Medical rehabilitation: a study of problems of legal definition. The intersection of the concepts of medical rehabilitation, prevention and treatment
Purpose of the study. To analyze the legal issues, related to the definition of «medical rehabilitation» established in Russian legislation. Materials and methods. A comparative review of the definitions "medical rehabilitation" formulated by World Health Organization and the Russian legis...
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| Format: | Article |
| Language: | Russian |
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QUASAR, LLC
2020-09-01
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| Series: | Исследования и практика в медицине |
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| Online Access: | https://www.rpmj.ru/rpmj/article/view/595 |
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| author | E. V. Gameeva A. A. Kostin G. S. Alekseeva E. U. Ogneva P. G. Gabay L. V. Pashigorova E. V. Kalita |
| author_facet | E. V. Gameeva A. A. Kostin G. S. Alekseeva E. U. Ogneva P. G. Gabay L. V. Pashigorova E. V. Kalita |
| author_sort | E. V. Gameeva |
| collection | DOAJ |
| description | Purpose of the study. To analyze the legal issues, related to the definition of «medical rehabilitation» established in Russian legislation. Materials and methods. A comparative review of the definitions "medical rehabilitation" formulated by World Health Organization and the Russian legislator is made. The main problems of the legal definition of "medical rehabilitation" are studied, including: the problem of distinguishing between "medical rehabilitation" and "treatment". Results. The definition of the term "medical rehabilitation" and terminology used for medical rehabilitation are not consistent in Russian law (legislation still includes such archaic definitions as "rehabilitation treatment" and "rehabilitation medicine"). There is also no unified approach to the question of whether medical rehabilitation is a part of treatment or whether it is an independent stage of medical care. The boundaries between the concepts of "medical rehabilitation" and "treatment" are blurred. Conclusion. The absence of clear boundaries between the definitions of “medical rehabilitation” and “treatment” leads to the risk of violation of licensing requirements by medical organizations, because to determine the list of works (services) to be licensed, it is necessary to correctly determine the specifics of the services provided. The correct classification of a service as medical rehabilitation or medical treatment also effects on the specialization of the involved medical specialists, as well as on the allocated structural units of medical organization. The analysis shows that the main difference between treatment and rehabilitation is the approach. The approach to rehabilitation is broader, it’s primary goal is to return the patient to his previous social status, rather than clinical recovery. At the same time, the main difficulty in distinguishing the mentioned above definitions is related to the fact that the method underlying the medical service is actually licensed, but the same tools and methods can be used both in treatment and medical rehabilitation. Due to these ambiguities, it appears that the current legislation needs to be improved. |
| format | Article |
| id | doaj-art-4a1f7f974b6f4016bd91b8149a2f4c6d |
| institution | Kabale University |
| issn | 2410-1893 |
| language | Russian |
| publishDate | 2020-09-01 |
| publisher | QUASAR, LLC |
| record_format | Article |
| series | Исследования и практика в медицине |
| spelling | doaj-art-4a1f7f974b6f4016bd91b8149a2f4c6d2025-02-03T00:57:37ZrusQUASAR, LLCИсследования и практика в медицине2410-18932020-09-017311912610.17709/2409-2231-2020-7-3-12344Medical rehabilitation: a study of problems of legal definition. The intersection of the concepts of medical rehabilitation, prevention and treatmentE. V. Gameeva0A. A. Kostin1G. S. Alekseeva2E. U. Ogneva3P. G. Gabay4L. V. Pashigorova5E. V. Kalita6P.A.Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological CentreNational Medical Research Radiological Center; Peoples Friendship University of RussiaNational Medical Research Radiological CenterM.F.Vladimirskiy Moscow Regional Research and Clinical Institute; Ministry of health of the Moscow regionFaculty of Medical Law; Federal scientific and clinical center for specialized types of medical care and medical technologies of the FMBA of RussiaNational Medical Research Radiological CenterP.A.Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological CentrePurpose of the study. To analyze the legal issues, related to the definition of «medical rehabilitation» established in Russian legislation. Materials and methods. A comparative review of the definitions "medical rehabilitation" formulated by World Health Organization and the Russian legislator is made. The main problems of the legal definition of "medical rehabilitation" are studied, including: the problem of distinguishing between "medical rehabilitation" and "treatment". Results. The definition of the term "medical rehabilitation" and terminology used for medical rehabilitation are not consistent in Russian law (legislation still includes such archaic definitions as "rehabilitation treatment" and "rehabilitation medicine"). There is also no unified approach to the question of whether medical rehabilitation is a part of treatment or whether it is an independent stage of medical care. The boundaries between the concepts of "medical rehabilitation" and "treatment" are blurred. Conclusion. The absence of clear boundaries between the definitions of “medical rehabilitation” and “treatment” leads to the risk of violation of licensing requirements by medical organizations, because to determine the list of works (services) to be licensed, it is necessary to correctly determine the specifics of the services provided. The correct classification of a service as medical rehabilitation or medical treatment also effects on the specialization of the involved medical specialists, as well as on the allocated structural units of medical organization. The analysis shows that the main difference between treatment and rehabilitation is the approach. The approach to rehabilitation is broader, it’s primary goal is to return the patient to his previous social status, rather than clinical recovery. At the same time, the main difficulty in distinguishing the mentioned above definitions is related to the fact that the method underlying the medical service is actually licensed, but the same tools and methods can be used both in treatment and medical rehabilitation. Due to these ambiguities, it appears that the current legislation needs to be improved.https://www.rpmj.ru/rpmj/article/view/595medical rehabilitationdifferentiation of medical rehabilitation and treatmentworks (services) that make up medical rehabilitationlicensing of medical rehabilitation |
| spellingShingle | E. V. Gameeva A. A. Kostin G. S. Alekseeva E. U. Ogneva P. G. Gabay L. V. Pashigorova E. V. Kalita Medical rehabilitation: a study of problems of legal definition. The intersection of the concepts of medical rehabilitation, prevention and treatment Исследования и практика в медицине medical rehabilitation differentiation of medical rehabilitation and treatment works (services) that make up medical rehabilitation licensing of medical rehabilitation |
| title | Medical rehabilitation: a study of problems of legal definition. The intersection of the concepts of medical rehabilitation, prevention and treatment |
| title_full | Medical rehabilitation: a study of problems of legal definition. The intersection of the concepts of medical rehabilitation, prevention and treatment |
| title_fullStr | Medical rehabilitation: a study of problems of legal definition. The intersection of the concepts of medical rehabilitation, prevention and treatment |
| title_full_unstemmed | Medical rehabilitation: a study of problems of legal definition. The intersection of the concepts of medical rehabilitation, prevention and treatment |
| title_short | Medical rehabilitation: a study of problems of legal definition. The intersection of the concepts of medical rehabilitation, prevention and treatment |
| title_sort | medical rehabilitation a study of problems of legal definition the intersection of the concepts of medical rehabilitation prevention and treatment |
| topic | medical rehabilitation differentiation of medical rehabilitation and treatment works (services) that make up medical rehabilitation licensing of medical rehabilitation |
| url | https://www.rpmj.ru/rpmj/article/view/595 |
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