In 2022, the criteria for disability identification are as follows:
Classification principle of labor ability appraisal grade from 1 to 10:
1, Grade I: organ loss or complete loss of function, other organs can't be compensated, have special medical dependence, and can't take care of themselves completely or mostly.
2. Grade II: severe organ defect or deformity, serious dysfunction or complications, special medical dependence, or inability to take care of most of life.
3. Grade III: severe organ defect or deformity, serious dysfunction or complications, special medical dependence, or inability to take care of the living part.
4. Grade IV: those who have serious organ defects or deformities, serious dysfunction or complications, special medical dependence and can take care of themselves.
Grade 5.5: Most of the organs are defective or obviously deformed, with serious dysfunction or complications. They are generally dependent on medical treatment and take care of themselves.
Grade 6.6: Most of the organs are defective or obviously deformed, with moderate dysfunction or complications. They are generally dependent on medical treatment and take care of themselves.
Grade 7.7: Most of the organs are defective or deformed, with slight dysfunction or complications. They are generally dependent on medical treatment and take care of themselves.
Grade 8.8: partial organ defect, abnormal morphology, mild dysfunction, medical dependence and self-care.
Grade 9.9: partial organ defects, abnormal morphology, mild dysfunction, no medical dependence and self-care.
10, 10: partial organ defect, abnormal morphology, no dysfunction, no medical dependence and self-care.
The specific assessment criteria are as follows:
One, where one of the following circumstances and the treatment is ineffective:
1, vegetative state or peeling state.
2, true and false ball paralysis.
3, quadriplegia muscle strength below level 4 (including level 4).
4 quadriplegia or quadriplegia muscle strength is below grade 3 (including grade 3).
5, moderate (including moderate) above non paraplegic dyskinesia.
6, severe muscle diseases (systemic myasthenia gravis, progressive muscular dystrophy, etc. ).
7, single limb paralysis muscle strength below level 2 (including level 2).
8. Complete mixed aphasia.
9, mental retardation, IQ test is less than or equal to 45.
Second, most of them have lost their ability to work.
One of the following circumstances and the treatment is ineffective:
1, quadriplegia or quadriplegia muscle strength grade 4.
2, single limb paralysis muscle strength level 3.
3. Complete motor aphasia.
4, mental retardation, IQ test 46-54.
5, grand mal more than 3 times a month (including 3 times).
Three. Partial incapacity to work:
One of the following circumstances and the treatment is ineffective:
1, mild dyskinesia without limb paralysis.
2. Muscle diseases affect work.
3. Incomplete aphasia.
4, mental retardation, IQ test 55-84.
Psychiatry:
First, completely lose the ability to work
One of the following circumstances and the treatment is ineffective:
1, chronic organic mental disorder, after two years of systematic treatment, still has one of the following symptoms, which seriously affects occupational function: dementia; Persistent or frequent delusions and hallucinations; Persistent or frequent emotional instability and uncontrollable impulsive attacks.
2. Schizophrenia can't return to normal after 5 years of systematic treatment; Paranoid mental disorder, persistent delusion, which can not be alleviated for 5 years, seriously affects professional function.
3. Refractory affective disorder, which can't return to normal after 5 years of systematic treatment, is over 50 years old for men and over 45 years old for women, seriously affecting professional function.
4. Refractory obsessive-compulsive disorder with obvious obsessive-compulsive personality is ineffective after 5 years of systematic treatment, which seriously affects professional function.
5, mental retardation, IQ test is less than or equal to 45.
Second, most of them have lost their ability to work.
One of the following circumstances and the treatment is ineffective:
1. Schizophrenia patients still have mild mental symptoms and slightly impaired social function after treatment.
2. Chronic organic mental disorder, which is relieved by systematic treatment, needs regular follow-up.
3, mental retardation caused by epilepsy, IQ test 55-69.
4, mental retardation, IQ test 46-54.
Third, partial loss of working ability.
One of the following circumstances and the treatment is ineffective:
1. After two years of treatment, schizophrenia patients still have some mental function defects, which exist for a long time and can take care of themselves.
2, mental retardation, IQ test 55-84.
Orthopedics:
First, completely lose the ability to work
One of the following circumstances and the treatment is ineffective:
1. Ankylosing spondylitis leads to bony fusion of spinal joints, disappearance of physiological curvature, serious dysfunction of spinal function and difficulty in autonomous activities.
2. Cervical or thoracic or lumbar ankylosing spondylitis with hip ankylosis.
3. Unstable cervical spondylolisthesis requires surgical fixation or external fixation.
4. Spinal canal stenosis leads to serious dysfunction of upper and lower limbs and difficulty in autonomous activities.
5, three limbs paralysis or two limbs paralysis and one limb muscle strength level 3.
6, double wrist joint stiffness with finger joint stiffness, can not complete the grasping action.
7. The function of one shoulder and one elbow joint is completely lost.
8. Amputation of lower limbs above the knee joint.
9, bipedal or ankle deformity with serious dysfunction and no independent movement ability.
10, the hip, knee and ankle of one lower limb are stiff at the same time, which makes it difficult to move autonomously and requires tools.
1 1, rigidity of both hips or knees, difficulty in autonomous movement, and need tools.
Second, most of them have lost their ability to work.
One of the following circumstances and the treatment is ineffective:
1, ankylosing spondylitis leads to the disappearance of physiological curvature of spinal joints, moderate damage to spinal function, and people have the ability to move independently.
2. Ankylosing spondylitis of cervical vertebra, thoracic vertebra or lumbar vertebra with abnormal biochemical indexes and drug dependence.
3. The stable cervical spondylolisthesis is fixed by surgery or external fixation, and the condition is stable at present.
4. Moderate limb dysfunction caused by spinal stenosis, with independent mobility.
5. Paralysis of three limbs or paralysis of two limbs with muscle strength of one limb at level 4 or muscle strength of one limb less than or equal to level 3.
6. The knuckles of both hands are stiff, and the fist-clenching action cannot be successfully completed.
7. Stiffness of one elbow joint leads to complete loss of elbow joint function in non-functional position.
8, lower limb amputation below the knee joint.
9. People with moderate dysfunction in one foot or ankle joint have the ability of autonomous activities.
10, single knee stiffness, hip flexion up to 60 degrees, with independent mobility.
Third, partial loss of working ability.
One of the following circumstances and the treatment is ineffective:
1. Those who have a history of spondylitis, but have joint space and physiological curvature, have slight influence on spinal function, and have the ability of autonomous movement.
2, cervical or thoracic or lumbar inflammation, the current condition is stable.
3. After external fixation of stable cervical spondylolisthesis, the condition is stable at present.
4. Mild limb dysfunction caused by spinal stenosis, with independent mobility.
5. One-handed knuckles are stiff, and you can still make a fist.
6. Partial loss of wrist function.
7. One foot or one ankle joint is slightly dysfunctional and has the ability to move independently.
8. One hip or one knee is stiff and has the ability to move independently.
Description:
(1) Limb paralysis was graded by muscle strength. In order to judge the degree of limb paralysis, it is divided into 0-5 grades.
Grade 0: complete muscle paralysis, no contraction.
1 grade: slight muscle contraction can be seen or felt, but no movement can be produced.
Grade 2: Muscles can move without the influence of gravity, that is, limbs can move on the bed surface, but they cannot be lifted.
Level 3: You can still move in the opposite direction to gravity, but you can't resist external resistance.
Grade 4: able to resist certain resistance, but lower than normal people.
Grade 5: Normal muscle strength.
(2) Joint dysfunction, including joint stiffness and scar contracture, cannot be treated. The degree of dysfunction can be divided into:
Loss of joint function means complete loss of function. Stiff (or contracture) joints are fixed in non-functional positions, or muscles and ligaments around the joints are missing or paralyzed, resulting in flail or serious instability of the joints and failure to complete their functional activities.
Severe joint dysfunction: functional loss is greater than or equal to 3 1%. It means that the remaining function is only within the normal function range of 1/3 and below, and the original professional work cannot be completed.
Moderate joint dysfunction: loss of function 1 1-30%. Refers to the residual function equivalent to 2/3 or less of the normal function range, which can basically complete the original professional work and have a certain impact on daily life activities.
Mild joint dysfunction: functional loss is less than or equal to 10%.
(3) Spinal cord diseases include myelitis, spinal cord compression, syringomyelia, motor neuron diseases, radiation myelopathy and spinal cord disorders caused by other reasons.
Ophthalmology:
First, completely lose the ability to work
One of the following circumstances and the treatment is ineffective:
1, with or without light perception in one eye, eyeball removal or orbital contents removal in one eye, corrected visual acuity of the other eye less than 0.2 or visual field less than or equal to 32 degrees (or radius less than or equal to 20 degrees), corrected visual acuity of both eyes less than 0. 1 or visual field less than or equal to 32 degrees (or radius less than or equal to 20 degrees).
Second, most of them have lost their ability to work.
One of the following circumstances and the treatment is ineffective:
1, one eye has no light perception or light perception, but the light positioning is not accurate, one eye has eyeball enucleation or orbital contents enucleation, and the other eye has corrected visual acuity less than or equal to 0.3.
2 binocular corrected vision is less than or equal to 0.2 or visual field is less than or equal to 48 degrees (or radius is less than or equal to 30 degrees).
Third, partial loss of working ability.
One of the following circumstances and the treatment is ineffective:
1, the corrected visual acuity of one eye is less than or equal to 0. 1, and the corrected visual acuity of the other eye is greater than or equal to 0.4 and less than or equal to 0.8.
2. The corrected visual acuity of one eye is less than or equal to 0.2, and that of the other eye is greater than or equal to 0.3 and less than or equal to 0.7.
3, binocular corrected vision is less than or equal to 0.3.
4, one or both sides of the eyelid ectropion or eyelid closure.
5, symblepharon affects eyeball rotation.
6. Lacrimal organ injury surgery can not improve lacrimal overflow.
7, the fifth pair of cranial nerve eye branch or the third or fourth or sixth pair of cranial nerve paralysis.
8. No foreign body in single orbit or eyeball was taken out, and there was no obvious decrease in vision.
Description:
(1) Cataract was identified according to postoperative corrected vision.
(2) Patients with aphakic eyes are identified according to the degree of vision corrected by surgery.
(3) When there is a contradiction between vision and objective examination, it should be identified according to the results of eye examination and related auxiliary examination results such as visual electrophysiology, fluorescent fundus angiography and visual field.
Otolaryngology:
First, completely lose the ability to work
One of the following circumstances and the treatment is ineffective:
1, otolaryngology malignant tumor, skull base bone destruction or distant organ metastasis.
2. Due to various reasons, the throat or trachea is scarred, adhered and narrowed, and it is impossible to extubate after tracheotomy. Requires lifelong tube management and is accompanied by language or mental disorders.
3. Lifelong balance disorder caused by various reasons, and people who can't take care of themselves.
4. Oral malignant tumor has distant organ metastasis or postoperative recurrence or surgery can not be cured. Currently a cancer survivor.
5, the whole tongue or throat disease can not be treated surgically, which has a serious impact on physiological functions such as swallowing and language.
6. Reconstruction after total laryngectomy is difficult and pronunciation is impaired. At present, he lives by pipes.
Second, most of them have lost their ability to work.
One of the following circumstances and the treatment is ineffective:
1, a malignant tumor in otolaryngology department, was stable after treatment, and there was no clear basis for recurrence or metastasis.
2. Binaural hearing loss caused by any reason is greater than or equal to 7 1.
3. Dentures and guard plates cannot be installed after maxillary surgery, or mouth opening after radiotherapy cannot affect eating.
According to the Regulations on Work-related Injury Insurance, employees who suffer from accidents or occupational diseases at work shall enjoy medical treatment for work-related injuries:
1. Workers with work-related injuries should go to medical institutions that have signed service agreements for medical treatment. In case of emergency, they can go to the nearest medical institution for first aid.
2, inductrial injury treatment costs in line with the industrial injury insurance diagnosis and treatment project directory, industrial injury insurance drugs directory, industrial injury insurance hospitalization service standards, paid from the industrial injury insurance fund. The catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs and the hospitalization service standard of work-related injury insurance shall be stipulated by the social insurance administrative department of the State Council in conjunction with the health administrative department of the State Council, the food and drug supervision and management department and other departments.
3. The food allowance for hospitalization of workers with work-related injuries and the certificate issued by medical institutions shall be reported to the agency for examination and approval. The transportation and accommodation expenses required for employees to seek medical treatment outside the overall planning area shall be paid from the industrial injury insurance fund, and the specific standards for fund payment shall be stipulated by the people's government of the overall planning area.
4, inductrial injury worker treatment of non-work-related diseases, do not enjoy medical treatment of inductrial injury, in accordance with the basic medical insurance measures.
5, inductrial injury worker to medical institutions signed a service agreement for work-related injury rehabilitation treatment costs, in line with the provisions, paid from the industrial injury insurance fund.