Structural and organizational analysis of the Russian railways medical rehabilitation system at the regional level: a retrospective study

Authors:

Makarov Vladimir Yurievich — PhD in Medical Sciences (Cand. Med. Sci.), Director of a Private healthcare institution “Clinical Hospital “RZD-Medicine” Chita”, 4 Lenin Street, 672010 Chita, Russian Federation; e-mail: makarov7878@gmail.com; https://orcid.org/0009-0008-8035-2212.

Lokotko Sofya Valeryevna — Deputy Chief Physician for organizational and methodological work of the Private healthcare Institution “Clinical Hospital “RZD-Medicine” Chita”, 4 Lenin Street, 672010 Chita, Russian Federation; e-mail: sofya.lokotko@mail.ru; https://orcid.org/0009-0009-6020-624x.

Evstafieva Julia Valeryevna — PhD in Medical Sciences (Cand. Med. Sci.), Head of the Department of Public Health and Healthcare and Health Economics, Chita State Medical Academy, 39A Gorky Street, 672000 Chita, Russian Federation; e-mail: yuliya_evstafeva@bk.ru; http://orcid.org/0000-0001-9003-6207.

Dudareva Victoria Andreevna — PhD in Medical Sciences (Cand. Med. Sci.), methodologist of a private healthcare institution “Clinical Hospital “RZD-Medicine” Chita”, 4 Lenin Street, 672010 Chita, Russian Federation; e-mail: dudareva_viktoriya@inbox.ru; https://orcid.org/0000-0002-1891-0606.

In the heading: Original researches

Year: 2024 Volume: 6 Journal number: 3 

Pages: 75-84

Article type: scientific and practical

UDC: 614.2

DOI: 10.26211/2658-4522-2024-6-3-75-84

Annotation:

Introduction. The development of medical rehabilitation is one of the priorities of state policy in Russia in the field of healthcare. Negative trends in the health indicators of Russian Railways employees due to damage to the musculoskeletal system necessitate the provision of timely rehabilitation assistance, which will restore impaired body functions, maintain working capacity, improve the quality of life and ensure their optimal social integration.

Aim. Structural and organizational analysis of medical organizations of the medical rehabilitation system for employees of JSC “Russian Railways” with diseases of the musculoskeletal system on the Trans-Baikal Railway for the period from 2017 to 2021.

Materials and methods. The structural and organizational analysis of the I and II stages of medical rehabilitation was carried out retrospectively based on the analysis of the indicators of the bed stock in the profile “traumatology and orthopedics”, to characterize the III stage of medical rehabilitation, the indicators of the outpatient service were evaluated. The main indicators characterizing the state of the human resources of the medical rehabilitation system of Russian Railways employees with diseases of the musculoskeletal system on the Trans-Baikal Railway are analyzed. To process the results of the study, the IBM SPSS Statistics 22 software package was used, in the format of which nonparametric analysis methods were used – determination of correlation dependence (calculation of the Pearson correlation coefficient).

Results. On the territory of the Trans-Baikal Territory, there are no federal institutions in the structure of Russian Railways-Medicine medical organizations engaged in medical rehabilitation. The Russian Railways Clinical HospitalMedicine of the city of Chita, which implements the I and II stages of medical rehabilitation of Russian Railways employees in inpatient conditions, does not have specialized rehabilitation beds for patients with diseases of the musculoskeletal system in the structure of the bed fund. Nodal polyclinics that provide medical care to railway workers on an outpatient basis also do not have specialized medical rehabilitation departments. A decrease in the indicators of provision and staffing of medical personnel in the specialty “Traumatology and orthopedics” has been established. An analysis of the activities of the traumatology department providing the second stage of medical rehabilitation allowed us to establish a decrease in both the performance of the round-the-clock bed and the day hospital bed.

Discussion. The structural and organizational analysis of the activities of Russian Railways-Medicine medical organizations providing medical rehabilitation for employees of Russian Railways on the Trans-Baikal Railway with diseases of the musculoskeletal system indicates problems in the medical rehabilitation system.

Conclusion. The identified organizational problems in the system of medical rehabilitation for railway transport workers with diseases of the musculoskeletal system require the development of new organizational, methodological, regulatory approaches to its provision at the level of the subject of the Russian Federation.

Keywords: , , ,

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