Personalized approach to the organization of medical rehabilitation of military personnel in medical resort organizations of the Ministry of defense of the Russian Federation

Abstract

The expediency of introducing of personalized approach to the organization of medical rehabilitation for military personnel of the Armed Forces of the Russian Federation in medical resort organizations of the Ministry of Defense of the Russian Federation was scientifically justified. It has been established that among all security agencies the Ministry of Defense of the Russian Federation has the most developed network of sanatorium-resort organizations. The latter includes 40 sanatoriums, 11 houses and recreation centers, sanatorium-resort treatment in which annually passes over 200 thousand military personnel, pensioners of the Ministry of Defense of the Russian Federation and members of their families, as well as persons of civilian personnel of the Ministry of Defense of the Russian Federation. It was established that in the structure of patients who underwent medical rehabilitation in military sanatoriums in 2018, contract servicemen and members of their families accounted for 51%, conscription soldiers – 34%, pensioners and members of their families – 15%. In the group of patients whose organization and conduct of medical rehabilitation was carried out using personalized approaches, medical rehabilitation was highly effective in 46,2%, moderately effective in 50,9% and low effective in 2,9% of cases. The indicated distribution was significantly (p<0,05) different from the comparison group (37,5; 57,3 and 5,2%, respectively). In general, it is necessary to further improve organizational approaches to the medical rehabilitation of servicemen, pensioners of the Ministry of Defense of the Russian Federation and their family members after inpatient treatment. The introduction of common methodological approaches with the use of personalized technologies for organizing and implementation of medical rehabilitation will significantly improve the efficiency and quality of rehabilitation measures, make rational use of hardware and personnel of military medical resort organizations in accordance with the patient’s disease profile, and the availability of this type of medical care for all categories patients.

Keywords

organization of medical rehabilitation / personalized medicine / assessment of the effectiveness of rehabilitation / military personnel of the Armed Forces of the Russian Federation / balneology / sanatorium-resort treatment / military medical resort organizations / physical and rehabilitation medicine

References

[1] Иванова, Г.Е. Медицинская реабилитация в России. Перспективы развития / Г.Е. Иванова // Consilium Medicum. – 2016. – № 13. – С. 9–13.

[2] Пономаренко, Г.Н. Физическая и реабилитационная медицина: клинические рекомендации, основанные на доказательствах / Г.Н. Пономаренко, Д.В. Ковлен. – СПб., 2018. – 48 с.

[3] Приказ Минздрава России от 29 декабря 2012 г. № 1705н «О Порядке организации медицинской реабилитации» // Росс. газета. Спецвыпуск № 6066 (0). – 2013. – 25 апр.

[4] Приказ министра обороны Российской Федерации от 15 марта 2011 г. № 333 «О порядке санаторно-курортного обеспечения в Вооруженных Силах Российской Федерации» // Росс. газета. Федеральный выпуск № 5511 (135). – 2011. – 24 июн.

[5] Указания начальника Главного военно-медицинского управления Министерства обороны Российской Федерации от 17 ноября 2017 г. № 161/1/3/11676нс «О совершенствовании организации медицинской реабилитации». – М.: ГВМУ, 2017. – 38 с.

[6] Федеральный закон от 21 ноября 2011 г. № 323-ФЗ «Об основах охраны здоровья граждан в Российской Федерации» // Росс. газета. Федеральный выпуск № 5639 (263). – 2011. – 23 нояб.

[7] Федеральный закон от 27 мая 1998 г. № 76-ФЗ «О статусе военнослужащих» // Росс. газета. – 1998. – 2 июн.

RIGHTS & PERMISSIONS

Eco-Vector