DEVELOPMENT OF PHYSICAL AND REHABILITATION MEDICINE IN UKRAINE DURING THE PERIOD OF MARTIAL STATUS

Abstract

The necessity to reform the health care system is inevitable due to an increased number of the wounded, injured and patients with functional disorders. The share of internally displaced persons (IDPs) has increased as well. Under the infl uence of stressful situations, they develop exacerbation of chronic diseases or occurrence of acute ones requiring rehabilitation measures. With severe combined injuries, restoration of lost or disturbed functions of the victims requires a specialized approach for rehabilitation, expensive equipment, availability of rehabilitation specialists, and current rehabilitation programs and protocols. The Ministry of Health of Ukraine carries out direct management of rehabilitation activities. It provides legal regulation on rehabilitation in health care, develops and approves legal acts, approves and implements protocol on giving rehabilitation aid in Ukraine. The Ministry monitors and evaluates the quality of rehabilitation performance at the rehabilitation institutions, participates in ensuring quality control over rehabilitation technical means, provides organization of rehabilitation aid at health care institutions, participates in international cooperation, ensures cooperation with rehabilitation institutions abroad. Its purpose is establishment and development an eff ective rehabilitation system in Ukraine, implementation of international protocols on giving rehabilitation aid, realization of rights of individuals with limited everyday functioning. The National Health Service in Ukraine (NHSU) has become a central executive body in the rehabilitation area. The NHSU implements the state policy in the fi eld of medical care of the population ensured by the program of medical guarantees. The NHSU concludes contracts with health care institutions and purchases public medical services from them, monitors compliance with the terms of contracts and pays directly to institutions for rehabilitation services provided.