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[The Opinions of Physicians Concerning Organization of Medical Rehabilitation of Children]
T F Shreider1,2, G V Fedorova3
1The State Budget Educational Institution of Higher Professional Education "The Omsk State Medical University", Omsk, 644099, Russia, tshrejder@yandex.ru.
Insights
Pediatric medical rehabilitation is crucial for preventing chronic diseases. Early and frequent rehabilitation, especially for infants, significantly improves treatment outcomes in the Omsk region.
Area of Science:
- Pediatrics
- Public Health
- Rehabilitation Medicine
Background:
- Child health is vital for a healthy society, with early childhood illnesses posing risks for chronic diseases later in life.
- Trends in newborn health in Russia show both positive and negative developments, necessitating regional analysis of health determinants.
- Studying regional health characteristics and socio-medical factors is essential for understanding newborn health status.
Purpose of the Study:
- To analyze the characteristics of pediatric medical rehabilitation in the Omsk region.
- To assess the effectiveness of early and frequent rehabilitation interventions for children, particularly infants.
- To identify challenges in accessing specialized rehabilitation services and propose solutions.
Main Methods:
- Analysis of regional rehabilitation practices for the pediatric population in the Omsk region.
- Evaluation of the frequency and timing of medical rehabilitation courses based on expert physician input.
- Assessment of service quality and accessibility in specialized centers versus other municipal institutions.
Main Results:
- Pediatric morbidity in the first year of life shows a decreasing trend overall, but specific disease classes have increased significantly.
- Medical rehabilitation services in the Omsk oblast are generally high-quality, with early intervention linked to better treatment efficiency.
- Limited accessibility to specialized rehabilitation centers for remote populations and lower service quality in non-specialized municipal institutions were identified.
Conclusions:
- Regular medical rehabilitation, at least three times annually, is recommended for pediatric patients, with critical importance for infants.
- Improving pediatric health requires addressing disparities in rehabilitation service accessibility and quality across the Omsk region.
- Expanding rehabilitation center departments in underserved areas and enhancing existing facilities are key to improving care.
Abstract:
The making of healthy society requires to attend a special medical attention to children population. The ill children of the first year of life set up a danger of development of chronic diseases in the elder age and in subsequent adult population. In Russia, during last years, both unfavorable and positive trends in newborns' health are observed. This occurrence dictates a necessity of studying regional characteristics and analyzing of medical social factors determining health stte of newborns. The total morbidity of children of the first year of life during last decade manifest a particular trend to decreasing (up to 4.84%) though in certain classes of diseases an increasing from 2% to 32% was observed. The implemented study demonstrated availability of a number of characteristics of process of rehabilitation of under age population in conditions of the Omsk region. The involvement of large number of professionally experienced physicians substantiates its high reliability from the positions of medical science. From professional point of view, the courses of medical rehabilitation for patients are to be applied no less than three times per a year. It is especially significant for patients of the first year of life because a direct dependence is detected concerning early beginning of rehabilitation activities and subsequent higher efficiency of treatment. In the Omsk oblast, the medical rehabilitation service provides a highly qualitative care to children. Though at that a limited accessibility of services of the specialized Center of medical rehabilitation to residents of remote municipal okrugs and oblast districts is established. Also, a lower quality of services in other municipal medical institutions was established as compared with the specialized Center. The rectification of actual situation is seen on the way of organizing of rehabilitation centers of departments in other municipal okrugs and districts of the Omsk oblast and increasing of capacity of the existing rehabilitation center.
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