Abstract
The purpose of the study: the study of expert opinions of specialists from different regions of the Russian Federation on the organization of rehabilitation of children with diseases of the central and/or peripheral nervous system, including pediatric patients after the neuroinfections. Materials and methods: The scientific method of expert evaluation of the state and prospects of the development of children’s rehabilitation in the regions of the Russian Federation: the North-Western, Southern and Central Federal Districts was used. Results: physicians in different regions of the Russian Federation as a whole have professional work experience related to issues of providing rehabilitation assistance to children. However, only a little more than a third of medical workers working in the field of rehabilitation care for children received special training in the medical rehabilitation of children with diseases of the central and peripheral nervous system. Existing system of organizing children’s rehabilitation in the North-West Federal District turned out to be more effective. Nevertheless, the problem of high technology development and the difficult situation with trained medical personnel in the rehabilitation system turned out to be relevant for the latter region. Among the proposals to improve the effectiveness of rehabilitation of children with diseases of the central and / or peripheral nervous system, specialists noted the need to introduce new (for certain institution) types and methods of rehabilitation, increase funding and logistics for medical organizations, resolve the issue with the training of rehabilitation specialists for work with this contingent of sick children, expand the network of medical rehabilitation centers and improve the accessibility of sanatoriums and resorts where treatment is performed on a budgetary basis. Conclusion : the study revealed the presence of organizational problems in providing rehabilitation care for children with diseases of the central and / or peripheral nervous system in different regions of Russia.
Highlights
The purpose of the study: the study of expert opinions of specialists from different regions of the Russian Federation on the organization of rehabilitation of children with diseases of the central and/or peripheral nervous system, including pediatric patients after the neuroinfections
physicians in different regions of the Russian Federation as a whole have professional work experience related to issues of providing rehabilitation assistance
more than a third of medical workers working in the field of rehabilitation care
Summary
Резюме Цель: изучить мнение врачей об организации медицинской реабилитации детей с заболеваниями центральной и/или периферической нервной системы, в том числе инфекционного генеза, в регионах Российской Федерации. Материалы и методы: использован научный метод экспертной оценки системы организации оказания реабилитационной помощи детям в регионах Российской Федерации (Северо-Западном, Южном и Центральном федеральных округах). Однако специальную профессиональную подготовку по вопросам медицинской реабилитации детей с заболеваниями нервной системы проходили менее половины специалистов, работающих в этой области. Респондентами предложены мероприятия по повышению эффективности реабилитации детей с заболеваниями нервной системы: внедрение новых (для данного учреждения) видов и методов реабилитации, увеличение финансирования и материально-технического обеспечения медицинских организаций, подготовка врачей по вопросам медицинской реабилитации детей, расширение сети медицинских реабилитационных центров и улучшение доступности санаторно-курортного лечения на бюджетной основе. Заключение: исследование выявило наличие проблем организационного характера при оказании реабилитационной помощи детям с заболеваниями нервной системы, в том числе инфекционными, в регионах России. Ключевые слова: детские инфекционные заболевания, реабилитация детей, заболевания нервной системы, доступность
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