Creation of Remote Monitoring Centers for Patients with Spinal Cord Injury Based on the Principles of Value-Oriented Rehabilitation Model: Relevance and Organization Principles

Abstract

Due to the widespread introduction into the practice of Russian healthcare of the International Classification of Functioning, Disability and Health (ICF), the development of digital medicine requires the reorganization of rehabilitation care in the Russian healthcare system. Special attention is paid to the models of 5P medicine and trinitarianism. In this regard, it seems relevant to form the basic principles of building a remote monitoring center model for patients with spinal cord injury. To this end, the authors conducted a search for publications in the PubMed databases, e-Library (the rubricator of clinical recommendations and regulatory legal acts), as well as additional sources in the reference lists. As a result, 86 publications and literature sources were identified, analyzed and systematized, 25 of which are included in this review. The following research methods were used: analytical method, data copying, SWOT analysis. As a result, from the perspective of a value-oriented model of rehabilitation, 5P medicine, and trinitarianism, the need for creating regional remote monitoring centers for patients with spinal cord injury to provide them with the necessary assistance, as well as other patients traveling in wheelchairs, was justified. The principles are substantiated, as well as the possibilities and threats of the formation of regional remote monitoring centers are shown. In conclusion, it is emphasized that the creation of such centers for remote monitoring of low-mobility patients based on ICF in Russia will contribute to optimizing resources, optimal routing and accessibility of medical rehabilitation care.