Organization of post-acute inpatient rehabilitation in Ukraine
Babov K., Babova I. Organization of post-acute inpatient rehabilitation in Ukraine. 7th Baltic and North Sea Conference on Physical and Rehabilitation Medicine (June 9–11 2022, in Tartu, Estonia). Journal of Rehabilitation Medicine. June 2022, 54: 22, PP 16.
The rehabilitation system in Ukraine is currently in a state of reform along with the entire health care system. Patients can receive rehabilitation care at the expense of the Social Insurance Fund (for working persons who are insured in the Fund), the National Health Service of Ukraine (NHSU) due to Medical Guarantee Packages, other funds and for own account.
The Social Insurance Fund of Ukraine has been financing early health-resort (sanatorium) rehabilitation for working persons who are insured in the Fund after certain acute conditions for over 40 years, initiating such a practice by cardiorehabilitation service after acute myocardial infarction. The Fund provides rehabilitation services immediately after an acute stage of the disease in specialized rehabilitation departments of health-resorts in: cardiopulmonary, musculoskeletal and neurorehabilitation, after surgical interventions on the organs of vision, digestion, urogenital system, in violation of pregnancy and medico-psychological rehabilitation. In 2021, the Fund provided early rehabilitation to working patients with cardiopulmonary and neurological complications of COVID-19.
From 2020, the NHSU finances inpatient and outpatient rehabilitation care: medical rehabilitation of adults and children over 3 years with musculoskeletal and nervous system disorders and for children under 3 years. Unfortunately, the cardiopulmonary rehabilitation by NHSU is not yet provided.
Rehabilitation care in Ukraine is traditionally provided in the specialized early rehabilitation departments of health-resorts. Health-resorts are located in resort territories well spread in all regions of Ukraine, have sufficient personnel, medical and rehabilitation equipment, natural healing resources (climate, mineral waters of different types, peloids, etc) which guarantee implementation of patient rehabilitation strategies. Ukrainian Research Institute of Medical Rehabilitation and Resort Therapy for many years created a scientific and methodological basis for such departments. In particular, the “Standard (recommended) rehabilitation program for patients after COVID-19 at health-resort stage” was worked out, which improves the quality of rehabilitation care in health-resorts.