Examination of temporary incapacity for work: rules for conducting

To resolve the issue of extending the sick leave sheet, making decisions on various complex clinical situations, clarifying the degree of work capacity in medical institutions, an examination of temporary incapacity for work is carried out. The main principle of its implementation is taking into account the characteristics of patients' diseases and the conditions of their work in a specific professional sphere. The purpose of the examination is to establish the possibility of continuing work or, conversely, not to allow entry to work. Examination of temporary incapacity for work, conducted by doctors collectively at a special commission, is a real opportunity to predict the dynamics of the disease and to establish the correctness of the treatment.

In accordance with Art. 49 and 58 of the special document "Fundamentals of the Legislation of the Russian Federation for the Preservation of Health" define the rules for examining temporary incapacity for work. The attending physician at the reception or at home, if there is a symptom of the disease that confirms the patient's disability, issues a sick leave sheet. The disability sheet is the only document that certifies the inability of citizens to work and allows them to be temporarily released from work. By the way, examination of temporary incapacity for work can be carried out only if there is a license document for this type of activity issued by the relevant authorities.

The procedure for issuing sheets of incapacity for work:

1. Mandatory presentation of a passport (or other document confirming personal data). When a citizen combines several jobs with different employers, the doctor must issue the necessary number of sick leave sheets for each job.

2. Closure and issuance of sheets of disability occurs only in one medical institution. When continuing treatment in another medical organization, the sick list is extended and closed by the medical institution to which the patient is referred for further observation.

3. The period of release 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 hospital sheet) becomes the day of mandatory attendance at the reception.

4. Upon release from work, a citizen must comply with the treatment regimen. Otherwise, the fact of violation of the treatment regime is indicated in the hospital sheet.

5. Violation of the treatment regimen will be considered the absence of the patient at the appointment on the appointed day, an independent visit to the doctor in a medical institution with a previously assigned bed rest, driving a car, a trip to continue treatment to the territory of another administrative area without consulting the attending physician, alcohol intoxication.

There are other situations when a medical examination is appointed. Types of expertise are regulated by the above-mentioned normative act - legislation on health preservation. According to him, medical-social, military-medical, forensic psychiatric and forensic medical examinations are allotted.

It is worth noting that the forensic medical examination is appointed on the basis of the decision of the investigator or judge and must be formalized in writing as a special task. This ruling must be made available to the suspect and his defense attorneys.

So, examination in the conditions of modern medical practice helps not only to determine the effectiveness of treatment, but also helps to ensure the observance of the rights of citizens when providing them with qualified medical care taking into account the specificity of the disease.