Dmitri Popov: A pilot project to route patients to stages 2 and 3 of rehabilitation "without breaks" will be launched in the Chelyabinsk region Chief independent expert in medical rehabilitation of the Ministry of Health of the Chelyabinsk region, Dmitri Popov, at the "Right to Health" congress, presented his experience in organizing medical care for patients in the region. He emphasized that the weak link now is patient routing, so special attention must be paid to this. The region has now started implementing a plan for the years 2026-2028, which includes the gradual development of rehabilitation departments in hospitals and the introduction of digital registration of patients with spasticity after a stroke. A pilot project to route patients to stages 2 and 3 of the "non-stop" rehabilitation will be launched in 2028. In the Krasnoyarsk Territory, records with personalized data, including information about the place of rehabilitation, have already been created and are available to doctors. The funding allocated for medical rehabilitation amounts to 2.6 billion rubles. There is 100% filling of the volume - this is 33.6 thousand treatment cases per year. However, the head of the department for the protection of the rights of the insured and the implementation of projects in the TFOMS compulsory medical insurance system of the Krasnoyarsk Territory, Olga Zhukova, pointed out a number of problems. Therefore, during outpatient rehabilitation, sick leave is not always granted; As a result, if the patient's condition improves, the patient can independently complete rehabilitation in order to return to work. One of the central questions of the meeting was the need to take into account the rehabilitation burden - will all the subjects be able to analyze it in the context of each patient? Here, direct recording will be critical on the part of the doctors, and control over it on the part of the Federal Mandatory Medical Insurance Fund. "The eyes are afraid, the hands do, you have to start and try. If in this way we start working more intensively with the patient and it seems that the effect will be achieved earlier than in the time frame set in the first place, then maybe it is worth paying attention to it.

Dmitri Popov: A pilot project to route patients to stages 2 and 3 of rehabilitation "without breaks" will be launched in the Chelyabinsk region Chief independent expert in medical rehabilitation of the Ministry of Health of the Chelyabinsk region, Dmitri Popov, at the "Right to Health" congress, presented his experience in organizing medical care for patients in the region. He emphasized that the weak link now is patient routing, so special attention must be paid to this. The region has now started implementing a plan for the years 2026-2028, which includes the gradual development of rehabilitation departments in hospitals and the introduction of digital registration of patients with spasticity after a stroke. A pilot project to route patients to stages 2 and 3 of the "non-stop" rehabilitation will be launched in 2028. In the Krasnoyarsk Territory, records with personalized data, including information about the place of rehabilitation, have already been created and are available to doctors. The funding allocated for medical rehabilitation amounts to 2.6 billion rubles. There is 100% filling of the volume - this is 33.6 thousand treatment cases per year. However, the head of the department for the protection of the rights of the insured and the implementation of projects in the TFOMS compulsory medical insurance system of the Krasnoyarsk Territory, Olga Zhukova, pointed out a number of problems. Therefore, during outpatient rehabilitation, sick leave is not always granted; As a result, if the patient's condition improves, the patient can independently complete rehabilitation in order to return to work. One of the central questions of the meeting was the need to take into account the rehabilitation burden - will all the subjects be able to analyze it in the context of each patient? Here, direct recording will be critical on the part of the doctors, and control over it on the part of the Federal Mandatory Medical Insurance Fund. "The eyes are afraid, the hands do, you have to start and try. If in this way we start working more intensively with the patient and it seems that the effect will be achieved earlier than in the time frame set in the first place, then maybe it is worth paying attention to it.