PROVIDING REHABILITATION ACTIVITIES TO PATIENTS WHO UNDERWENT CARDIOVASCULAR EVENTS IN THE ASTRAKHAN REGION

Ermolaev D.O., Ermolaeva Yu.N., Zolotokopova Zh.Yu.
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Abstract

The relevance of the study is explained by the need to increase attention to the situation with acute cardiovascular diseases and the creation of an accessible system of medical rehabilitation for patients with cardiovascular diseases in the region. The aim of the study is to analyze the provision of rehabilitation measures for patients who have suffered cardiovascular accidents in the Astrakhan region. Materials and methods - based on the data of the annual reporting statistical forms No. 12 "Information on the number of diseases registered in patients living in the service area of the medical institution" and No. 14 "Information on the activities of the hospital", the calculation and analysis of indicators of general and primary morbidity was carried out ( on appeal), hospitalized morbidity, hospital mortality, the need for rehabilitation measures and their provision of adult patients aged 18 years and older with diseases of the circulatory system, including cardiovascular accidents in the Astrakhan region. Results and discussion - the article shows the general situation with the incidence of diseases of the circulatory system of the adult population, including acute coronary syndrome and acute cerebrovascular accident in dynamics from 2014 to 2020, discloses the organizational and structural aspects of the existing system of organizing rehabilitation care in the region. The results of assessing the satisfaction of the needs of the adult population of the region in neuro- and cardiac rehabilitation by medical organizations licensed for medical activities with an indication of the work (services) for medical rehabilitation and participating in the federal and territorial program of state guarantees of free provision of medical care to citizens in the region are presented. It was revealed that less than half of those in need receive medical rehabilitation assistance at the expense of the mandatory medical insurance fund. Proposals have been formulated to increase the availability of rehabilitation care for patients who have undergone cardiovascular accidents. Conclusion. The obtained research data can be used for further organizational, methodological and coordination work to provide modern medical and rehabilitation care to patients with acute cardiovascular accidents at the regional level.
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为阿斯特拉罕地区发生心血管事件的患者提供康复活动
这项研究的意义在于,需要进一步关注急性心血管疾病的情况,并为该地区的心血管疾病患者建立一个可获得的医疗康复系统。本研究的目的是分析在阿斯特拉罕地区为遭受心血管事故的患者提供的康复措施。材料和方法————根据年度报告统计表第12号"关于在医疗机构服务区域居住的病人所登记的疾病数量的资料"和第14号"关于医院活动的资料"的数据,计算和分析了一般和初级发病率(经上诉)、住院发病率、住院死亡率、在阿斯特拉罕地区,需要采取康复措施,并为18岁及以上的循环系统疾病,包括心血管事故的成年患者提供康复措施。结果和讨论——文章展示了2014年至2020年成人循环系统疾病发病率的总体情况,包括急性冠状动脉综合征和急性脑血管事故的动态变化,揭示了该地区现有组织康复护理系统的组织和结构方面。介绍了在医疗活动中获得许可并注明医疗康复工作(服务)的医疗机构对该地区成年人口的神经和心脏康复需求的满足情况进行评估的结果,并介绍了参与联邦和地区国家保障向该地区公民免费提供医疗服务方案的结果。据透露,只有不到一半的有需要的人得到由强制性医疗保险基金支付的医疗康复援助。已提出建议,以增加心血管事故患者康复护理的可得性。结论。获得的研究数据可用于进一步的组织、方法和协调工作,以便在区域一级为急性心血管事故患者提供现代医疗和康复护理。
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