ORGANIZATION OF THE COMPREHENSIVE REHABILITATION SYSTEM BASED ON STUDYING NEEDS OF PERSONS WITH DISABILITIES IN THE RUSSIAN FEDERATION

Abstract

Objective. The study was focused on the needs of persons with disabilities in medical rehabilitation to be considered while organizingsystems of rehabilitation in Russian regions. The aim of the study was to analyze the needs of persons with disabilities in the Russian Federation in the light of the human rights model of disability. Methods. International and Russian legal documents, data of Federal State Statistics Service of the Russian Federation(forms 7-sobesd; organizational-legal, systemic, statistical and general scientific methods were used. Results. The total number of the persons with disabilities in the Russian Federation decreased from 13.1 million in 2010 to 11.9 million in 2017. The proportion of the persons with disabilities in the population decreased from 9.2 % to 8.1 %, respectively. More than 2 million individual rehabilitation and habilitation programmes for disabled adults are developed annually. Individual rehabilitation programmes are differentiated depending on the severity of the disability: II and I groups (severe impairments) – 52.7 %, therefore, it is necessary to provide inpatient, mixed and outpatient services, especially at home. The necessity of «approaching the place of residence» is based on the high proportion of the disabled in rural areas (22.1-30.2 %). Conclusions. The presented basic macro indicators on the needs of the persons with disabilities are the basis for making managerial decisions and conducting more detailed analysis for the development of rehabilitation infrastructure aimed at meeting the needs of citizens in healthcare in accordance with the UNConvention on the Rights of Persons with Disabilities.

Keywords

• инвалид
• медицинская реабилитация
• индивидуальная программа реабилитации и абилитации
• ИПРА
• инвалидность
• МКФ