Rehabilitation Care: Opportunities for Integration Into Clinical Practice

Abstract

Aim: To investigate how legislative changes to rehabilitation implemented in secondary health care facilities. The subject of the study: the nosological structure of hospitalized morbidity; the state of organization, technologies and resources of rehabilitation in secondary health care facilities. Materials and Methods: The materials of the study were administrative data, local regulations and protocol records for the rehabilitation of secondary health care facilities in Kyiv in 2021. The calculation of relative values of quantitative data in percent is carried out. Content analysis, graphic and modeling methods were used. Results: The nosological structure of hospitalized morbidity was formed, in particular, diseases of the circulatory system – 18.2%, neoplasms – 13.7%, diseases of the digestive system – 9.7%, injuries, poisoning – 6.7%. The needs are likely to increase as a result of military events in Ukraine. A shortage of human resources, multidisciplinary rehabilitation teams, personalized rehabilitation technologies based on evidence-based medicine, digital communication technologies, infrastructure and financial support for rehabilitation has been identified. The introduction of a rehabilitation center into the structure of the secondary medical care institution, the involvement of extrabudgetary funding and the training of rehabilitation personnel can significantly improve the performance of rehabilitation tasks. Conclusions: The high need of patients for rehabilitation and the variety of rehabilitation tasks require the concentration of several elements in one rehabilitation center. The main functional unit of the center should be multidisciplinary rehabilitation teams using individual rehabilitation programs and evidence-based technologies.