The results of the state population policy in the field of rehabilitation, medical and social expertise, social insurance, labor and employment of work-injured people

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Aim. To study the indicators of industrial injuries and occupational morbidity in the Russian Federation and the effectiveness of measures for the professional rehabilitation of injured workers in the context of the implementation of state programs aimed at enhancing the labor force and employment.

Methods. The analysis of statistical indicators on the number of workers, insured and injured at work from 2007 to 2018 and the results of measures for victim rehabilitation between 2014 and 2019, using data from Rosstat, reporting form No. 7 — social security and open data of the social insurance fund. Descriptive statistics were used in the analysis.

Results. The level of employment of disabled people planned by the Government of the Russian Federation by 2020 at the level of 40% in relation to people who are injured at work has not been achieved. At the same time, about 80% of the injured person had mild and moderate dysfunctions, about 50% were of working age. Against this background, employment at the level of 0.2 to 6.6% per year indicates the insufficient effectiveness of vocational rehabilitation. In most EU countries, where the return to work rate for work-injured people exceeds 90%, the employer and the insurer jointly participate in the professional rehabilitation of the injured, applying and financing all the necessary organizational and rehabilitation measures. In the Russian Federation, measures for occupational adaptation, maintenance of employment and the creation of special jobs are not subject to reimbursement from insurance funds, only educational events are financed. An employer who has caused harm to the health of work-injured is not economically interested in restoring his professional status. The authors encouraged to amend the regulations of the Russian Federation to ensure financing of the entire range of measures for vocational rehabilitation and the economic interest of employers in restoring the occupational status of work-injured people.

Conclusion. Despite the favorable decreasing trend of industrial injuries and occupational morbidity at the enterprises of the Russian Federation over the past 12 years, the number of industrial injuries with permanent disability remains high, and the effectiveness of their vocational rehabilitation is low, which requires an expansion of the list of measures for vocational rehabilitation financed from the social insurance fund and ensuring the economic interest of employers in restoring the professional status of work-injured people.

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About the authors

M A Sevastianov

Institute of advanced education of medical experts

Author for correspondence.
Russian Federation, Saint Petersburg, Russia

I A Bozhkov

North-Western State Medical University named after I.I. Mechnikov

Russian Federation, Saint Petersburg, Russia

O N Vladimirova

Institute of advanced education of medical experts

Russian Federation, Saint Petersburg, Russia

A V Didelev

Main Bureau of Medical and Social Expertise in the Moscow Region

Russian Federation, Moscow, Russia

M V Goryainova

Institute of advanced education of medical experts

Russian Federation, Saint Petersburg, Russia


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Supplementary files

Supplementary Files
1. Рис. 1. Численность застрахованных от несчастных случаев на производстве и профессиональных заболеваний в 2007–2018 гг.

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