Rehabilitation, as a system of medical, psychological, socio-economic measures aimed at eliminating or possibly fully compensating for disabilities, is of great importance in the social protection of disabled people and the prevention of disability. In the article, based on the analysis of the cur-rent legislative and regulatory acts, scientific articles on the topic
of rehabilitation and our own research, it is shown that there is no proper correspondence between the theory of rehabilitation, regulations and the organization of the rehabilitation process in medical institutions. The authors have proposed
a number of ideas and activities that, in their opinion, should help in resolving existing inconsistencies and contradictions.
N. K. Guseva – MD, PhD, Professor, public figure, Member of the Nizhny Novgorod Regional Organization ?Association of Specialists of Health Care?, Nizhny Novgorod, Russia.E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it..
V. A. Berdutin – MD, PhD, Associate Professor, Medical Biological University of Innovations and Continuing Education of the State Research Center – Burnasyan Federal Medical Bio-physical Center, Federal Medical Biological Agency, Nizhny Novgorod, Russia.E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it..
1. Law of the Russian Federation N 181-FZ dated 24.11.95 “On social protection of disabled people in the Russian Federation”. (In Russ).
2. Law of the Russian Federation N 419-FZ of 01.12.2015 (Convention: adopted by General Assembly resolution 61/106 on 13 December 2006) “On the ratification in Russia of the UN Convention on the Rights of Persons with Disabilities”. (In Russ).
3. Decree of the Government of the Russian Federation N 805 of August 6, 2015 “On Amendments to the Rules for Recognizing a Person as a Disabled Person”. (In Russ).
4. Decree of the Government of the Russian Federation N 95 of 20.02.2006 (as amended on 26.11.2020) “On the procedure and conditions for recognizing a person as disabled”. (In Russ).
5. Order of health care and social development of the Russian Federation N 77 dated January 31, 2007 “On approval of the form of referral for medical and social examination by an organization providing medical and preventive care”. (In Russ).
6. Order of the Ministry of Labor of Russia N 486n of 13.06.2017 “On approval of the Procedure for the development and implementation of an individual rehabilitation or habilitation program for a disabled person, an individual rehabilitation or habilitation program for a disabled child, issued by federal state institutions of medical and social expertise, and their forms”. (In Russ).
7. Order of the Ministry of Health and Social Development of the Russian Federation N 502 dated 05.05.2012 “On approval of the procedure for the creation and activities of the medical commission of a medical organization”. (In Russ).
8. Decree of the Ministry of Labor of Russia N 56 of 18.07.2001 (as amended on 24.09.2007) “On the approval of temporary criteria for determining the degree of loss of professional ability to work as a result of accidents at work and occupational diseases, the form of the program for the rehabilitation of the victim as a result of an accident at work and occupational disease”. (In Russ).
9. Order of the Ministry of Labor of Russia N 723n dated 15.10.2015 “On approval of the form and procedure for the provision by executive authorities of constituent entities of the Russian Federation, local government bodies and organizations, regardless of their organizational and legal forms, of information on the implementation of the individual program of rehabilitation or habilitation of a disabled person assigned to them and an individual program for the rehabilitation or habilitation of a disabled child of activities in federal state institutions of medical and social expertise”. (In Russ).
10. Letter of the Ministry of Health of the Russian Federation of 11/21/17 No. 11-7 / 10 / 2-8080 and the Federal MHI Fund No. 13572 / 26-2 / and “Instructions for grouping cases, including the rules for accounting for additional classification criteria, and the approach to pay for medical care (in addition to methodological recommendations on methods of paying for medical care at the expense of compulsory medical insurance)”. (In Russ).
11. The concept of improving the state system of medical and social expertise and rehabilitation of disabled people. Ministry of Labor and Social Development of the Russian Federation, 2014. (In Russ).
12. Berdutin VA, Berdutina EV. Logistics of applied solutions for lean healthcare and socionic typology. LAP LAMBERT Academic Publishing: Beau Bassin, 2020; 205 p.
13. Berdutin VA. The use of elements of irrational management in medical organizations. Chief physician. 2019;(9):4-15. (In Russ).
14. Berdutin VA. Philosophy of Lean production, prospects and algorithms for the implementation of lean healthcare in the Russian Federation. Overview. Deputy Chief Physician (supplement to the magazine “Chief Physician”). 2019;(9):8-22. (In Russ).
15. Berdutin VA. Robust management of a person-centered medical organization. Chief physician. 2020;(5):17-34. (In Russ).
16. Guseva NK., Berdutin VA. Disability as a social phenomenon. Chief physician. 2020;(7):22-38. (In Russ).
17. Doyutova MV, Guseva NK, Sokolov VA. Organization of medical and social rehabilitation of the elderly: fundamentals, methods, models: monograph. publishing house LAP LAMBERT; 2011.
18. Epifanov VA., Epifanov AV. Rehabilitation of patients with stroke. 2nd ed., Rev. and add. Moscow: MEDpress-inform; 2013. (In Russ).
19. Eremushkin MA. Fundamentals of rehabilitation: textbook. manual for stud. institutions of environments. honey. prof. education. 3rd ed., Erased. Moscow: Publishing Center “Academy”; 2013. (In Russ).
20. Zhigareva NP. Complex rehabilitation of disabled people in social protection institutions: Study guide. Moscow: Publishing and trade corporation “Dashkov and K”; 2011. (In Russ).
21. Zaitsev VP. Medical and psychological rehabilitation of sick and disabled people. Therapeutic archive. 2013;(10):1-7. (In Russ).
22. Iksanov KhV, Stepanov AA. Aspects of the international classification of functioning, disabilities and health (ICF) in the definition of social insufficiency. Medical and social examination and rehabilitation. 2011;(4):53-56. (In Russ).
23. Kutuzova A. Multidisciplinary rehabilitation of patients with CHF of ischemic etiology. LAP LAMBERT Academic Publishing; 2012. (In Russ).
24. Legenchuk EA, Legenchuk DV. Fundamentals of Rehabilitation of Persons with Disabilities: Textbook. Kurgan: Publishing house of the Kurgan state. University; 2009. (In Russ).
25. Varenov LE, editor. The main indicators of public health and the activities of state medical organizations of the Nizhny Novgorod region for 2016-2020: Collection. Nizhny Novgorod: 2017. (In Russ).
26. Puzin SN, Lavrova DI.; Denisova IN, editor. Medical and Social Expertise: A Handbook for Students of Medical Universities. Moscow: LLC “Medical Information Agency”; 2008. (In Russ).
27. Puzin SN, Memetov SS, Shurgaya MA, et al. Aspects of rehabilitation and habilitation of disabled people at the present stage. Medical and social examination and rehabilitation. 2016;19(1):4-7. (In Russ).
28. Starobina EM, Vladimirova ON, Davydov AT, et al. Factors determining the labor activity of disabled people with significant health impairments. Medical and social examination and rehabilitation. 2017;20(1):19-24. (In Russ).
29. Fedorova TN. Comprehensive rehabilitation of sick and disabled people: a textbook. Omsk: Publishing house of SibGUFK; 2012. (In Russ).
30. Shmeleva SV. Medical and social rehabilitation: Textbook http: // www.rumvi.com / products / ebook / medical and social rehabilitation / 15c7fb12-028e-440b-9734-e46478aЗe2c1 / preview / preview / html # TOC_ECD
31. Berdutin V. Socionic Typology Helps Regulate Doctor-Patient Relationships. EC Nursing and Healthcare 2.4 (2020): 32-35.
32. Guseva N, Berdutin V. Disability Indicators in the social protection system of Russia. Materials of the XII International scientific and practical conference, “Science without borders”. 2016. Vol. 15. Medicine. Sheffield. Science and education LTD. P. 7-9.
33. International classification of the Functioning Disability and Health: The 54th session of the Assembly of the World Health Organization on 22 may 2001. St Petersburg; 2003 (In Russ).
34. Moffatt-Bruce SD, Ferdinand FD, Fann JI. Patient Safety: Disclosure of Medical Errors and Risk Mitigation. Ann. Thorac. Surg. 2016;102:358-362.
35. Moffett P, Moore G. The Standard of Care: Legal History and Definitions: the Bad and Good News. West J. Emerg. Med. 2011 Feb;12(1):109-112.
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DOI: 10.14489/lcmp.2021.02.pp.034-046
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