Organisational and economic activities for provision of medical rehabilitation services on an outpatient basis to patients that have suffered an acute cerebrovascular accident

Abstract

The aim of this study was to develop legal, organizational and economic activities for providing medical rehabilitation on an outpatient basis to patients that have suffered an acute cerebrovascular accident (CVA). The study included patients who had suffered a CVA and were undergoing medical rehabilitation on an outpatient basis (400 individuals participated in a retrospective study and 400 individuals took part in a sociological survey) and medical rehabilitation specialists providing care on an outpatient basis to patients who had suffered a CVA (n = 50). All included patients received medical rehabilitation in accordance with the Guidelines of the Ministry of Health of the Russian Federation (No: 70). It should be noted that patients who suffered a CVA occupy a central place in the system of medical rehabilitation performed on an outpatient basis. Medical rehabilitation is important for their medical and social characteristics, motivation, environment, adherence to treatment and a healthy lifestyle. In accordance with the above mentioned, the following activities should be planned and implemented: a) work with doctors, b) work with patients; c) work with patients’ relatives; d) organizational aspects, and e) economic aspects. When organizing medical rehabilitation on an outpatient basis, it should be considered as a system of interaction between all participants in the rehabilitation process, in the center of which the patient is located. The main organizational activity for conducting medical rehabilitation in an outpatient setting is the implementation of a comprehensive interaction of all participants in the rehabilitation process.