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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2025, vol. 31, issue4
Subject Area: Medicine
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DOI: 10.5272/jimab.2025314.6572
Published online: 29 October 2025
Original article
J of IMAB. 2025 Oct-Dec;31(4):6572-6575
MEDICAL EXPERTISE, WORKING CAPACITY AND SOCIAL ADAPTATION
Paraskeva Mancheva1
, Teodora Dimitrova2, Mina Ivelinova3, Adelina Dzhordzhanova4,
1)Department of Kinesitherapy, Faculty of Public Health, Medical University - Varna, Bulgaria.
2)Department of Hygiene and Epidemiology, Faculty of Public Health, Medical University - Varna, Bulgaria.
3)Speciality „Medicine“, Faculty of Medicine, Medical University - Varna, Bulgaria.
4)Department of Psychiatry and Medical Psychology, Faculty of Medicine, Medical University - Varna, Bulgaria.
ABSTRACT:
Introduction: Global development shows an ever-increasing tendency in the number of people with disability who cannot solve their problems of everyday life on their own.
The purpose of this study is to identify the problems of medical expertise that reflect on social adaptation and to prepare suggestions for change.
Material and methods: Material:Selection of the participants (random method): internet announcement and „snowball“ method; focus groups. Methods: Qualitative research: „Implementation of the rights of people with disability/impairment under the current legislation using the focus group method“.
Results: Suggestions for change in the medical expertise system were made in relation to the identified key areas and unresolved issues. The patients’ preparation for appearing before the committee can be facilitated by optimising the costs. The connection between the right to a disability pension and mandatory rehabilitation and requalification is absent. The medical and social assessments of disability should be united and implemented by one commission. A new regulation on medical expertise is necessary to optimise the cooperation between the Ministry of Health and the Ministry of Labour and Social Policy on the problems of people with disability.
Conclusions: The expected results of an effectively functioning medical expertise system are associated with an increase in the number of people with disability who have achieved comprehensive rehabilitation, a reduction in the degree of disability and return to the labour market. The accomplishment of such an objective contributes to the elimination of obstacles during rehabilitation activities, the selection of optimal assistive technology devices and social services.
Keywords: disability, social adaptation, people with disability, working capacity,
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Please cite this article as: Mancheva P, Dimitrova T, Ivelinova M, Dzhordzhanova A. Medical Expertise, Working Capacity and Social Adaptation. J of IMAB. 2025 Oct-Dec;31(4):6572-6575. [Crossref - 10.5272/jimab.2025314.6572]
Correspondence to: Paraskeva Mancheva, Department of Kinesitherapy, Faculty of Public Health, Medical University- Varna; 84, Tsar Osvoboditel Blvd., Varna, Bulgaria; E-mail: paraskeva.mancheva@mu-varna.bg
REFERENCES:
1. Schneider J, Dutton J. Attitudes Towards Disabled Staff and the Effect of the National Minimum Wage: A Delphi survey of employers and disability employment advisors. Disabil Soc. 2002;17(3):283-306. [Crossref]
2. Sen А. The Idea of Justice. Harvard University Press. 05/31/2011. 496p. [Internet]
3. Mrachkov V. [Insurance Law.] [in Bulgarian] 7th ed. Sibi Pub. 2019. 504p. [Internet]
4. [Persons with Disabilities Act. SG No. 105/18.12.2018, amended and supplemented. SG No. 39/1.05.2024.] [in Bulgarian] [Internet]
5. [Medical expertise ordinance. SG, Resolution of the Council of Ministers No. 120/23.06.2017, SG No. 51/27.06.2017, amended and supplemented. SG No. 23/19.03.2024.] [in Bulgarian] [Internet]
6. [Regulations on the organisation of medical expertise bodies and regional medical expertise cardfiles.] [in Bulgarian] Accepted with the Resolution of the Council of Ministers No. 83/26.04.2010, SG No. 34/4.05.2010, amended and supplemented. SG No. 23/19.03.2024. [Internet]
Received: 21 August 2025
Published online: 29 October 2025