Issue №2-84, 2018

Results of Implementation of The Pilot Project «Development of System of Medical Rehabilitation in the Russian Federation» in the Chuvash Republic (Neurologic and Cardiological Profiles)

¹ Guryanova E.A., ² Ivanova V.V., ¹ Tikhoplav O.A.

¹ FGBOU VO "ChGU of I.N. Ulyanov", Cheboksary, Russia
² BU CR «A republican clinical hospital» of the Ministry of Health of the Chuvash Republic, Cheboksary, Russia

ABSTRACT

The article presents data on the results of the first phase of the pilot project "Development of the Medical RehabilitationSystem in the Russian Federation" held in the Chuvash Republic in 2015–2016. The article details the resource baseinvolved in the pilot project, presents the number of personnel employed in the project, describes the results of theimplementation of Phase 1 of the project in the specified timeframe. The current routing orders for 3100 patients (of them1900 people on the profile of neurology, and 1200 people on the profile of cardiology) were described at the rehabilitationstages during the implementation of the pilot project in the territory of the Chuvash Republic. The list of involved medicalorganizations, technology of medical rehabilitation is given.It was found that the functional capabilities of Renkin rehabilitators in patients with stroke increased by more than40%, in patients with myocardial infarction, the test scores of a six-minute walk increased by 9%. The duration of rehabilitationtreatment in I and II stages decreased by 20% and averaged 17.1±1.2 days, mortality rates decreased.The data presented demonstrate the high degree of effectiveness of the proposed scheme. Further development ofthe system of medical rehabilitation in the Chuvash Republic is possible with observance of clear "transparent" routing ofpatients from the moment of admission to primary vascular departments before taking on dispensary registration in theattached medical organization, maintaining uniform forms of medical documentation, observance of continuity betweenstages, further increase in the number of those who own modern methods of rehabilitation of employees, an increase inthe number of specialized structural units of medical services treatment in sanatorium-resort clinics, using mud, hydrotherapy,preformed physical factors.

KEYWORDS: pilot project, rehabilitation, stroke, myocardial infarction

References:

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Эта статья открытого доступа по лицензии CC BY 4.0. Издательство: ФГБУ «НМИЦ РК» Минздрава России.
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.