Lebedeva D I, Brynza N S, Kulikova I B, Akarachkova E S, Orlova A S
Tyumen State Medical University, Tyumen, Russia; Regional Treatment and Rehabilitation Center, Tyumen, Russia.
Tyumen State Medical University, Tyumen, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(12. Vyp. 2):87-93. doi: 10.17116/jnevro201711712287-93.
At present, the problem of disparity of healthcare, including neurological care, in urban and rural settings is highly relevant. Medical care after acute stroke or other chronic disabling diseases (epilepsy, Parkinson's disease) in rural settings is quite challenging due to the lack of access to specialized medical treatment facilities, low level of resources in medical and obstetric centers, low quality of healthcare, personnel turnover in rural healthcare and insufficient coverage of population with outpatient follow-up services. The most promising optimization approaches, which proved to be effective both abroad and in the Russian Federation, including Tyumen district, are the development of multidisciplinary mobile teams and telemedicine. Introduction of these approaches provides an increased access of rural population to specialized medical care, which leads to improvement in overall population health status.
目前，城乡医疗保健差距问题，包括神经科护理差距问题，具有高度相关性。由于农村地区难以获得专业医疗设施、医疗和产科中心资源水平低、医疗质量差、农村医疗保健人员流动以及门诊随访服务覆盖人口不足，急性中风或其他慢性致残疾病（癫痫、帕金森病）后的医疗护理颇具挑战。在国外以及俄罗斯联邦（包括秋明地区）已证明有效的最具前景的优化方法是发展多学科移动团队和远程医疗。引入这些方法可增加农村人口获得专业医疗护理的机会，从而改善总体人口健康状况。
