Petersburg Institute of Advanced Training of Doctors-Experts

Email: uglevaem@mail.ru
ORCID iD: 0000-0002-1130-5913
SPIN-code: 8589-8371
Scopus Author ID: 220013

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, 11/12, Bolshoy Sampsoniyevskiy pr., Saint Petersburg, 194044

Tatyana Yu. Yamshchikova

St. Petersburg Institute of Advanced Training of Doctors-Experts

Author for correspondence.
Email: tania@tirn.spb.ru
ORCID iD: 0000-0003-2883-0033
SPIN-code: 4985-2190

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, 11/12, Bolshoy Sampsoniyevskiy pr., Saint Petersburg, 194044

References

  1. Federal Law No. 181-FZ of 24.11.1995 “On Social Protection of Disabled persons in the Russian Federation” (latest edition). (In Russ). Available from: http://www.consultant.ru/document/cons_doc_LAW_8559/. Accessed: 15.04.2021.
  2. Decree of the Government of the Russian Federation of February 20, 2006 No. 95 “On the procedure and conditions for recognizing a person as disabled” (with amendments and additions). (In Russ). Available from: https://base.garant.ru/12145177/. Accessed: 15.04.2021.
  3. Order of the Ministry of Labor and Social Development of the Russian Federation No. 585n dated August 27, 2019 “On classifications and criteria used in the implementation of medical and social expertise of citizens by federal state institutions of medical and social expertise”. (In Russ). Available from: https://www.garant.ru/products/ipo/prime/doc/72921006/. Accessed: 15.04.2021.
  4. Order of the Ministry of Labor and Social Protection of the Russian Federation No. 979n dated December 30, 2020 “On Approval of the Procedure for Organizing and Operating Federal institutions of medical and social expertise”. (In Russ). Available from: https://www.garant.ru/products/ipo/prime/doc/400751882/. Accessed: 15.04.2021.
  5. Vladimirova HE. The system of comprehensive rehabilitation of disabled people with limited mobility [dissertation abstract]. Moscow; 2020. 26 p.
  6. Order of the Ministry of Labor and Social Protection of the Russian Federation, Ministry of Health of the Russian Federation dated February 1, 2021 No. 27n/36n “On approval of the referral form for medical and social examination by a medical organization and the procedure for filling it out”. (In Russ). Available from: https://www.garant.ru/products/ipo/prime/doc/400739415/. Accessed: 15.04.2021.
  7. Appendix No. 2 to the Order of the Ministry of Labor and Social Protection of the Russian Federation and the Ministry of Health of the Russian Federation dated February 1, 2021 No. 27n/36n “Procedure for filling out Form No. 088/u “Referral for medical and social examination by a medical organization”. (In Russ). Available from: https://www.garant.ru/products/ipo/prime/doc/400739415/. Accessed: 15.04.2021.
  8. Order of the Ministry of Labor and Social Protection of the Russian Federation and the Ministry of Health of the Russian Federation dated June 10, 2021 N 402n/631n “On approval of the list of medical examinations necessary to obtain clinical and functional data depending on the disease in order to conduct a medical and social examination”. (In Russ). Available from: https://www.garant.ru/products/ipo/prime/doc/401456536/. Accessed: 15.04.2021.
  9. HIV infection and AIDS: National guidelines. Ed. by V.V. Pokrovsky. 2nd ed., reprint. and add. Moscow: GEOTAR-Media; 2020. 696 p. (Series “National Guidelines”). (In Russ). doi: 10.33029/9704-5421-3-2020-VIC-1-696
  10. HIV infection in adults. Clinical recommendations. National Association of Specialists in the Prevention, Diagnosis and Treatment of HIV Infection; 2020. 230 p. (In Russ).
  11. HIV infection in adults. Clinical recommendations. National Association of Specialists in the Prevention, Diagnosis and Treatment of HIV Infection; 2017. 64 p. (In Russ).
  12. Order of the Ministry of Labor and Social Protection of the Russian Federation No. 486n dated June 13, 2017 “On Approval of the Procedure for the development and implementation of an individual rehabilitation program or habilitation of a disabled person, an individual rehabilitation program or habilitation of a disabled child issued by Federal state institutions of medical and social expertise, and their forms”. (In Russ). Available from: http://www.garant.ru/products/ipo/prime/doc/71634826/. Accessed: 15.04.2021.

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