

Conceptual foundations of medical examinations of workers in Russia (thematic review)
https://doi.org/10.31089/1026-9428-2024-64-7-471-478
EDN: qrsman
Abstract
The system of medical examinations is crucial for maintaining the health of the working population. The authors have conducted an analytical review of the regulatory framework for mandatory medical examinations and real clinical practice. They also have conducted a retrospective analysis of the history of the creation and development of the system of mandatory medical examinations of workers in the Russian Federation since 1921. The researchers have reviewed modern approaches to the organization of mandatory medical examinations of employees in accordance with regulatory and legislative documents and presented domestic experience in organizing and conducting mandatory preliminary and periodic medical examinations, outlined the prospects for optimizing medical examinations.
Contribution:
Gorblyansky Yu.Yu. — the concept and design of the study, writing the text;
Kontorovich E.P. — writing, editing;
Ponamareva O.P. — writing the text, design of the bibliography;
Syachina A.V. — writing a text.
Funding. The study had no funding.
Conflict of interests. The authors declare no conflict of interests.
Received: 08.07.2024 / Accepted: 11.07.2024 / Published: 20.08.2024
About the Authors
Yuri Yu. GorblyanskyRussian Federation
Head of the Department of Occupational Pathology and Pulmonology, Rostov State Medical University, Dr. of Sci. (Med.), Prof.
e-mail: gorblyansky.profpatolog@yandex.ru
Elena P. Kontorovich
Russian Federation
Associate Professor of the Department of Occupational Pathology and Pulmonology, Rostov State Medical University, Cand. of Sci. (Med.)
e-mail: kontorovichep@yandex.ru
Oksana P. Ponamareva
Russian Federation
Associate Professor of the Department of Occupational Pathology and Pulmonology, Rostov State Medical University, Cand. of Sci. (Med.)
e-mail: oksanaponomareva@yandex.ru
Anna V. Syachina
Russian Federation
Resident of the Department of Occupational Pathology and Pulmonology, Rostov State Medical University
e-mail: anna.syachina@mail.ru
References
1. Bukhtiyarov I.V. Current state and main directions of preservation and strengthening of health of the working population of Russia. Med. truda i prom. ekol. 2019; (9): 527–532. https://doi.org/10.31089/1026-9428-2019-59-9-527-532 (in Russian).
2. Bukhriayrov I.V., Kuzmina L.P., Izmerova N.I., Golovkova N.P., Nepershina O.P. Improvement of mechanisms of detecting early signs of health disorders for preservation labor longevity. Med. truda i prom. ekol. 2022; 62(6): 377–387. https://doi.org/10.31089/1026-9428-2022-62-6-377-387 (in Russian).
3. Bukhtiyarov I.V., Zemlyakova S.S. Medical activity in the health care system of workers in the Russian Federation. Med. truda i prom. ekol. 2022; 62(6): 362–376. https://doi.org/10.31089/1026-9428-2022-62-6-362-376 (in Russian).
4. Gorblyanskiy Yu.Yu., Khoruzhaya O.G., Adeninskaya E.E. Quality control and evaluation of the effectiveness of medical examinations of employees. Terapevt. 2014; 5: 8–13. https://elibrary.ru/21522601 (in Russian).
5. Khoruzhaya O.G., Gorbljansky Yu.Yu., Pictushanskaya T.E. Indicators and criteria of the assessment of quality of medical examinations of workers. Med. truda i prom. ekol. 2015; (11): 33–36. https://elibrary.ru/24850840 (in Russian).
6. Minullin I.K., Garifullina I.V., Vafina G.G., Sharlykova T.S. The history of the organization of medical examinations of the decreed contingent in Russia. Prakticheskaya meditsina. 2013; 73(1–4): 77–78. https://elibrary.ru/20931421(in Russian).
7. Vigdorchik N.A., Zil’ber D.A., Matusevich Ya.Z. et al. Medical contraindications for employment. «Bibl.» L.I.P.Z. Issue 2, 1934 (in Russian).
8. Berezin I.I. Medical examinations: a guide for doctors. I.I. Berezin et al.; edited by I.I. Berezin, S.A. Babanov. M.: GEOTAR-Media; 2016. https://www.rosmedlib.ru/book/ISBN9785970439081.html (in Russian).
9. Strizhakov L.A., Babanov S.A., Budash D.S., Baikova A.G. The Quality Improvement of Periodic Medical Examinations of Working People and Professional Aptitude Expertise. Nauka i innovatsii v meditsine. 2018; 3(2): 30–36. https://innoscience.ru/2500-1388/article/view/21444 (in Russian).
10. Izmerov N.F., Denisov E.I. Risk management methodology in occupational medicine: hygienic assessment of working conditions, forecasting and causation of occupational diseases and work-related diseases (harmonized set of methodological materials). M.: Research Institute of Occupational Medicine of the Russian Academy of Medical Sciences; 2012 (in Russian).
11. Izmerov N.F., Bukhtiyarov I.V., Denisov E.I. Assessment of occupational health risks in the evidence-based medicine system. Voprosy shkol’noj i universitetskoj meditsiny i zdorov’ya. 2016; 1: 14–20. https://elibrary.ru/26129238 (in Russian).
12. Golovko E.A., Nessina I.A., Smirnova E.L., Poteruaeva E.L., Figurenko N.N., Demeshko K.O. Analysis of the health status of medical workers based on the results of mandatory periodic examinations. Meditsinskij vestnik Yuga Rossii. 2022; 13(4): 22–27. https://doi.org/10.21886/2219-8075-2022-13-4-22-27 (in Russian).
13. Efremova O.S. Medical examinations of employees of organizations. A new procedure for their organization and conduct. Practical guide. 5th ed., reprint. and additional information: Alfa-Press. 2015. ISBN 978-5-94280-636-1.
14. Poryvaev A.A. Problems of organization and conduct of medical examinations. Bezopasnost’ i okhrana truda. 2020; 82(1): 43–48. https://elibrary.ru/42860931 (in Russian).
15. Piktushanskaya T.E. Organization of mandatory medical examinations of employees in modern conditions. Terapevt. 2014; 5: 4–7. https://elibrary.ru/21522600(in Russian).
16. Shastin A.S., Gurvich V.B., Gazimova V.G., Baratov V.M., Ustyugova T.S., Trofimova T.Yu., Shulev P.L. Periodic medical examinations in the Russian Federation: Challenges of data recording in the National Occupational Health System (experience of the Sverdlovsk Region). Zdorov’e naseleniya i sreda obitaniya — ZNiSO. 2020; (12): 43–49. https://doi.org/10.35627/2219-5238/2020-333-12-43-49 (in Russian).
17. Greben’kov S.V. Opportunities to improve the conduct of preventive medical examinations. Zdravookhranenie Rossijskoj Federatsii. 2013; 4: 47–48. https://elibrary.ru/rvlzev (in Russian).
18. Gurvich V.B., Shastin A.S., Gazimova V.G., Plotko E.G., Ustyugova T.S. Causes of lost vocational fi tness for work in jeopardy and(or) hazardous work conditions. Med. truda i prom. ekol. 2019; (2): 107–112. https://doi.org/10.31089/1026-9428-2019-2-107-112 (in Russian).
19. Vadulina N.V. Improving the quality of periodic medical examinations. Alleya Nauki. 2022; 5(68): 202–207. https://elibrary.ru/49378026
20. Fadeev G.A., Garipova R.V., Arkhipov E.V., Mikhoparova O.Yu., Berkheeva Z.M., Oshchepova O.B. et al. The role of periodic medical examinations in the prevention of occupational and somatic diseases. Vestnik sovremennoj klinicheskoj meditsiny. 2019; 4: 99–105. https://doi.org/10.20969/VSKM.2019.12(4).99-105
21. Klepalova Yu.I., Shcherbakova O.V. Current trends in medical examinations of traffic-related workers. Pravoprimenenie. 2023; 7(4): 156–165. https://doi.org/10.52468/2542-1514.2023.7(4).156-165
22. Menkenov A.V. The legal uncertainty of the requirements for medical examinations by employees of certain categories of employers. Trudovoe pravo v Rossii i za rubezhom. 2023; 1: 34–37. https://doi.org/18572/2221-3295-2023-1-34-37
23. Retnev V.M. Improving the organizational and legal foundations of medical examinations of the working population. Zdravookhranenie Rossijskoj Federatsii. 2010; 6: 11–13. https://elibrary.ru/nbngpb (in Russian).
24. Rubina I.E. Problems of legal regulation of the organization of mandatory medical examinations in the field of labor. Zhurnal Rossijskogo prava. 2023; 26(4): 1–1. https://doi.org/10.12737/jrl.2022.042 (in Russian).
25. Faynburg G.Z., Poryvaev A.A., Trutnev S.V. Mandatory medical examinations and related legal consequences: practical recommendations for members of trade unions. Perm: PNRPU; 2019. ISBN: 978-5-398-02221-6.
Review
For citations:
Gorblyansky Yu.Yu., Kontorovich E.P., Ponamareva O.P., Syachina A.V. Conceptual foundations of medical examinations of workers in Russia (thematic review). Russian Journal of Occupational Health and Industrial Ecology. 2024;64(7):471-478. (In Russ.) https://doi.org/10.31089/1026-9428-2024-64-7-471-478. EDN: qrsman