Mal'tseva L M, Lapshina I M, Fedorova S I, Kovaleva L I, Stal'makova E G
Gig Tr Prof Zabol. 1990(9):43-5.
The article deals with current issues and quality of the medical labour examinations (MLE) performed by MLE commissions, reveals the reasons accounting for discrepancies in MLE based on the data of the commissions and those of specialized clinics. A clinico-functional examination of 243 in-patient dust bronchitis cases established a late primary diagnosing of dust bronchitis as one of the reasons for invalidism. 3-rd group invalids were mostly workers with lengthy professional background but still before the retirement age, who needed social and labour rehabilitation. The main reason for the discrepancies lies in inadequate examination prior to the MLE commissions decision and prescription of invalidism to the patients with the initial stage of the disease basing on the social criterion.
本文探讨了医学劳动能力鉴定委员会所进行的医学劳动能力鉴定（MLE）的当前问题和质量，基于委员会和专业诊所的数据揭示了医学劳动能力鉴定存在差异的原因。对243例住院尘肺支气管炎病例进行的临床功能检查确定，尘肺支气管炎的初级诊断较晚是导致病残的原因之一。第三组病残者大多是具有较长职业经历但仍未到退休年龄的工人，他们需要社会和劳动康复。差异的主要原因在于在医学劳动能力鉴定委员会做出决定之前检查不充分，以及根据社会标准对疾病初期患者判定病残并开具证明。
