Medical rehabilitation of compulsory medical insurance: An important step towards restoration of health

Getting high -quality free medical services is not a myth. For example, They can be obtained as part of medical rehabilitation. In Russia, it is provided according to the compulsory medical insurance policy (OMS), What makes it available to most citizens, in need of recovery after illness, injuries or operations.He answers questions about medical rehabilitation director Krasnoyarsk branch of the Sogaz-Med insurance company Babina Tatyana Olegovna.

– Tatiana Olegovna, What is a medical reabylitation and why it is needed?

medical rehabilitation - This is a set of events, aimed at full or partial restoration of disturbed and/or compensation for lost functions of the body after diseases, operations, injuries. Simply put, thethen an important step towards restoration of health patient, which allows you to prevent and reduce the degree of possible disability, improve the quality of life and indicators the body, Save performance, pDress a psycho -emotional state and inInstall the nervous system.

– Who can Pass rehabilitation on the compulsory medical insurance policy?

TOAthegory patients, to which rehabilitation is shown - Citizens with injuries and after surgical operations, Helped diseases (stroke, Myocardial infarction, etc.) and with chronic pathologies (Cardiovascular, diabetes, The presence of joint pathologies and others.) and Disabled. All of them should have MHI policy, Indications for the appointment of rehabilitation and confirming Medical documentation, and also nA doctor’s radio. Passes Free medical rehabilitation insured can in various organizations, Not only state, but also private, which work in the compulsory medical insurance system.

– AT What institutions of the healthcare system Can undergo rehabilitation?

Medical restoration of the body's functions is carried out on an outpatient basis (In the clinic), In the day and round -the -clock hospital, at the Federal Rehabilitation Center, sanatoriums And even at home.

If in medical organizations There is no necessary specialist, But there is a license for medical rehabilitation, doctor, such assistance, Organizes consultation by a doctor-rehabilitologist in friend of a medical institution. Telemedician technologies can be used for this. In the event of a patient in a remote settlement or restrictions in his movement, the necessary procedures are carried out at home and hthe Christmas to provide all the necessary medical products to restore.

– Where to start citizen, To get on ReabilitationYu?

The first step is to see a doctor (Therapist, Neurologist, surgeon, etc.) In the clinic at the place of residence, because. nthe Apartment for rehabilitation issues It is he who. Further mUltidisciplinary The rehabilitation team draws up an individual plan recovery and routes the patient depending on his condition, which Assessed by the medical rehabilitation scale (SHRM). Based on the results and research obtained, They decide - what are the tasks of rehabilitation and which specialists need to be included in Multidisciplinary brigade to achieve your goals.

Before you give out a direction to the patient, The attending physician will ask to take tests (urine, blood and others.), Pass the examinations (EKG, fluorography) and get consultations of specialized specialist doctors. The list of tests and diagnostic measures is formed individually, Depending on the diagnosis. Among effective techniques often prescribe physiotherapy, Selecting the procedures, Based on the tasks.

For disabled people, an individual rehabilitation program is compiled/Abbilitation (Napel). It lists medical and others. events, as well as technical means of rehabilitation, which will be provided to the disabled person according to the compulsory medical insurance policy. IPRA registration takes place in the attachment clinic by recording through "Public services"Or appeals to the registry.

– I wanted to would Clarify in more detail About the stages of medical rehabilitation. What, where and at what time is it held?

The first stage is wirelie in intensive care or in a hospital Immediately after the operation or after stopping the acute period of the disease. This is early rehabilitation, which It begins during 72 hours from the moment the treatment begins and is carried out daily. Duration - to 3 hours.

Further pAbout the testimony of the patientAnd directing In the second stage to receive the necessary help. Health restoration in this case is carried out in the rehabilitation department of the hospital or on the basis of sanatorium-resort organizations at least 3 hours daily. If such a department is in a hospital, where the patient goes to treatment primary, No, It is transferred or sent to the second stage of rehabilitationand In another hospital. Typically, patients need this after severe injuries and fractures, with impaired functions of central and peripheral nerves system. Upon completion second stage issues an extract with diagnoses, indicating the rehabilitation potential and recommendations.

And the third stage of medical rehabilitation can be completed out, In the day hospital, In the rehabilitation center, in sanatorium-resort organizations. The frequency of necessary measures is at least 1 times in 2 day long 3 hours. The recommended list may be swimming, Physiotherapy etc..After rehabilitation, the doctor assesses the patient's condition, the effectiveness of all manipulations and, If necessary, set the date of the next planned rehabilitation.

– Can a citizen refuse rehabilitation and in what cases this legitimately?

Firstly, Refusal can be obtained, If during the assessment the patient does not have medical indications. Secondly, If there are contraindications to its passage (Acute infectious, Chronic pathologies, Severe neuroses, pregnancy and others.). Third, Lack of direction, test results. Another reason is the direction of direction, когда неверно выбран профиль больницы назначения.

You were refused medical rehabilitation by compulsory medical insurance, Do not record Physiotherapy, But you think, that there is no reason for this? Contact the insurance company, which issued you a policy. Its insurance representatives explain to citizens the norms of legislation, provide support and assistance in the conditions of obtaining medical care, passage of prevention, Protect the rights in the compulsory medical insurance system.

– As for veterans of a special military operation (SVO) -how can they undergo rehabilitation by compulsory medical insurance and are there any features?

Veterans SIn, with the consequences of combat injury and suffering diseases, If there are indications, In an extraordinary order Get the necessary services (in T.. Long duration 30 day a year or more) Within the framework of the compulsory medical insurance. Demobilized participants at all stages of rehabilitation are entitled to planned counseling by a medical psychologist as with independent appeal to the outpatient, Stationary Center, and in the direction of the attending physician. More information is presentedon Landing "Medical assistance to the veterans of Svo", prepared by experts insurance Company "Sogaz-Med".

– Tatiana Olegovna, You could give an example, How people speak about medical rehabilitation by compulsory medical insurance and whether they turn to you for assistance in obtaining it?

After the infarction, Natalia with. issued a referral for rehabilitation at the Center for Modern Cardiology LLC (G. Krasnoyarsk). However, the clinic reported, that quotas on Cardiorealization ended. Then the woman applied for help to the Sogaz-Med insurance company. Insurance representatives of the Krasnoyarsk branch supported it and organized rehabilitation in the FSBNA "Krasnoyarsk Scientific Center SB RAS". The insured went through the restoration course and was very pleased as the quality of the rendered Meduslug, and operational support of the insurance company.

This is only one of the many examples, when timely assistance helps patients get the necessary medical care.

HI would have departedetcto, that inOppry of obtaining rehabilitation by compulsory medical insurance Also depends on the availability of places in rehabilitation centers.

Dear readers, itki you or your loved ones are faced with the need to rehabilitation, Feel free to see a doctor for help. The main thing is not to postpone the recovery for later!

If you are safe at Sogaz-Med and you have questions about the compulsory medical insurance system, O medical care or quality of its provision, You can contact the insurance representatives for Sogaz-med.ru website or in the mobile application "SOGAZ OMS", Using online chat, On the phone of a round-the-clock contact center 8-800-100-07-02 (Call in Russia is free) or In officesSogaz-Med company.