REHABILITATION SYSTEM IN UKRAINE AND WAYS OF ITS IMPROVEMENT
DOI:
https://doi.org/10.11603/1811-2471.2019.v.i3.10523Keywords:
rehabilitation system in Ukraine, reformation of rehabilitation system, training of rehabilitation specialistsAbstract
Summary. The existing rehabilitation system in Ukraine is not sufficiently effective, since legal, personnel and logistical issues are not resolved.
The aim – discussion, search and creation of ways to improve the rehabilitation system in Ukraine.
The main body. The system of rehabilitation is ineffective in Ukraine presently, because it does not follow to the international experience and most physicians and instructors involved in physical therapy do not possess updated knowledge about functional anatomy and the principles of restoration of functions. All measures called "rehabilitation" are in fact only of "ritual" character: the use of medicine that has no effect on the restoration of functions; use of physical exercises without the formation of specific, time-limited rehabilitation goals; "movement" of the patient in the stages of rehabilitation, which, in fact, repeats the actions of the previous stage; cyclic iteration of the above-mentioned step-by-step actions without real prospects of further recovery. There are not enough specialists in rehabilitation in Ukraine whose level of training would be in line with international standards. Ukraine has started to create a modern system of rehabilitation actively. Since August 2016, the National Classification of Occupations has given new names to professions, including: a doctor of physical and rehabilitation medicine, an ergotherapist and a physical therapist. The current regulatory framework is being reorganized so as to create jobs in health care facilities for specialists in medical and physical rehabilitation. The Ministry of Healthcare of Ukraine initiated the implementation of the International Classification of Functioning, Disability and Health in the Ukrainian rehabilitation system.
Conclusions. To improve the rehabilitation system in Ukraine we need:
1. To form a single government body, which will coordinate all ministries and departments on rehabilitation, adopt a number of laws and regulations on its administration.
2. To introduce new educational programs and curricula, standards recognized by the international professional community, as well as to introduce new models of rehabilitation services.
3. To strengthen the material and technical base of rehabilitation institutions in accordance with international standards.
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