Nikitin M V, Chicherin L P, Melekhin O Yu, Shchepin V O
National Medical Research Center for Medical Rehabilitation and Balneology, Moscow, Russia.
N.A. Semashko National Research Institute of Public Health, Moscow, Russia.
Vopr Kurortol Fizioter Lech Fiz Kult. 2021;98(5):66-73. doi: 10.17116/kurort20219805166.
To analyze the normative and regulatory support of the state policy of development of health resort business in Russia and organizational and methodological aspects of its implementation, including those in emergency and coronavirus pandemic.
The following current methods of community hygienic and medical-organizational research were applied: analytical, statistical, best practice study, monographic, etc. Data from state and departmental official sources, statistical books, scientific publications, and other sources were studied.
The main normative, regulatory, organizational and methodological aspects of the strategy implementation, developed in accordance with the order of the Government of the Russian Federation «On approval of the development strategy of the health-resort complex of the Russian Federation» dated 26.11.18 №2581-p were analyzed. Some discrepancies in the state and departmental statistics of health-resort organizations were found. The nomenclature of the health-resort area was reviewed, and the used term «health-resort treatment» was criticized, which does not correspond to the parts of this type of daily practice medical care, unlike the concepts «health-resort care» or «health-resort business». The article presents the author's vision of the issue of normative and organizational support of health-resort organizations in an emergency such as COVID-19 pandemic since 2020.
It is shown that the national and local experience of coronavirus infection control contributed to the development of a considerable number of federal regulatory documents in a short time frame. The publication describes an analysis and systematic review of the most important documents, including those related to the spa resorts. Addressing the demanding challenges of further development of the country's health-resort complex largely relies on the state of its facilities and resources. However, its objective analysis is hindered by the identified significant discrepancies in the state and departmental statistic data concerning the number of functioning health-resort organizations and its change over time. As opposed to the concept of «health-resort treatment», the term «health-resort care» most accurately describes its complexity.
分析俄罗斯疗养业务发展国家政策的规范和监管支持及其实施的组织和方法层面,包括紧急情况和新冠疫情期间的相关情况。
采用以下社区卫生和医疗组织研究的现行方法:分析、统计、最佳实践研究、专题研究等。研究了国家和部门官方来源、统计书籍、科学出版物及其他来源的数据。
分析了根据俄罗斯联邦政府2018年11月26日第2581-p号命令《关于批准俄罗斯联邦疗养综合体发展战略》制定的战略实施的主要规范、监管、组织和方法层面。发现疗养组织的国家和部门统计数据存在一些差异。对疗养区的命名法进行了审查,并对使用的“疗养治疗”一词提出批评,该词与这类日常实践医疗护理的组成部分不符,与“疗养护理”或“疗养业务”的概念不同。本文阐述了作者对2020年以来新冠疫情等紧急情况下疗养组织规范和组织支持问题的看法。
结果表明,冠状病毒感染控制的国家和地方经验促使在短时间内制定了大量联邦规范性文件。该出版物描述了对最重要文件的分析和系统回顾,包括与温泉疗养胜地相关的文件。应对该国疗养综合体进一步发展的艰巨挑战在很大程度上依赖于其设施和资源状况。然而,国家和部门统计数据中关于运营中的疗养组织数量及其随时间变化的显著差异阻碍了对其进行客观分析。与“疗养治疗”概念不同,“疗养护理”一词最准确地描述了其复杂性。