Issues of inpatient rehabilitation of disabled people in the activities of social protection institutions
In recent years, significant efforts have been made to provide material, technical and methodological support for rehabilitation assistance to the population. However, in general in the Russian Federation the problem of accessibility of medical rehabilitation services for the disabled remains relevant. The reason for the development of medical rehabilitation in the system of social protection organizations is the need to meet the request for rehabilitation of persons with disabilities. Study design. Inpatient rehabilitation in the State budgetary institution of the city Moscow “Scientific and practical rehabilitation center” (SBU “SPRC”) is carried out in the department of rehabilitation of the head institution for 30 beds since 2015 and two branches in the Moscow region with a total capacity of 152 beds since 2013. The Study was open, observational, one-center, prospective, continuous. The design included a clinical examination and statistical analysis of the disabled who received inpatient rehabilitation in SBU “SPRC”. Conditions of the competition. Recruitment of patients was carried out on the basis of the direction of the district social service centers of Moscow. Conditions of inclusion: the presence of indications for inpatient rehabilitation. Conditions of exclusion: the presence of contraindications for inpatient rehabilitation. The unit of account is the completed case of inpatient rehabilitation. The rehabilitation period was 21 days. Duration of the study. Analysis of the number of disabled persons receiving inpatient rehabilitation was made during the period from 2013 to 2018. The results. It was provided the medical rehabilitation of 10,7 thousand persons with disabilities. 77.1% from them were women. The persons over 60 years of age were dominated in the age structure. Among those who received rehabilitation, more than 67% people had severe disability. Patients with diseases of the circulatory system and with diseases of the musculoskeletal system prevailed. Conclusion. The need of the population, including persons with disabilities, for rehabilitation services is not completely met. Shortterm inpatient rehabilitation is one of the most effective methods of rehabilitation. Social protection institutions make a significant contribution to the rehabilitation needs of persons with disabilities. The organization of rehabilitation assistance needs further improvement.