Veidlapa Nr. M-3 (8)
Study Course Description
Incapacity for Work and Insurance Principles
Course Code
REX_026
Branch of Science
Clinical medicine; Public and environmental health
ECTS
4.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Sandra Ausekle
Residency Speciality
Speciality
Expert
Supervisor of Medical Speciality
Sandra Ausekle
Contacts
-
About Study Course
Objective
To provide the resident with the theoretical and practical knowledge required to perform his/her professional duties related to state-funded medical services and voluntary health, accident, travel insurance, as well as road traffic accident insurance with cover of civil liability insurance for owners of road vehicles for victims. To provide the resident with theoretical knowledge and practical skills of the social security system, insurance services, laws and regulations governing them, the two national systems of compensation for damage caused at work, the procedure for issuing sick leave in connection with temporary incapacity for work. To provide the resident with theoretical knowledge and practical skills of the impact of employment on health, work and functional capacity.
Learning Outcomes
Knowledge
1.Knowledge of the binding legislation within compulsory and voluntary health and life insurance, risk factors for possible fraud committed by clients and collaboration partners. The resident understands the risk factors in the working environment, knows how to assess them, and understands the social insurance guarantees for patients suffering from occupational diseases. The resident understands both the positive and negative impact of employment on health and the possible action of employers to preserve the work capacity, including for various risk groups, such as people with different physical and mental disorders, people in pre-retirement age.
Skills
1.The procedure for calculation of insurance claims, assessment of medical records, monitor partners and make decisions. The resident has improved the diagnosis of occupational diseases, application of principles of treatment and rehabilitation in practical work; is able to assess the risk factors of the working environment. The resident has learned how to determine the index of work capacity, to make recommendations for the preservation and improvement of work capacity at both individual and corporate level.
Competences
1.Based on the knowledge acquired, the resident is able to choose the appropriate means and appropriate action for the given situation. The resident analyses and establishes interrelations, evaluates and addresses issues concerning treatment and rehabilitation of occupational diseases, occupational rehabilitation according to the level of development of modern science, prognosis for diseases or trauma, functional status of the person and the patient's work capacity. The student analyses and finds correlations, is able to evaluate the positive and negative effects of employment on health and the possible action of employers to preserve the work capacity for people with various physical and mental disorders and people in pre-retirement age.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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To learn about the legislation applicable to compulsory and voluntary personal health and life insurance, the risk factors for possible fraud committed by clients or collaboration partners, the practical procedure for calculating insurance claims, control of collaboration partners and decision-making. To learn about the social insurance system, insurance services and the related legislative acts, the two national compensation systems for damage caused at work, the procedure for issuing sick-leave certificates in connection with temporary incapacity for work. Independent work with literature.
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Examination
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Title
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% from total grade
|
Grade
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|---|---|---|
|
1.
Examination |
-
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-
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Theoretical and practical examination at the end of the course.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Study room
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Topics
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Impact of employment on health condition, working and functional capability. Types of employment. Effect of unemployment of health.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Study room
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Topics
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Social insurance system and services provided. Allocation of insurance indemnity in connection with an occupational disease and in the event of accidents at work.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Study room
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Topics
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Regulatory framework in the field of social insurance. Assessment of person’s health condition, labor and functional capacities for purposes of insurance.
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-
Placement
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Modality
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Location
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|---|---|---|
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On site
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Study room
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Topics
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Principles of insurance in Latvia and Europe. Regulatory insurance documents of insurance companies. Mandatory and voluntary health and life insurance.
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-
Placement
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Modality
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Location
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|---|---|---|
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On site
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Study room
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Topics
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Insurance principles in Latvia and Europe. Insurance laws and regulations of insurance undertakings. Compulsory and voluntary personal health and life insurance.
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-
Placement
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Modality
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Location
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|---|---|---|
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On site
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Study room
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Topics
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Principles for calculation of insurance indemnity and decision-making procedure. Types of insurance related to person’s health and physical condition.
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-
Placement
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Modality
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Location
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|---|---|---|
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On site
|
Study room
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Topics
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Principles and decision-making procedures for the calculation of insurance claims. Types of insurance related to a person’s health and physical condition.
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-
Placement
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Modality
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Location
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|---|---|---|
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On site
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Study room
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Topics
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Assessment of personal health status, work and functional capacity in insurance. Risk factors in insurance fraud.
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-
Placement
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Modality
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Location
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|---|---|---|
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On site
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Study room
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Topics
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Social security system policy in Latvia. National system for compensation of damages caused at work.
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-
Placement
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Modality
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Location
|
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|---|---|---|
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On site
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Study room
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Topics
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Benefit claim process. Disability benefits. Income tax on pensions and sickness benefits
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-
Placement
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Modality
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Location
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|---|---|---|
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On site
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Study room
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Topics
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Eligibility for state social security benefit. Sickness benefits and the procedure for issuance of sick-leave certificate. Overview of rehabilitation procedure, cooperation between institutions and results.
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-
Placement
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Modality
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Location
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|---|---|---|
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On site
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Study room
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Topics
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Assessment of medical documentation for compensation for medical expenses.
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-
Placement
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Modality
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Location
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|---|---|---|
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On site
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Study room
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Topics
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Social guarantees of a micro-enterprise employee. Joining the social insurance voluntarily.
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-
Placement
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Modality
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Location
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|---|---|---|
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On site
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Study room
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Topics
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Impact of health on productivity. Impact of work environment on health condition of the employees.
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-
Placement
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Modality
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Location
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|---|---|---|
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On site
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Study room
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Topics
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Work-life balance. Health promotion in the workplace.
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-
Placement
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Modality
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Location
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|---|---|---|
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On site
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Study room
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Topics
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Work adaptation for employees with health problems.
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-
Placement
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Modality
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Location
|
|
|---|---|---|
|
On site
|
Study room
|
Topics
|
Impact of employment on health of people with various physical diseases. Impact of employment on health and employer’s potential action in preserving work ability in persons with mental disorders.
|
-
Placement
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Study room
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Topics
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Determination and assessment of the employee work ability index. Impact of employment on health of people in pre-retirement age.
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Total ECTS (Creditpoints):
4.00
Number of Residency Seminars:
3
Length (weeks):
3
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Eglīte, M. 2012. Darba medicīna. Rīga: Rīgas Stradiņa universitāte
2.
Crinnion, W.J., Pizzorno Jr., J.E. 2018. Clinical Environmental Medicine: Identification and Natural Treatment of Diseases Caused by Common Pollutants. 1st ed. Elsevier.
3.
Pacientu tiesību likums
4.
Ārstniecības likums
5.
Par prakses ārstiem
6.
Ceļu satiksmes likums
7.
Par maternitātes un slimības apdrošināšanu
8.
Farmācijas likums
9.
Sporta likums
10.
Ministru kabineta iekārtas likums
11.
Apdrošināšanas līguma likums
12.
Iesniegumu likums
13.
Fizisko personu datu apstrādes likums
14.
Ārstniecības iestāžu reģistra noteikumi
15.
Recepšu veidlapu izgatavošanas un uzglabāšanas, kā arī recepšu izrakstīšanas noteikumi
16.
Medicīnisko dokumentu lietvedības kārtība
17.
Darbnespējas lapu izsniegšanas un anulēšanas kārtība
18.
Ambulatorajai ārstēšanai paredzēto zāļu un medicīnisko ierīču iegādes izdevumu kompensācijas kārtība
19.
Arodslimību izmeklēšanas un uzskaites kārtība
20.
Kārtība, kādā veicama obligātā veselības pārbaude
21.
Latvijas Ārstu Ētikas kodekss
22.
Introduction to health and safety at work. Phil Hughes and Ed Barrett, 7th edition, NEBOSH.
23.
Tuomi, K.1998. Work ability Index Book. 2nd ed. Finland: Finnish Institute of Occupational Health.
Additional Reading
1.
Apdrošināšanas sabiedrību apdrošināšanas noteikumi un programmu apraksti: (www.ergo.lv; www.balta.lv; www.bta.lv; www.seesam.lv; www.compensalife.lv; www.if.lv).
2.
Health Impacts of Employment: a review.
Other Information Sources
1.
www.netwibes.com/info_med
4.
www.scirus.com