Conceptual substantiation of the place and the role of a new research and practical area of rehabilitative medicine in the systemic organizational structure of the health care service in the Russian Federation

Abstract

One of todays' priority mainstreams in state politics and public activities is the protection of life and health of the people and the increase of life expectancy based on the system ensuring the availability of relevant health improving and social measures. Health should be considered as a measure of somatic, mental, physical, and social well-being, as an indicator of the quality of life, and first and foremost as a result of robust social policy of the state, regulatory and legal support of the population and its right to the decent life. This line of reasoning suggests the importance of the development of a new human health paradigm. These considerations provide a basis for the elaboration of the concept of rehabilitative medicine with the healthy rather than sick man as its subject. It means that the former activities of prophylactic facilities oriented towards diagnostics of transition from health to pathology must be modified to have the control over psychophysiological reserves, occupational safety and health as the primary goal. The formula of discipline of "rehabilitative medicine, sports medicine, therapeutic physical training, balneotherapeutics, and physiotherapy" is based on this concept. In order to achieve said goal, the monopoly privilege of the Ministry of Health in the field of health preservation must be substituted by the integrated activities of all state power organs, educational institutions, parliamentary health committees, governmental financial and economic departments, all propaganda assets and information media in the field of public health care. Such an approach would allow to consolidate measures for the protection of the nation's health as the most important goal currently facing the state and society.