Analysis of the dynamics of indicators provision with upper limb prostheses in Russia for the period 2017-2022 (before and during epidemic restrictions)

Authors:

Golovin Mikhail Andreevich — Head of the Department of Innovative Technologies of the Institute of Prosthetics and Orthotics, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: golovin@center-albreht.ru; https://orcid.org/0000-0002-7063-1284.

Shcherbina Konstantin Konstantinovich — Grand PhD in Medical sciences (Dr. Med. Sci), Deputy Director General — Director of the Institute of Prosthetics and Orthotics, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street 50, 195067 St. Petersburg, Russian Federation; е-mail: reabin@center-albreht.ru; https://orcid.org/0000-0001-7579-0113.

Klimenko Fedor Nikolaevich — junior researcher of the Department of innovative technologies for technical means of rehabilitation of the Institute of Prosthetics and Orthotics of the Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street 50, 195067 St. Petersburg, Russian Federation; e-mail: reabin@center-albreht.ru; https://orcid.org/0000-0002-5076-6931.

Annotation:

Introduction. The study presents the results of the analysis of statistical information on the provision of disabled people with upper limb prostheses in the territory of the Russian Federation.

Aim. To analyze the provision of disabled people with upper limb prostheses and, based on statistical data, to identify trends in the dynamics of provision in Russia for the period 2017-2022.

Materials and methods. The paper provides an analysis of statistical data on the provision of disabled people with upper limb prostheses. The materials of the Ministry of Labor and Social Protection of the Russian Federation, the Federal State Statistics Service (Rosstat) are considered. The study was carried out based on the analysis of statistical data of the Social Insurance Fund of Russia and the regions of the Russian Federation, which independently provided disabled people with technical means of rehabilitation, for the period from 2017 to 2022.

Object of study: information about the supply of patients with upper limb prostheses.

Subject of research: volumes and structure of provision of disabled people with upper limb prostheses.

Results. Obtained objective quantitative indicators.

Discussion. From 2017 to 2022 the average cost of upper limb prostheses increased by 53 % per year, and for some categories of prostheses during the period under review, it increased by 5 times or more. It was found that an increase in the number of issued prostheses with an external energy source by 1 % led to an increase in the share of the cost of prostheses of this type by 7.5 % in the total funding for the provision of upper limb prostheses. Increase in the total number of issued prostheses with an external energy source by 100 pcs. corresponded to an increase in expenditures for this category by about 315 % compared to 2017. Epidemiological restrictions 2020-2022 did not affect the dynamics of provision with upper limb prostheses. There was an increase in both the number of products issued and the amount of funding for providing this type of technical means of rehabilitation.

Conclusion. The data obtained are published for the first time. Their use will allow for a more thorough organization of the market for rehabilitation devices, which will have a positive impact on the availability of products and rehabilitation prosthetic services for people with disabilities.

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