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Strengthening medical rehabilitation services in health system: a situation analysis

https://doi.org/10.17749/2070-4909/farmakoekonomika.2022.140

Abstract

Objective: to evaluate the effectiveness of changes in the legal framework that regulates medical rehabilitation (MR) in the Russian Federation.

Material and methods. We analyzed the valid Order of the Ministry of Health of the Russian Federation of June 31, 2020 No. 788n “Organization of medical rehabilitation of adults”, which came into legal power on January 1, 2021. It was proposed for public discussion on the introduction of amendments (project of amendments). The changes proposed in the project were compared with the original text of the document. Besides, other legal documents on the organization of medical rehabilitation were analyzed.

Results. Order No. 788n regulates the stages of MR, specifies the formation and realization of an individual plan for a multi-disciplinary rehabilitation team based on the evaluation by Rehabilitation Routing Scale. The document includes in-house protocols of profile inpatient and outpatient departments of medical institutions, standards for doctor’s offices equipment, organization of day-time inpatient department, and regulations for MR centers. The project of amendments contains a variant of involvement of the existing additional Groups 1 and 2 medical divisions for the organization of MR, and limitation for the Stage 2 of MR in inpatient settings, which is now possible only for patients who need 24-hour care.

Conclusion. The proposed changes have evolutionary character. A lot of issues in the regulatory framework of MR remain unsolved. It is necessary to improve the state policy for MR and perform further clinical studies of its benefits.

About the Authors

D. V. Blinov
Institute for Preventive and Social Medicine; Lapino Clinical Hospital, Medical Group “Mother and Child”; Moscow Haass Medical Social Institute
Russian Federation

Dmitry V. Blinov – MD, PhD, MBA, Head of Medical and Scientific Affairs; Neurologist; Faculty Member, Chair of Neurology, Psychiatry and Narcology. WoS ResearcherID: J-4946-2017; Scopus Author ID: 7003589812; RSCI SPIN-code: 6317-9833

4/10 Sadovaya-Triumfalnaya Str., Moscow 127006
111 1st Uspenskoye Hwy, Moscow Region, Odintsovo District, Lapino 143081
5 bldg 1-1a 2nd Brestskaya Str., Moscow 123056



A. G. Solopova
Sechenov University
Russian Federation

Antonina G. Solopova – Dr. Med. Sc., Professor, Chair of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health. Scopus Author ID: 6505479504; WoS ResearcherID: Q-1385-2015; RSCI SPIN-code: 5278-0465

8/2 Trubetskaya Str., Moscow 119991



L. N. Sandzhieva
Sechenov University
Russian Federation

Lidiya N Sandzhieva – Postgraduate, Chair of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health. RSCI SPIN-code: 7228-3726

8/2 Trubetskaya Str., Moscow 119991



E. E. Achkasov
Sechenov University
Russian Federation

Evgeniy E. Achkasov – Dr. Med. Sc., Professor, Head of Department of Sports Medicine and Rehabilitation, Institute of Clinical Medicine. RSCI SPIN-code: 5291-0906

8/2 Trubetskaya Str., Moscow 119991



D. I. Korabelnikov
Moscow Haass Medical Social Institute
Russian Federation

Daniil I. Korabelnikov – MD, PhD, Professor, Chair of Internal Diseses with Courses of Family Medicine, Functional Diagnostics, Infectious Diseases, Rector. WoS ResearcherID: AAG-9623-2020; Scopus Author ID: 7801382184; RSCI SPIN-code: 7380-7790

5 bldg 1-1a 2nd Brestskaya Str., Moscow 123056



D. M. Ampilogova
Sechenov University
Russian Federation

Diana M. Ampilogova – MD, Clinical Resident, Chair of Obstetrics and Gynecology, Sklifosovsky Institute of Clinical Medicine

8/2 Trubetskaya Str., Moscow 119991



S. M. Khlopkova
Vorokhobov City Clinical Hospital No. 67
Russian Federation

Svetlana V. Khlopkova – MD, Obstetrician-Gynecologist of the Highest Qualification Category, Head of Department of Gynecology

2/44 Salyam Adil Str., Moscow 123423



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Review

For citations:


Blinov D.V., Solopova A.G., Sandzhieva L.N., Achkasov E.E., Korabelnikov D.I., Ampilogova D.M., Khlopkova S.M. Strengthening medical rehabilitation services in health system: a situation analysis. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2022;15(2):237-249. (In Russ.) https://doi.org/10.17749/2070-4909/farmakoekonomika.2022.140

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ISSN 2070-4909 (Print)
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