Organizational aspects of the sanatorium-resort treatment of victims at work: Using the example of Kuzbass

Abstract

BACKGROUND: The problem of studying the organizational aspects in the medical and social rehabilitation of people of working age who suffer from industrial injuries and occupational diseases requires special consideration, since in modern conditions, the sociopolitical and socioeconomic cost of restoring labor losses is associated with the persistent loss of ability to work among qualified workers. One of the priority areas in the medical and social rehabilitation of victims is sanatorium-resort treatment.
 AIMS: To evaluate the organization of providing sanatorium-resort treatment to victims at work.
 MATERIALS AND METHODS: Data were obtained from the official form of statistical observation of the activity of federal institutions of medical and social expertise № 7-sobes for 2022 in Kuzbass. The following methods were used: statistical analysis and content analysis of normative and methodological documents.
 RESULTS: According to the state form of statistical monitoring of the activities of federal institutions of medical and social examination № 7-social security for 2022 in Kuzbass, nearly all rehabilitation programs for victims contain medical rehabilitation measures — 24,452 (99.4%). Since the rehabilitation programs for victims include specific types, forms, and volumes of necessary rehabilitation measures that are optimal for the patients aimed at restoring and compensating for impaired body functions and restoring and compensating for the patient’s ability to carry out professional, household, and social activities, a typical list of services and measures of medical rehabilitation includes: medicines, 23,180 (94.3%); spa treatment, 21,127 (86.9%); and provision of medical products, 14,573 (61.8%). The most popular services for the medical rehabilitation of victims are sanatorium and resort services.
 CONCLUSIONS: The organizational algorithm for providing sanatorium-resort treatment to victims at work begins with the selection of organizations that provide sanatorium-resort treatment services. The selection is made by the regional branches of the fund on a competitive basis in accordance with the current legislation in the field of public procurement. The main organizational mechanism is implemented within the framework of interdepartmental interaction between three departments: healthcare (medical organizations), federal institutions of the medical and social expertise, and territorial departments of the Social Fund of Russia.