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2023 Burn Disability Assessment Standards

Legal subjectivity:

The standards for identification of work-related injuries, burns, and disabilities are as follows: The research results of the "Standards for Identification of the Degree of Disability of Employees' Work-related Injuries and Occupational Diseases (Trial)" have been passed through the evaluation and review and are now issued. Trial. The "Standards for Identification of the Degree of Disability of Employee Work-related Injuries and Occupational Diseases (Trial)" are in accordance with the requirements for establishing and improving the social security system put forward by the country's "Ten-Year Plan for National Economic and Social Development and the Outline of the Eighth Five-Year Plan". In order to adapt to the work-related injury insurance system The needs for reform are studied and formulated by relevant experts organized by the Ministry of Labor and the Ministry of Health. The degree of employee disability and loss of working ability is divided into ten levels, among which levels one, two, three and four are complete loss of working ability; levels five and six are major loss of working ability; levels seven, eight, nine and ten are partial loss of working ability. ability. All provinces, autonomous regions, and municipalities directly under the Central Government are requested to pilot the reform of the work-related injury insurance system and carry out labor appraisal work in accordance with this standard, and pay attention to summarizing experience. This standard can be referred to when assessing the extent of an employee's loss of working ability after being disabled due to illness or non-work-related injury. If there are any problems during the trial implementation, please inform us in time so that we can make revisions and provide a basis for the formation of national standards. 1. This standard is formulated to adapt to the reform of the work-related injury insurance system, protect the legitimate rights and interests of employees, strengthen production safety, and safeguard the overall interests of the country. 2. This standard applies to employees who have been certified as having work-related injuries by the local labor department, or who have been diagnosed with occupational diseases by a medical and health institution with the right to diagnose occupational diseases approved by the health administrative department. When the medical unit determines that medical treatment has been terminated, a disability medical examination and Work ability appraiser. 3. This standard classifies the degree of disability based on the patient's organ damage, dysfunction and dependence on medical treatment and nursing at the end of medical treatment, with appropriate consideration of the impact of social and psychological factors caused by the disability. 1. Organ damage is a direct result of work-related injuries, but occupational diseases do not necessarily involve organ damage. 2. Functional impairment: The degree of functional impairment after a work-related injury is related to the location and severity of the organ defect, and organ dysfunction caused by occupational diseases is related to the severity of the disease. The determination of functional impairment should be based on the results of the medical examination at the end of medical treatment and determined one by one according to the objects of disability assessment. This standard explains and explains the definitions of some disability categories and the classification criteria for the resulting functional impairment in appendices A, C, E, G, and I. 3. Medical dependence refers to a person who is disabled due to injury or illness and is still unable to leave treatment when medical treatment ends. 4. Nursing dependency refers to those who are disabled due to injury or illness and need to rely on others to take care of themselves because they cannot take care of themselves. The scope of self-care in daily life mainly includes the following five items: (1) eating; (2) turning over; (3) defecation and urination; (4) dressing and washing; (5) self-movement. The degree of nursing dependence is divided into three levels: a. Complete nursing dependence refers to those who require nursing care for all the above five items. b. Most care dependence refers to people who need care for three of the five items listed above. c. Partial care dependence refers to a person who needs care for one of the five items listed above. 5. Some special conditions of psychological disorders do not cause medical dependence on the basis of organ defects or dysfunction, but they cause psychological disorders or reduce the quality of life of the disabled. These consequences should be properly considered when assessing the conditions. 4. Based on the above principles, the disability caused by work-related injuries and occupational diseases is divided into ten levels, which are listed in Table A. Due to the complexity of disability types, some types can be graded from the most severe (level one) to the lightest (level ten) covering ten levels, while some types can be less than ten levels, or have no level. Individual disabilities not listed in this standard can be assessed based on the above principles and with reference to the corresponding grades in this standard. 5. This standard is divided into five parts based on different systems and organ disability categories. Each part includes the main text of the standard (grading table of disability levels of work-related injuries and occupational diseases), supplementary parts (grading basis or judgment standard) and reference parts. (Instructions for correct use of standards), as shown in Table B. For ease of use, a graded series is attached. For illnesses and injuries caused by occupational factors other than internal medicine and included in the occupational disease list promulgated by the Ministry of Health, the disability level at the end of medical treatment will be assessed based on the corresponding disability conditions in Tables 1 to 4. Among them, occupational tumor surgery The resulting disability is assessed with reference to the corresponding entries for the major damaged organs. 6. When using this standard, you should strictly follow the grading basis or judgment standard for various types of disability in the supplementary document, follow the instructions on the correct use of standards in the reference document, and master the classification of this standard according to the specific circumstances of the disability, and conduct work-related injuries and Identification of the degree of disability caused by occupational diseases. 8. If the organ damaged by the work-related injury has a history of disability and disease, the assessment of the disability level shall be based on the actual disability outcome at the end of the medical treatment. The levels of the employee work-related injuries and occupational disease disability grading table are based on the first-level organ loss or complete loss of function, other organs cannot compensate, and special medical dependence and complete nursing dependence are required to maintain life and basic living. Those with severe defects or malformations of secondary organs, severe dysfunction or complications requiring special medical care and extensive nursing care. Those with severe third-level organ defects or malformations, severe dysfunction or complications requiring special medical treatment and partial nursing care. Level 4: Severe organ defects or malformations, severe dysfunction or complications requiring special medical care, and those who can take care of themselves. Most of the fifth-level organs are defective or obviously deformed, have severe dysfunction or complications, require general medical treatment, and can take care of themselves. Level 6: Most of the organs are defective or obviously deformed, have moderate dysfunction or complications, require general medical dependence, and can take care of themselves.

Most of the seventh-level organs are defective or deformed, have mild dysfunction or complications, require general medical treatment, and can take care of themselves. Level 8 patients with partial organ defects, morphological abnormalities, mild dysfunction, medical dependence, and ability to take care of themselves. Those with partial organ defects, abnormal morphology, mild dysfunction, no dependence on medical treatment, and able to take care of themselves. Those with grade 10 partial organ defects, abnormal morphology, no functional impairment, no dependence on medical care, and able to take care of themselves. Table 1 Criteria for identification of the degree of disability caused by employee work-related injuries and occupational diseases (neurology, neurosurgery, and psychiatry departments) Legal and objective:

Article 22 of the "Regulations on Work-related Injury Insurance" Work ability identification refers to labor dysfunction Identification of the degree and level of self-care impairment. Labor dysfunction is divided into ten disability levels, with the most severe being Level 1 and the lightest being Level 10. Impairments in self-care are divided into three levels: inability to take care of oneself at all, inability to take care of self in most of life, and inability to take care of self in part of life. The labor ability appraisal standards are formulated by the social insurance administrative department of the State Council in conjunction with the health administrative department of the State Council and other departments.