Magomedova Z A, Petrova I A, Nechaev V S
The State Budget Institution of the Republic of Dagestan "The Republican Clinical Hospital - the Center of Specialized Emergency Medical Care", 367000, Makhachkala, he Republic of Dagestan, Russia.
The Federal State Budget Scientific Institution "The N. A. Semashko National Research Institute of Public Health", 105064, Moscow.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2019 Mar;27(2):174-176. doi: 10.32687/0869-866X-2019-27-2-174-176.
The article considers such aspects of organization of medical rehabilitation care of population as accessibility, quality, social efficiency from perspective of medical ethics. The quality of diagnostic, prevention and treatment of diseases is affected by qualification of medical personnel that is applied both to areas of clinical medicine and health care management. The specialists are to apply common principles and standards of health care. Among them are support of valuable quality of medical care under optimal application of available resources and observance of medical ethics standards. The Republic of Dagestan is anagrarian region where 55% of population resides in rural area and most of health care resources are cumulated in urban area. The indices of health of population residing in rural area are in many parameters worse than in urban population and provision of medical institutions with medical personnel is low. The specialized medical care support including medical rehabilitation, of rural population, is provided without additional managerial decisions and is much more difficult as compared with patients residing in urban area. Hence in conditions of necessity of optimization of resource support of health care system functioning no extensive development of possibilities of medical rehabilitation is possible in rural residents of Dagestan.
本文从医学伦理学角度探讨了人群医疗康复护理组织的可及性、质量、社会效率等方面。疾病诊断、预防和治疗的质量受医务人员资质影响，这适用于临床医学和医疗保健管理领域。专家应遵循医疗保健的共同原则和标准。其中包括在合理利用现有资源的情况下支持高质量医疗服务，并遵守医学伦理标准。达吉斯坦共和国是一个农业地区，55%的人口居住在农村，大部分医疗保健资源集中在城市地区。农村地区居民的健康指标在许多参数上比城市人口差，医疗机构的医务人员配备不足。为农村人口提供包括医疗康复在内的专业医疗护理支持，无需额外的管理决策，且与城市地区的患者相比困难得多。因此，在优化医疗保健系统资源支持以确保其正常运转的情况下，达吉斯坦农村居民无法广泛发展医疗康复的可能性。
