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The functioning of the Territorial Expert Medical Commission and rehabilitation of disability - the experts` opinion

Paraskeva Mancheva


Introduction: Disability is a medico-social and legal phenomenon, which provokes the researchers to investigate its multidimensional nature. The financial dimensions of the medical system expertise functioning in Bulgaria are also important, but the social significance for the society, the disabled persons and their families should be a political priority.

Aim: The aim of the article is to explore and analyze the expert opinion related to the problems of disability rehabilitation and the functioning of the Territorial Expert Medical Commission (TEMC).

Materials and Methods:. The opinion of the experts has been selected typologically (intentionally and in a random way) by the following institutions: the National Social Security Institute, the Agency for Social Assistance, the Regional Health Inspectorate, the Territorial Expert Medical Commission, non-governmental organizations for people with disabilities and centers for social rehabilitation on a regional and national scale. The empirical information was received from the in-depth interviews with experts. For the interview, a scenario of 19 open-ended questions (divided into 4 topics) was developed.

Results: The Bulgarian practice highlights the disadvantages of the separation of medical and social assessment of disability. An integration into a complex one-step medicо-social disability expertise will be more effective, which would solve the problems of disabled individuals in our country. The opportunities for change in the TEMC system require a working model of the TEMC's methodical and methodological subordination and an assessment of the invalidity/disability that will provide a complex and one-step medical and social expertise allowing timely and adequate social integration.

 Conclusion: The expected results from the proposed effective model of mixed TEMC and the Agency for Social Assistance functioning will result in more effective rehabilitation of the disabled people, lowering of the degree of disability and more successfully rehabilitated people back to the labor market. This will remove the barriers during the rehabilitation procedures, will lead to the selection of the optimal technical resources and will improve the delivery of social services. The proposed cooperation will eventually enhance the sustainable social inclusion of disabled people.


rehabilitation, disability, Territorial Expert Medical Commission

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About The Author

Paraskeva Mancheva
Medical University of Varna

Medical College

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