Social Medicine · MU Sofia

29. Working ability, temporary and permanent disability: definitions and medical and social problems

Inside: 2 sections · 16 flashcards · 6 min

Topic 29 of 50 in the MU Sofia syllabus for Social Medicine (Medicine, Years 2 and 3). The free AceMed note covers it in 2 sections, about 797 words (6 min of reading), with 16 flashcards.

In this note

  1. Working ability, temporary and permanent and permanent disability-definitions. Medical and social problems of disability (1/2)
  2. Medical expertise of working ability. Rights and obligation of the physician as an expert of working ability

Working ability, temporary and permanent and permanent disability-definitions. Medical and social problems of disability (1/2)

Working ability

-Preserved ability to work:

this is the healthy state of person where the person is prevented from any disease which can in one way or the other cause a person to be in an impaired state of health preventing him to work.

-The medical expertise of ability to work is organized and directed by Ministry of health

Impaired ability to work: also can be classed as having a disability, which makes a person unable to work and dependent.

Temporary inability to work:

It is temporary absence of legal capability to perform an act. It’s curable impairment of mental or physical state that may prevent the affected person from functioning normally only as far as he/she is under treatment

-Hospital list for temporary disability: It’s the source of studying of morbidity with temporary disability. They are issued only of health provided and working people.

Sick leave is calculated in calendar days and not working days.

-Types of Hospital list:

  1. Primary Hospital list: issued for every new illness with temporary disability.
  2. Extension of Hospital list: issued for repeated visit to the doctor on the occasion of the same illness.

-Reasons for temporary inability to work can be: injuries, surgery, short-term medical conditions such as broken limb or injured hand, looking after a healthy child, because of a quarantine in the kindergarten, urgent accompany of a sick family member for a medical examination and looking after a diseased family member.

Expertise of temporary inability for work- who is taking part, number of days of the issued hospital lists. The number of days of the issued hospital list depends on the incubation period of the temporary ill (such as infections) and the infectivity.

Temporary: The role of treating physicians in the expertise of temporary disability: the treating physician can issue a hospital list for temporary disability for 14 consecutive days and for no more than 40 non-consecutive days in a calendar.

-The role of LKK (physician Consulting Commission) in the expertise of temporary inability for work: LKK can issue a hospital list for temporary disability for 30 calendar days without interpretation and for no more than 6 months in one calendar year.

Permanent:

- The role of TELK (Territorial expert physician Commission) in the expertise of temporary inability of work: allow sick leave because temporary disability over 6 months.it takes part in expertise of disability but doesn’t issue hospital list.

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