Current issues of medical and social expertise of children with diseases of the cardiovascular system

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Abstract

The use of International Classification of Diseases 10th revision (ICD-10) and International Classification of Functioning, Disability and Health (ICF) are proposed for objective evaluation of impaired functions. A set of significant clinical and functional factors was identified. The study presents an example of the new disability criteria for children with cardiovascular diseases.

To determine the main directions for improving the organizational, legal, and methodological approaches to the establishment of disability in children in the Russian Federation.

Data from the state statistics (Rosstat and Ministry of Labor and Social Protection of the Russian Federation), current Russian legal documents, provisions of the Convention on the Rights of Persons with Disabilities, ICF biopsychosocial concept of disability, methodological and information materials, experience of federal institutions of medical and social expertise in the Russian Federation were analyzed regarding the disability in children.

The use of ICD-10 and ICF was proposed for the objective evaluation of impaired functions. A set of significant clinical and functional factors was identified. An example of new disability criteria for children with cardiovascular disease was presented.

To eliminate information barriers in medical and public organizations, among parents, and other interested parties, systematic work information is needed to disseminate knowledge about methodological, organizational, and methodological approaches to establishing disability in children.

About the authors

Andrey V. Adrianov

St. Petersburg Institute of advanced training of doctors-experts

Email: adrianov-av@mail.ru
ORCID iD: 0000-0001-8974-1160
SPIN-code: 1522-0539

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

Russian Federation, Saint Petersburg

Julia A. Kolcheva

St. Petersburg Institute of advanced training of doctors-experts

Author for correspondence.
Email: j.kolcheva@mail.ru
ORCID iD: 0000-0003-0250-5478
SPIN-code: 3714-9162

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

Russian Federation, Saint Petersburg

Svetlana A. Nepomnyashchaya

St. Petersburg Institute of advanced training of doctors-experts

Email: 79310016017@yandex.ru
ORCID iD: 0000-0002-1786-9947
SPIN-code: 7118-3500

Assistant Lecturer

Russian Federation, Saint Petersburg

References

  1. Vladimirova ON, Pronina EV, Poddubnaya TB, et al. Problems of referral of children for medical and social examination. Russian Bulletin of Perinatology and Pediatrics. 2013;58(5):97–101. (In Russ).
  2. The methodology for conducting medical and social expertise and the formation of conclusions on rehabilitation measures for children. Ed. by V.G. Pomnikov, G.O. Penina, O.N. Vladimirova. Moscow: Mintrud Rossii; 2014. 300 р. (In Russ). Available from: http:// www.rosmintrud.ru/docs/mintrud/handicapped/103. Accessed: 15.02.2022.
  3. Pronina EV, Vladimirova ON. Medical and social expertise of the child population in the Russian Federation: history of the issue, current state, directions of reform. Pediatriya. Zhurnal im. G.N. Speranskogo. 2015;94(4):193–199. (In Russ).

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Copyright (c) 2022 Adrianov A.V., Kolcheva J.A., Nepomnyashchaya S.A.

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