Abstract

Medical and sociological study used sampling of 381 patients involved in hip-and-knee joint replacement program before the surgery and in rehabilitation period with the use of specially designed and implemented at the base of the V. I. Razumovsky Research Institute of Traumatology, Orthopedics and Neurosurgery of Saratov State Medical University interactive system of monitoring and feedback (SMF). The implementation of developed criteria of SMF performance confirmed its demand among the patients. It was revealed that more than 91% of them are ready for active rehabilitation after surgery and all the participants of the study consider as acceptable the distant communication with medical specialists. The performed trial test established that for the period of interaction with SMF patients have changed their attitude to the ways of communication preferring those which suppose on line communication. The developed organizational technology being patient-focused provided acceptable quality of informational interaction for health services access at the base of active feedback, interactivity and customization. It is shown that aged but able-bodied patients are impressionable for such practice, so using of on line communication influencing labor and social activity prolongation being both factor and instrument of health services accessibility.

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