PLACE OF PRIMARY MEDICAL CARE IN PROVIDING MEDICAL REHABILITATION TO PEOPLE WITH DISORDERS OF THE MUSCULOSKELETAL SYSTEM: WORLD HEALTH ORGANIZATION RECOMMENDATIONS AND THE SITUATION IN UKRAINE

Abstract

The aim of the research is to analyse the recommendations of the World Health Organization (WHO) on the involvement of primary health care in the implementation of rehabilitation in case of musculoskeletal disorders and describe the situation in this area in Ukraine. Materials and methods. Methods of system and structural-logical analyses, bibliosemantic method were used during the research. The materials included published documents and information sources of the WHO, regulations of Ukraine on the implementation of medical rehabilitation, publication of scientific research. Results: WHO points out that rehabilitation integrated into primary medical care is one of the categories of rehabilitation care. It has a number of obstacles and requires more active action by the state leadership. The people with musculoskeletal disorders are also identified as key group of consumers of rehabilitation at the level of primary medical care. In Ukraine in recent years, the development of rehabilitation is constantly being improved by regulations. They create the possibility of providing rehabilitation services at all levels of medical care, identify the consumers and scope of rehabilitation services, regulate the use of telerehabilitation. However, the possibility of receiving rehabilitation services for persons with musculoskeletal disorders at the level of primary medical care in Ukraine is still limited by certain regulations and levels of staffing and technical support of the health care system. Conclusions. Securement of rehabilitation services to people with musculoskeletal disorders in the provision of primary health care requires the development of new approaches to its organization, taking into account the recommendations of the WHO.