Email this article Features of the organization of medical rehabilitation at the present stage
- Authors: Sereda A.N.1, Puzin S.N.2,3, Memetov S.S.1, Kim V.V.1, Ilyukhin R.G.1
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Affiliations:
- Rostov State Medical University
- Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology
- Russian Medical Academy of Continuous Professional Education
- Issue: Vol 24, No 2 (2021)
- Pages: 41-46
- Section: Expertise and rehabilitation
- URL: https://rjmseer.com/1560-9537/article/view/66721
- DOI: https://doi.org/10.17816/MSER66721
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Abstract
The development of rehabilitation at the present stage is one of the priorities in the field of health and social development. Not only medical organizations, but also other organizations can take part in carrying out medical rehabilitation activities. A prerequisite for the implementation of rehabilitation activities is the availability of a license for medical activity with an indication of medical rehabilitation work. Of great concern is the issue of staffing of medical organizations, especially primary care, by such specialists as a doctor of physical and rehabilitation medicine, a doctor of medical rehabilitation, a medical speech therapist, an ergorehabilitation specialist, etc. In the absence of these specialists in medical organizations, it is impossible to form interdisciplinary rehabilitation teams, and in their absence, the solution of medical rehabilitation issues is questionable.
The article contains an analysis of the current legal framework for medical rehabilitation. The stages of medical rehabilitation in medical organizations are reflected in accordance with the scale of rehabilitation routing. Four groups of medical organizations carrying out medical rehabilitation have been identified. The shortcomings of the current legal framework for medical rehabilitation are indicated, since a comprehensive rehabilitation system is currently being formed in the Russian Federation. For its successful development and implementation in the practical activities of medical organizations and social institutions, a regulatory and legal framework is being developed and improved.
The approved Procedure for the organization of medical rehabilitation will allow to systematize and organize this work at a qualitatively new level.
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About the authors
Alexander N. Sereda
Rostov State Medical University
Author for correspondence.
Email: Sereda.a.n@yandex.ru
ORCID iD: 0000-0003-1829-3123
Graduate Student
Russian Federation, 29, Nachitsevanskij, Rostov-on-Don, 344022Sergey N. Puzin
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology; Russian Medical Academy of Continuous Professional Education
Email: s.puzin2012@yandex.ru
ORCID iD: 0000-0003-1030-8319
MD, Dr. Sci. (Med.), Professor, Academician of the Russian Academy of Sciences
Russian Federation, Moscow; 2/1 Barrikadnaya St., Moscow, 125993Servir S. Memetov
Rostov State Medical University
Email: memetov.57@mail.ru
ORCID iD: 0000-0002-6804-0717
MD, Dr. Sci. (Med.), Professor
Russian Federation, 29, Nachitsevanskij, Rostov-on-Don, 344022Vyacheslav V. Kim
Rostov State Medical University
Email: livfan1347@gmail.com
ORCID iD: 0000-0002-8803-7048
Graduate Student
Russian Federation, 29, Nachitsevanskij, Rostov-on-Don, 344022Ruslan G. Ilyukhin
Rostov State Medical University
Email: ruslan.spark@icloud.com
ORCID iD: 0000-0002-4594-3083
Russian Federation, 29, Nachitsevanskij, Rostov-on-Don, 344022
References
- Samutin KN. Public health as a constituent element of the state’s economic policy. Russian Entrepreneurship. 2012;13(11):131–136. (In Russ).
- Memetov SS, Potapov VN, Muteva TA, Yakushev AA. On independent medical expertise. Bulletin of the All-Russian Society of Specialists in Medical and Social Expertise, Rehabilitation and Rehabilitation Industry. 2015;(3):6–9. (In Russ).
- Zasimova LS, Khorkina NA, Kalinin AM. The role of the state in the development of health promotion programs at the workplace. Issues of State and Municipal Management. 2014;(4):69–94. (In Russ).
- Abashidze AKh, Malichenko VS. International legal bases for the protection of the rights of older people. Uspekhi Gerontologii. 2014;27(1):11–17. (In Russ).
- Vladimirova ON, Shoshmin AV, Malkova SV, et al. National standards in the comprehensive rehabilitation and habilitation of disabled people. Bulletin of the All-Russian Society of Specialists in Medical and Social Expertise, Rehabilitation and Rehabilitation Industry. 2019;(4):18–29. (In Russ). doi: 10.17238/issn1999-2351.2019.4.18-29
- Ponomarenko GN, Vladimirova ON. Complex rehabilitation and habilitation of disabled people in the Russian Federation. Physical and Rehabilitation Medicine. 2019;1(1):9–15. doi: 10.26211/2658-4522-2019-1-1-9-15
- Federal Law No. 323-FZ of 21.11.2011 «On the Basics of Public Health Protection in the Russian Federation». (In Russ). Available from: http://www.consultant.ru/document/cons_doc_LAW_121895/. Accessed: 29.03.2021.
- Order of the Ministry of Health of the Russian Federation No. 788n dated 31.07.2020 «On approval of the Procedure for organizing medical rehabilitation of adults». (In Russ). Available from: https://www.garant.ru/products/ipo/prime/doc/74581688/. Accessed: 29.03.2021.
- International classification of functioning, disability and health. (In Russ). Available from: https://zdravmedinform.ru/icf.html. Accessed: 29.03.2021.
- Order of the Ministry of Health of the Russian Federation and the Ministry of Labor and Social Protection of the Russian Federation No. 345n/372n dated May 31, 2019 “On approval of the Regulations on the organization of palliative medical care, including the procedure for interaction of medical organizations, social service organizations and public associations, other non-profit organizations operating in the field of health protection”. (In Russ). Available from: https://www.garant.ru/products/ipo/prime/doc/72180964/. Accessed: 29.03.2021.
- Order of the Ministry of Health of the Russian Federation No. 38n dated January 29, 2016 «On approval of the Procedure for providing medical care in the «geriatrics»profile». (In Russ). Available from: http://www.garant.ru/products/ipo/prime/doc/71251832/. Accessed: 29.03.2021.
- Order of the Ministry of Health of the Russian Federation No. 965n dated November 30, 2017 «On approval of the procedure for organizing and providing medical care using telemedicine technologies». (In Russ). Available from: https://www.garant.ru/products/ipo/prime/doc/71751294/. Accessed: 29.03.2021.
