STUDYING THE LEVEL OF THEORETICAL AND PRACTICAL SKILLS OF GENERAL PRACTITIONERS FAMILY DOCTORS AS SPECIALISTS OF THE PRIMARY MEDICAL CARE FOR PROVIDING COMPLEX REHABILITATION OF TARGET GROUPS OF THE ATTACHED POPULATION
DOI:
https://doi.org/10.24144/2077-6594.4.2019.193547Keywords:
rehabilitation, medical rehabilitation, primary health careAbstract
Purpose: the aim of this research was to study the level of theoretical and practical skills of general practitioners, family doctors, as specialists of primary medical care for providing complex rehabilitation for target groups of the attached population.
Materials and methods. The survey was participated by 50 primary healthcare doctors. All respondents are practitioners. For this study was developed a special questionnaire, which includes 4 blocks of questions. The questions concerned the readiness of participants to provide medical rehabilitation services, the level of their theoretical and practical skills for the provision of rehabilitation assistance for patients with various diseases, proposals for encouraging physicians to provide rehabilitation assistance to target populations and the opportunity to upgrade their skills.
Conclusions. The highest level of theoretical and practical skills of primary care doctors in providing rehabilitation care to patients with diseases of the respiratory system, digestive and cardiovascular systems.
The lowest level of skills in such disciplines as rehabilitation of patients after surgeries and injuries of the musculoskeletal system (the respondents gave the largest number of negative assessments for both theoretical and practical skills).
Therefore, at the present time, the level of practical and theoretical skills of primary care doctors is not enough for full-fledged high-quality rendering of rehabilitation services in PHC facilities.
References
People-centred and integrated health services: an overview of the evidence: interim report [Internet]. World Health Organization; 2015 p. 7-11. Available from: https://apps.who.int/iris/handle/10665/155004.
Guidelines on Health-Related Rehabilitation (Rehabilitation Guidelines) [Internet]. World Health Organization; 2012. Available from: https://www.who.int/disabilities/care/rehabilitation_guidelines_concept.pdf.
Wilson RD, Lewis SA, Murray PK. Trends in the rehabilitation therapist workforce in underserved areas: 1980–2000. The Journal of Rural Health: official journal of the American Rural Health Association and the National Rural Health Care Association. 01 Jan, 2009;25(1):26-32.
Rehabilitation in health systems [Internet]. World Health Organization ; 2017. Available from: https://apps.who.int/ iris/bitstream/handle/10665/254506/9789241549974-eng.pdf?sequence=8.
Дементьева Н.Ф., Сырникова Б. А., Ларионова В. С. Медицинская реабилитация инвалидов и сущность медико-оздоровительного маршрута. Медико-социальная экспертиза и реабилитация. 2005;2:53–56.
Матюха Л.Ф., Гойда Н.І., Слабкий В.Г., Олійник М.В. Науково обґрунтовані підходи до кваліфікаційної характеристики лікаря загальної практики – сімейного лікаря з позиції компетентісного підходу. Методичні рекомендації. . Київ: НМАПО ім. П. Л. Шупика, ДУ «Український інститут стратегічних досліджень МОЗ України»; 2010. 27 с.
Самоходський В. М. Наш варіант реформування охорони здоров’я на регіональному рівні. Вісник соціальної гігієни та організації охорони здоров’я України. 2016;2:81–85.