Between health care and social security : psychiatric patients and the disability pension system in Norway and Russia

DSpace/Manakin Repository

Between health care and social security : psychiatric patients and the disability pension system in Norway and Russia

 

Tweet Share on Facebook
Title: Between health care and social security : psychiatric patients and the disability pension system in Norway and Russia
Author: Schönfelder, Walter; Rezvyy, Grigory; Midré, Georges; Øiesvold, Terje; Olstad, Reidun
Date: 16-Aug-2007
Type: Journal article; Tidsskriftartikkel; Peer reviewed
Abstract: Background: The official statistics of persons with mental disorders who are granted disability pension (DP) in Russia and Norway indicate large differences between the countries. Methods: This qualitative explorative hypothesis-generating study is based on text analysis of the laws, regulations and guidelines, and qualitative interviews of informants representing all the organisational elements of the DP systems in both countries. Results: The DP application process is initiated much later in Norway than in Russia, where a 3 year occupational rehabilitation and adequate treatment is mandatory before DP is granted. In Russia, two instances are responsible for preparing of the medical certification for DP, a patients medical doctor (PD) and a clinical expert commission (CEC) while there is one in Norway (PD). In Russia, the Bureau of Medical-Social Expertise is responsible for evaluation and granting of DP. In Norway, the local social insurance offices (SIO) are responsible for the DP application. Decisions are taken collectively in Russia, while the Norwegian PD and SIO officer often take decisions alone. In Russia, the medical criterion is the decisive one, while rehabilitation and treatment criteria are given priority in Norway. The size of the DP in Norway is enough to cover of subsistences expenditure, while the Russian DP is less than the level required for minimum subsistence. Conclusion: There were noteworthy differences in the time frame, organisation model and process leading to a DP in the two countries. These differences may explain why so few patients with less severe mental disorders receive a DP in Russia. This fact, in combination with the size of the DP, may hamper reforms of the mental health care system in Russia.
Publisher: BioMed Central
Citation: BMC Health Services Research 7(2007) article no 128
URI: http://hdl.handle.net/10037/1253


File(s) in this item

Files Size Format View
article.pdf 314.0Kb PDF View/Open

The following license file are associated with this item:

This item appears in the following collection(s)

Show full item record

Search Munin




Advanced Search

Browse

Statistics

Help