Health Resort Medicine Development in Perm Krai before and after COVID-19 Pandemic: a Retrospective Study

M. Oborin, Eugeniy V. Vladimirsky
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Abstract

AIM. To substantiate the prospects for health resort complex development in Perm Krai in terms of adaptation to the effects of the COVID-19 pandemic and the use of therapeutic base of resorts in the region in the recovery and rehabilitation process. MATERIALS AND METHODS. Statistical data on the health resort complex state of the region, as well as the dynamics of individual groups of diseases for 2017–2021 were used. The research was conducted on the basis of philosophical methods, comparison, grouping, description, modeling. RESULTS AND DISCUSSION. The health complex of Perm Krai is traditionally well-developed, it operates on a rich hydro-mineral resource base, which allows to diversify the therapeutic profile and implement programs for the recovery, treatment and rehabilitation of the population after COVID-19 with long-term negative consequences and exacerbation of chronic and concomitant diseases. Regional health resorts indexes as a whole correspond to the negative trend of quantitative decline, which became especially noticeable in 2020 with subsequent gradual recovery. The profitability of the resorts of Perm Krai remains high, which suggests positive prospects for maintaining the sufficient supply and its focus not only on the residents of the region. The practice of state management of resort medicine shows that its systematic economic and fiscal support is needed, only in this case it will be possible to achieve significant coverage of the population with rehabilitation programs. First of all, there is a need for a regional strategy of the health resort complex development with clearly defined program measures. This should be done taking into account the experience of past planning with an analysis of the reasons why many indicators were not achieved. CONCLUSION. Health resort complex of the region has a developed resource and infrastructure potential, experience, traditions that allow to implement programs for prevention and recovery of various categories of population after suffering from the disease caused by COVID-19. Diversified therapeutic profiles of resorts can become the basis for the formation of an advanced base of resort medicine in the region and the Volga Federal District.
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2019冠状病毒病大流行前后彼尔姆边疆区疗养医学发展的回顾性研究
的目标。从适应COVID-19大流行的影响以及在恢复和康复过程中使用该地区度假胜地的治疗基地方面,证实了彼尔姆边疆区疗养胜地综合发展的前景。材料和方法。使用了该地区疗养胜地综合状况的统计数据,以及2017-2021年各个疾病群体的动态。本研究采用哲学方法、比较法、分组法、描述法、建模法进行。结果和讨论。彼尔姆边疆区的卫生综合设施传统上发展良好,它依托丰富的水力矿产资源基础运作,这使得治疗方案多样化,并实施了2019冠状病毒病(COVID-19)后人口的恢复、治疗和康复方案,造成了长期的负面影响,并加剧了慢性和伴随疾病。区域疗养地指数总体上呈数量下降的负向趋势,到2020年这一趋势尤为明显,随后逐渐恢复。彼姆边疆区度假胜地的盈利能力仍然很高,这表明保持充足供应的前景良好,而且它的重点不仅仅是该地区的居民。国家管理度假医疗的实践表明,它需要系统的经济和财政支持,只有在这种情况下,才有可能实现康复计划对人口的大规模覆盖。首先,有必要制定一个具有明确规划措施的区域疗养综合体发展战略。这应考虑到以往的规划经验,并分析许多指标未能实现的原因。该地区的疗养中心拥有发达的资源和基础设施潜力、经验和传统,可以实施预防和恢复各类人群的方案,使他们在遭受COVID-19引起的疾病后恢复健康。度假村的多样化治疗概况可以成为形成该地区和伏尔加河联邦区度假医学先进基地的基础。
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