Issue 2-20, 2020

https://doi.org/10.38025/2078-1962-2020-96-2-13-17

Awareness of health care managers about organization of the medical rehabilitation

View article (Download PDF file)



Download XML file

1 Chernyakhovskij O.B., 2 Kochoubey V.V., 1 Salamadina G.E., 3 Kalinina O.A.

1 National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation
2 Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
3 Federal Scientifi c and Clinical Center for Specialized Medical Assistance and Medical Technologies, Moscow, Russian Federation


ABSTRACT

Objective: determine the level of knowledge about the organization of medical rehabilitation among the heads of medical institutions.Materials and methods: A survey of 216 people studying in continuing education courses in the specialty «Organization of Health Care and Public Health» was conducted. The questionnaire included group characteristics data (work experience as the head of the institution, place of work, the presence of a specialized department) and test questions. A frequencyanalysis, calculation of the average score, a comparative analysis of percentages and means in the selected groups, a correlation analysis of the experience and awareness of the respondents were performed. Results: the average score in the general group is 2.4 ± 0.18, in the group of outpatient institutions managers 2.3 ± 0.29,hospital managers 2.6 ± 0.21. There is no significant difference between the average scores of the two groups (t= -0.78, p=0.44); 4 (1.9%) of the respondents answered correctly for all of the test questions; 52 (24.1%) of the respondent gaveno correct answer. A significant relationship between the health management experience and the average rating was not found in the general group (p = 0.44), in the group of outpatient institutions managers (p=0.13), hospital managers(p=0.56). We found a correlation between the average score and the presence of a rehabilitation department: in the general group (t = -13.6, p <0.05) and in individual groups: t = -16.3, p <0.05, t = -9, 1, p <0.05. Conclusion: low awareness of health care managers about the organization of medical rehabilitation was found.


KEYWORDS: medical rehabilitation, knowledge of healthcare management specialists, heads of medical institutions

FOR CITATION: Chernyakhovskij O.B., Kochoubey V.V., Salamadina G.E., Kalinina O.A Awareness of health care managers about organization of the medical rehabilitation. Bulletin of rehabilitation medicine. 2020; 96 (2): 13-17. https://doi.org/10.38025/2078-1962-2020-96-2-13-17


References:

  1. Donabedian А. Models for organizing the delivery of personal health services and criteria for evaluating them. Milbank Mem Fund Quarterly. 1972: 60: 103 - 153.
  2. Ivanova G.E., Melnikova E.V., Belkin A.A., Belyaev A.F., Bodrova R.A., Bujlova T.V., Malceva M.N., Mishina I.E., Prokopenko S.V., Sarana A.M., Stahovskaya L.V., Hasanova D.R., Cykunov M.B., Shamalov N.A., Suvorov A.Y., Shmonin A.A. Kak organizovat' medicinskuyu reabilitaciyu? [How to organize medical rehabilitation?]. Vestnik vosstanovitelnoj mediciny, 2018: 2(84): 2 - 12. (In Russ.).
  3. Kochoubey A.V. Kachestvo medicinskoj pomoshchi: teoriya [Quality of care: theory]. Moskovskij hirurgicheskij zhurnal. 2017: 1(53): 46 - 47. (In Russ.).
  4. Ivanova G.E., Trukhanov A.I. Global'nye perspektivy razvitiya medicinskoj reabilitacii [Global prospects for the development of medical rehabilitation]. Vestnik vosstanovitelnoj mediciny. 2017: 6(82): 2 - 6. (In Russ.).
  5. Order of the Ministry of Health of the Russian Federation of December 29, 2012 N 1705n On the Procedure for the Organization of Medical Rehabilitation. Available: http://base.garant.ru/70330294/#ixzz6FSi6cdjJ (In Russ.).
  6. Ivanova G.E., Melnikova E.V., Shmonin A.A. Pilotnyj Proekt Razvitie sistemy medicinskoj reabilitacii v Rossijskoj Federacii. Protokol vtoroj fazy [Pilot Project Development of a medical rehabilitation system in the Russian Federation. Protocol of the second phase]. Uchenye zapiski SPbGMU im. Acad. I.P. Pavlova. 2016: 2 (23): 27 - 34. (In Russ.)
  7. Yunusov F.A., Kochoubey A.V. Integraciya instrumentov Mezhdunarodnoj klassifikacii funkcionirovaniya, ogranicheniya zhiznedeyatel'nosti i zdorov'ya i sovremennoj modeli reabilitacionnogo processa [Integration of instruments of the International Classification of Functioning, Disability and Health and a modern model of the rehabilitation process]. Nevrologicheskij vestnik. Zhurnal im. V.M. Bekhtereva. 2009: 4(41): 22 - 26. (In Russ.).
  8. Tsykunov M.B. Shkaly ocenki narushenij pri patologii oporno-dvigatel'noj sistemy s ispol'zovaniem kategorij mezhdunarodnoj klassifikacii funkcionirovaniya (diskussiya) [Scales for assessing disorders in the pathology of the musculoskeletal system using the categories of the international classification of functioning (discussion)]. Vestnik vosstanovitelnoj mediciny. 2019: 2: 2 - 12. (In Russ.).
  9. Fedonnikov A.S., Andriyanova E.A., Erugina M.V., Norkin I.A. Reabilitaciya pacientov posle endoprotezirovaniya tazobedrennogo i kolennogo sustavov: otdel'nye rezul'taty mediko-sociologicheskogo monitoringa [Rehabilitation of patients after endoprosthetics of the hip and knee joints: selected results of medical and sociological monitoring]. Saratovskij nauchno-medicinskij zhurnal. 2017: 13(4): 796 - 799 (In Russ.).
  10. Belkin A.A., Ivanova G.E., Alasheev A.M., Pinchuk E.A., Shelyakin V.A. Pervyj opyt mul'tidisciplinarnoj ekspertizy kachestva medicinskoj pomoshchi pacientam s ostrym narusheniem mozgovogo krovoobrashcheniya na etapah intensivnoj terapii i reabilitacii. [The first experience of a multidisciplinary examination of the quality of medical care for patients with acute cerebrovascular accident at the stages of intensive care and rehabilitation]. Vestnik vosstanovitelnoj mediciny. 2018: 2(84): 13 - 20 (In Russ.).
  11. Sandakov Ya.P., Kochubey A.V., Chernyakhovsky O.B. Ocenka poliklinicheskoj reabilitacii posle endoprotezirovaniya sustavov po dannym medicinskoj dokumentacii. [Assessment of outpatient rehabilitation after joint replacement according to medical documentation]. Problemy social'noj gigieny, zdravoohranenija i istorii mediciny. 2020: 1: 101 - 105. (In Russ.).
  12. Knyazeva T.A., Nikiforova T.I. Kompleksnye tekhnologii reabilitacii pacientov arterial'noj gipertenziej s soputstvuyushchej ishemicheskoj bolezn'yu serdca. [Complex technologies for the rehabilitation of patients with arterial hypertension with concomitant coronary heart disease]. Vestnik vosstanovitelnoj mediciny. 2019: 5(93): 25 - 29. (In Russ.).
  13. Chistyakova Yu.V., Mishina I.E., Arkhipova S.L., Dovgalyuk Yu.V. Dinamika pokazatelej variabel'nosti ritma serdca v processe medicinskoj reabilitacii bol'nyh, perenesshih ostryj koronarnyj sindrom [Dynamics of heart rate variability in the process of medical rehabilitation of patients after acute coronary syndrome]. Vestnik vosstanovitelnoj mediciny. 2017: 5(81): 61 - 65. (In Russ.).
  14. Makhinova M.M. Effektivnost' fizicheskoj reabilitacii u pacienta s paroksizmal'noj formoj fibrillyacii predserdij posle radiochastotnoj kateternoj ablacii lyogochnyh ven (klinicheskij sluchaj). [The effectiveness of physical rehabilitation in a patient with a paroxysmal form of atrial fibrillation after radiofrequency catheter ablation of the pulmonary veins (clinical case)]. Vestnik vosstanovitelnoj mediciny. 2016: 4(74): 20 - 24. (In Russ.).



Creative Commons License
The content is available under the Creative Commons Attribution 4.0 License.

©


This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.