ОЦЕНКА ДОСТУПНОСТИ И КАЧЕСТВА МЕДИЦИНСКОЙ РЕАБИЛИТАЦИИ В КЕМЕРОВСКОЙ ОБЛАСТИ

The health of the citizens requires continuous development of medicine. The development of modern technologies of prevention, diagnosis and treatment entail the need for the development of medical rehabilitation; the need for it is high enough. The development of medical rehabilitation is realized for improving the quality and availability of medical care. The present study was conducted to assess the availability and quality of services in medical rehabilitation. Objective – to assess the quality and availability of medical rehabilitation in Kemerovo region. Materials and methods. For achieving the objective, the conducted socio-hygienic study was conducted with the use of the methods: historical, sanitary-statistical, monographic, economic-mathematical, systematic approach and analysis, direct observation, modeling, expert estimates, graphics, questionnaires. The study included the Kemerovo region residents with diseases of the cardiovascular and neurological systems, as well as the trauma patients. The statistical processing was carried out with Microsoft Office 2013 Pro Ru for spreadsheets (the academic license Open License 62007606); IBM SPSS Statistics  Base IBM SPSS Campus Edition Campus Value Unit License v. 24 (license agreement No. 20160805-1 from 30.08.2016 with JSC "Predictive Solutions"). Results. The organizational technologies of medical rehabilitation contributed to planning for the future development of the network of medical organizations, rational use of hospital beds, increasing the structural effectiveness of the system of rendering medical aid, improvement of financing mechanism of health. An important place is given to the implementation of measures to improve the quality of life and health of the population. The review included the medical records of the patients of the medical organizations in the Kemerovo region in various stages of medical rehabilitation (82 medical records of the patients receiving care in the outpatient setting (28.3 %), 193 medical records of the inpatients (66.5 %), 15 (5.2 %) medical records of the patients in the day hospital clinics). All patients completed the appropriate stages of medical rehabilitation and demonstrated the rehabilitation potential. When providing services for medical rehabilitation in inpatient and outpatient settings, the primary and repeated examinations of patients are conducted by a multidisciplinary team, with the mandatory inclusion of psychologist. In the medical institutions the Rankin scale is used for selection of patients for treatment and subsequent evaluation of the results of medical rehabilitation. The consultations from therapeutic exercise specialists and physiotherapists are within the sufficient volume that promotes the use of physical methods of medical rehabilitation and early recovery of working capacity. The results of the survey of the population of the Kemerovo region at the stage of medical rehabilitation in outpatient and inpatient settings revealed the quite high level of satisfaction with the services provided. Satisfaction of the population is higher at the stage of specialized medical rehabilitation and is almost 100 % in the conditions of sanatorium-resort organizations. Conclusion. The introduction of innovative systems of organizational technologies of medical rehabilitation resulted in restructuring of the bed fund of the medical organizations by means of increasing the amount of beds for rehabilitation treatment that contributed to the increase of efficiency of treatment of the patients and the use of resources of the regional health services. The examination of 290 units of medical documentation of the patients of the medical facilities in the Kemerovo region revealed the substantiation of stay at the stages of medical rehabilitation. 100 % of the persons had the rehabilitative potential. The population satisfaction with quality of services for medical rehabilitation in outpatient conditions is up to 82.2 %, in hospital conditions – 85.8 %, in conditions of the resorts – about 100 %, or 98.8 % precisely. The introduction of the organizational technologies of medical rehabilitation contributed to the achievement of medical and social efficiency.