Lipowska Małgorzata, Walusiak-Skorupa Jolanta
Departament Orzecznictwa Lekarskiego, Zakład Ubezpieczeń Społecznych, Warszawa, Poland.
Med Pr. 2012;63(4):431-40.
Training pension was introduced into the Polish social security system on September 1, 1997. It is granted to a person who has permanently lost the ability to work in his or her current vocation, but after an appropriate retraining may do another profession. The aim of this study was to assess the compatibility between ruling of job retraining and medical certification rules. An effort was also made to evaluate the "effectiveness" of issued recommendations expressed by the number of retrained people.
In total, 300 cases of retraining ruling issued by an evaluating doctor or medical commission, registered in 2009, were analyzed. Retraining pension was granted to 219 persons.
Of the 300 rulings under study, over 35% were found groundless. In 52 cases (23.74%) (219 of them were awarded a retraining pension) there is information about completed retraining (training) and in 24 (10.95%) about referral to a specific course and its duration, but there is no information whether the insured person has completed the training course. In 2 (0.91%) cases the insured persons continued to collect retraining pension (from 21 and 30 months). 141 people were not retrained even though they had been granted a training pension.
A significant percentage (over 35%) of rulings were issued improperly. It is caused by the ignorance of the rules of medical certification and binding regulations in this area. The number of training courses on the principles of issuing retraining rulings and current laws should be increased.
1997年9月1日，培训养老金被引入波兰社会保障体系。它授予那些永久丧失从事当前职业工作能力，但经过适当再培训后可从事另一职业的人。本研究的目的是评估职业再培训裁决与医疗认证规则之间的兼容性。同时还努力根据再培训人数评估所发布建议的“有效性”。
共分析了2009年登记的由评估医生或医疗委员会发布的300例再培训裁决案例。219人获得了再培训养老金。
在所研究的300项裁决中，超过35%被认定为毫无根据。在52例（23.74%）（其中219人获得了再培训养老金）案例中有关于完成再培训（培训）的信息，在24例（10.95%）案例中有关于转介到特定课程及其时长的信息，但没有关于被保险人是否完成培训课程的信息。在2例（0.91%）案例中，被保险人继续领取再培训养老金（分别为21个月和30个月）。141人即使获得了培训养老金也未接受再培训。
很大比例（超过35%）的裁决发布不当。这是由于对医疗认证规则和该领域具有约束力的法规的无知所致。应增加关于发布再培训裁决原则和现行法律的培训课程数量。
