In December, the President of Ukraine Volodymyr Zelensky signed the bill No. 12178, which from January 1, 2025 liquidated medical and social expert commissions (MSEC). The corresponding document was returned to the Verkhovna Rada with the signature of the head of state on December 30.

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The innovation raises many questions in patients and doctors. The Ministry of Health told how expert teams work with directions.

They said that assessment of a person's daily functioning, carried out by expert teams, is an important part of medical services. If a person requires additional examinations or specialized assistance, the team has the right to issue a referral.

Direction is a document that provides access to services that cannot be provided by the attending person.

Referral is required for:.

specialist consultations,.

specialized examinations,.

medical rehabilitation,.

inpatient treatment,.

palliative care.

How does referral work?.

An expert team determines the need for additional services.

Creates a direction in the electronic healthcare system.

Informs the patient about the goals and provides an electronic direction or a paper copy.

The patient chooses a convenient institution where the services included in the program of medical guarantees.

Directions can write out all doctors regardless of the form of ownership of the institution. There are no additional payments for referrals - this is part of the doctor’s job.

On January 1, not only the new 2025 year began, but a new life in the issue of examination of functional violations of Ukrainians. Until 2025, medical and social expert commissions (ICEC) dealt with the issues of disability.. These commissions are good or bad, but professionally evaluated people with diseases.

Some continued to be on sick leave. Someone was established by disability. And for some people this disability was not confirmed. At the end of 2024. It was decided to eliminate the ICEC and replace them with expert commissions assessment of the daily functioning of the personality (ECOFL). What this will bring to patients and doctors was told by oncologist Andrei Gardashnikov in the article “Will expert commissions become a panacea for MSEC disorder »On DT. U.A..