Age-specific rates of population requirements in outpatient medical rehabilitation

Abstract

Improving organizational approaches of medical rehabilitation is one of the important directions in Russian healthcare system.Aim. To determine the age-specific rates of adult population requirements in outpatient medical rehabilitation in Russia.Material and methods. The article provides data on the estimated age-specific rates of population requirements in outpatient medical rehabilitation, determined by expected attendance of a rehabilitation physician by classes of diseases and individual diseases according to the ICD-10 codes. For the study, the adult population was divided into 6 age groups (18-29, 30-39, 40-49, 50-59, 60-69 and 70 and older). Medical experts, taking into account the stage of the disease and the severity of the patient’s condition, have developed indications for outpatient medical rehabilitation immediately after the treatment of acute conditions, exacerbation of chronic diseases, the consequences of injuries and operations. And also the type of rehabilitation (inpatient or outpatient) was determined. Taking into account these indications, competent experts decided on the need and duration of further medical rehabilitation of patients after hospitalization.Results. The age-specific rates of population requirements in outpatient medical rehabilitation were determined and analyzed. The number of visits to a rehabilitation physician was calculated according to the main classes and some individual diseases. The largest number of persons in need of outpatient medical rehabilitation naturally falls on the older age groups 60-69 years (3917,5 visits per 1000 population) and 70 years and older (4716,9 visits per 1000 population), while the smallest — the patients 18-29 years old (832,2 visits per 1000 population). This is due to the fact that in older age groups the number of diseases requiring outpatient medical rehabilitation both in inpatient and outpatient settings is increasing. In other age groups, the need for medical rehabilitation per 1000 population was as follows: 985,6 visits per year in the 30-39 age group; 1672,0 — in the 40-49 age group; 2713,1 — in the 50-59 age group.Conclusion. Based on the data obtained, the healthcare executive authorities in the subjects of the Russian Federation can calculate the population requirements in outpatient medical rehabilitation in region, taking into account age composition and the estimated number of visits to a rehabilitation physician by the adult population.