Features of medical and social examination of persons with HIV infection - AIDS when determining disability without specifying the period of re-examination

Purpose of research. Studying the features of approaches to determining the timing of disability in rehabilitation and expert diagnostics during the examination of persons with HIV infection - AIDS.

Materials and methods. The research materials were the data of Rosstat of Russia, official state statistical reporting: form 7-social security "Information on the medical and social examination of persons aged 18 years and older" for 2019. The data of our own research included the protocols of persons who were examined for HIV infection in the bureau of medical and social expertiseof (MSE) St. Petersburg and other regions: 50 patients examined in the period from 01.01.2019 to 31.12.2020, (observation group) in comparison with the analysis data of 50 protocols of examination of HIV-infected in the period 2017-2018 (control group).

Results and discussion. According to the results of the study, the disability group is determined reliably more often already during the initial examination without a re-examination period (48.64% versus 19%, c² = 0.491 at the p < 0.01 significance level) when carrying out the MSE taking into account the Government Decree No. 339. Establishing disability for patients with HIV-AIDS without a period of re-examination during the initial examination allows them to get out of the supervision of medical and medical-social services. Taking into account that a part of the contingent of patients with HIV-AIDS has a "special mentality" and the presence of psychological and social risks, the lack of systematic monitoring of their treatment and social patronage contributes to an increase in the severity