Preservation of medical secrecy in the interaction of medical organizations and institutions of medical and social examination: problem formulation and ways of solving
- Autores: Paikov A.Y.1, Samoilova Y.B.1, Starzhinskay O.B.1, Vardanyan N.B.1,2
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Afiliações:
- Federal State Budgetary Educational Institution of Higher Education «Rostov State Medical University» of the Ministry of Healthcare of the Russian Federation
- State Budgetary Institution of Rostov Region «City Polyclinic № 1»
- Edição: Volume 19, Nº 2 (2025)
- Páginas: 29-38
- Seção: The questions of organization of medical-social expertise and complex rehabilitation
- ##submission.dateSubmitted##: 31.07.2025
- URL: https://ruspoj.com/1999-2351/article/view/688528
- DOI: https://doi.org/10.63839/19992351-19/03
- ID: 688528
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Resumo
The state is carrying out systematic work to simplify and objectify the procedure for conducting medical and social examination, touching upon issues of interdepartmental interaction. Despite the measures taken, citizens still note the difficulty of passing the entire procedure for establishing disability, from medical examinations to passing the examination itself, including additional request for documents. Medical organizations cannot transfer medical documents to institutions of medical and social examination. This not only violates the established procedure for recognizing a citizen as disabled, but also violates the rights of citizens to comply with medical secrets. This violates the provisions of regulatory legal acts regulating the passage of the medical and social examination, but also legislation in the field of protecting the health of citizens. The way out of this situation is seen in the exclusion of the facts of the exchange of medical documentation when establishing disability, as well as legal education of employees of both medical organizations and medical and social examination institutions.
Texto integral

Sobre autores
Andrei Paikov
Federal State Budgetary Educational Institution of Higher Education «Rostov State Medical University» of the Ministry of Healthcare of the Russian Federation
Autor responsável pela correspondência
Email: andrpaikov@gmail.com
ORCID ID: 0000-0001-9914-4239
Associate Professor, Department of Physical Culture and Sports Medicine, Candidate of Medical Sciences, Docent
Rússia, Rostov-on-DonYulia Samoilova
Federal State Budgetary Educational Institution of Higher Education «Rostov State Medical University» of the Ministry of Healthcare of the Russian Federation
Email: y.b.samoilova@yandex.ru
ORCID ID: 0000-0002-8506-5641
Associate Professor, medical law department, Candidate of Sciences in Jurisprudence
Rostov-on-DonOlesya Starzhinskay
Federal State Budgetary Educational Institution of Higher Education «Rostov State Medical University» of the Ministry of Healthcare of the Russian Federation
Email: andrpaikov@gmail.com
ORCID ID: 0000-0003-3097-1732
acting rector, candidate of medical sciences
Rússia, Rostov-on-DonNairi Vardanyan
Federal State Budgetary Educational Institution of Higher Education «Rostov State Medical University» of the Ministry of Healthcare of the Russian Federation; State Budgetary Institution of Rostov Region «City Polyclinic № 1»
Email: gp1@gpol1don.ru
ORCID ID: 0000-0002-4713-8758
teacher of chair the Department of Medical Law
Rússia, Rostov-on-Don; Rostov-on-DonBibliografia
- Gaibov A.G., Kayumov F.J., Mirzoev M.T., Kholmatov U.I. "Modern directions and ways to improve medical and social expertise and rehabilitation of disabled people in Tajikistan" //Bulletin of postgraduate education in the field of health. 2020. № 3. S.92-97.
- Glazyeva I.A. "Medical and social expertise" //Electronic multidisciplinary scientific journal with the portal of international scientific and practical conferences of the Internet science. 2016. № 6. S.256-266.
- Grechko A.V., Memetov S.S., Shurgaya M.A. et al. "Actual issues of medical and social expertise at the present stage" /Bulletin of the All-Russian Society of Specialists in Medical and Social Expertise, Rehabilitation and Rehabilitation Industry. 2021. № 3. S.33-41. doi: 10.17238/issn1999-2351.2021.3.33-41.
- Darmaeva V.D., Novikov A.M. "Certain aspects of the investigation of crimes in the field of medical care" //Investigation of crimes: problems and ways to solve them. 2018. № 4(22). S.93-96.
- "How to get a disability in 2023 and not die in queues." URL: https://journal.tinkoff.ru/invalidnost/?ysclid=lnul8hfwqn976057557
- Kardash T.G. "On the issue of improving the legislation of the Republic of Kazakhstan on establishing the degree of disability" //Bulletin of the Institute of Legislation of the Republic of Kazakhstan. 2007. № 3(7). S. 118-121.
- Kachybekova L.I. "Historical place of the service of medical and social expertise in the social sector of the Republic" //Science. New technologies and innovations of Kyrgyzstan. 2016. № 5. S.56-59.
- Korobov M.V., Vladimirova O.N., Guseva N.K., German S.V. "Results of a sociological study of the organization of referral of citizens for medical and social expertise and the provision of public services for medical and social expertise (based on the materials of the all-Russian seminar)" //Social aspects of population health. 2014. № 3(37). S.13.
- Miroshnikov M.A., Smagina T.N., Zubryaeva L.K., Michugina T.A. "The use of information technologies to improve the quality of public services for medical and social expertise" //Medical and social problems of disability. 2019. № 1. S.48-57.
- Mikhailova E.N., Mikhailov I.V., Razinkov D.V., Khalilov M.A. "Medical and social expertise: modern aspects of legal regulation" //Bulletin of new medical technologies. Electronic edition. 2014. № 1. S.195. doi: 10.12737/5942.
- Memetov S.S., Sharkunov N.P., Polunin V.S. "Actual problems of medical and social expertise at the present stage in the Russian Federation" //Bulletin of the All-Russian Society of Specialists in Medical and Social Expertise, Rehabilitation and Rehabilitation Industry. 2018. № 3. S.9-15. doi: 10.17238/issn1999-2351.2018.3.9-15.
- Paikov A.Yu., Samoilova Yu.B., Yakimenko L.A. "Medical and social expertise: difficulties and difficulties of conducting in modern realities" //Health manager. 2022. № 8. S.67-76. doi: 10.35177/1994-5191-2023-2-13.
- Paikov A.Yu. "Topical issues of legal regulation of medical and social expertise in cancer at the present stage" //Science and education: economy and economy; entrepreneurship; law and governance. 2020. № 3 (118). Page 91-93.
- Letter of the Ministry of Labor of Russia dated July 5, 2023 No. 13-4/V-1141 // SP. "ConsultantPlus."
- Letter of the Federal Bureau of Medical and Social Expertise of the Ministry of Labor and Social Protection of the Russian Federation dated July 17, 2023 No. 41252.FB.77/2023 "On the organization of medical and social expertise without requesting copies of the passport and SNILS" // SP. "ConsultantPlus."
- Resolution of the Plenum of the Supreme Court of the Russian Federation of 01.06.2017 No. 19 "On the practice of consideration by courts of applications for investigative actions related to the restriction of the constitutional rights of citizens (Article 165 of the Code of Criminal Procedure of the Russian Federation)" // SP. "ConsultantPlus."
- Order of the Ministry of Labor of Russia No. 488n, Ministry of Health of Russia No. 551n dated 12.08.2022 "On approval of the form of referral for medical and social expertise by a medical organization and the procedure for filling it out" // SP. "ConsultantPlus."
- Order of the Ministry of Health of Russia dated 15.12.2014 No. 834n (as amended on 18.04.2024) "On approval of unified forms of medical documentation used in medical organizations providing medical care on an outpatient basis, and procedures for filling them out" // SP. "ConsultantPlus."
- Puzin S. N., Dmitrieva N. V., Shurgaya M. A., Solovyova N. N., Filatkina N. V. "From the history of the state service of medical and social expertise in Russia" //History of medicine. 2018. T.5. № 4. S. 370-378. doi: 10.17720/2409-5583.t5.4.2018.09i.
- Puzin S.N., Memetov S.S., Sereda A.N. "Ways to improve medical and social expertise at the present stage (review of regulatory documents)" //Bulletin of the All-Russian Society of Specialists in Medical and Social Expertise and Rehabilitation Industry. 2021. № 3. S.16-22. doi: 10.17238/issn1999-2351.2021.3.7-15.
- Sarpekov R.K. "International legal standards for the protection of the rights of persons with disabilities: some aspects of implementation in Kazakhstan and foreign countries" //Bulletin of the Institute of Legislation and Legal Informatization. № 2(73). 2023. S.138-147. doi: 10.52026/2788-5291_2023_73_2_137.
- Safronova E.V., Mukhanova I.F., Bilalov F.S., Sharafutdinov M.A. "Analysis of the regulatory framework of medical and social expertise institutions in a pandemic (COVID-19)"//Social aspects of health care. 2021. VOL. 67. № 6. [online edition] 2021; 67(6):11. URL: http://vestnik.mednet.ru/ content/view/1325/30/lang,ru/. doi: 10.21045/2071-5021-2021-67-6-11.
- Sayapina S.M. "On the practice of unauthorized seizure (seizure) by the bodies of inquiry and investigation of medical documentation" //Medical law: theory and practice. 2019. T.5 No. 1 (9). S.81-85.
- Smychek V.B. "Rehabilitation and expertise in the Republic of Belarus: current state and prospects" // 2019. № 3. S. 5-13.
- Smychek V.B., Kazakevich D.S., Kopyshk A.V., Golikova V.V. "Medical and social expertise, medical rehabilitation and quality of medical care in the Republic of Belarus: state and development prospects" //Issues of organization and informatization of health care. 2018. № 2. S. 4-11.
- Federal Law of 21.11.2011 No. 323-FZ (as amended by 28.12.2024) "On the Basics of Protecting the Health of Citizens in the Russian Federation" // SP. "ConsultantPlus."
- Khmelevskaya O.G. "Interaction of the Main Bureau of Medical and Social Expertise and medical organizations of the Khabarovsk Territory in the direction of citizens for medical and social expertise" //Bulletin of Public Health and Health of the Russian Far East. 2022. № 3(48) S.29-33.
- Yakovleva K.A. "Simplification of the procedure for passing a medical and social examination to establish disability, as one of the directions for increasing the effectiveness of state policy to support citizens with disabilities" //Colloquium-Journal. 2019. № 12-6 (36). S.18-21.
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