The age-related characteristics of the frequency of hospitalization for the medical rehabilitation of the adult population in Russia

This paper reports the results of the estimation of the requirements in different age-groups of the adult population for medical rehabilitation based at the inpatient facilities (IPF) calculated from the number of hospitalizations of adult patients in need of the rehabilitative care per 10,000 population depending on their age, the main classes of pathology and a concrete disorder in accordance with the International Classification of Diseases (ICD-10). For the purpose of this study, the adult population was categorized into 6 age-groups, viz. 18-29, 30-39, 40-49, 50-59, 60-69, and 70 years and more. The healthcare providers and experts have developed the indications for the rehabilitative treatment starting immediately after the management of acute conditions and treatment of exacerbation of chronic diseases, consequences of the injuries and surgical interventions taking into consideration the stage of pathology and the patients’ health status. In addition, the conditions necessary to treat such patients based at inpatient or outpatient facilities are determined. Taking account of the data thus obtained in the analysis of the medical documentation made it possible to make a decision about the necessity and/or duration of further inpatient rehabilitation of the patients following their previous treatment. We estimated and analysed the age-related requirements of the adult population in the medical assistance and calculated the number of the inpatients depending on the main classes of pathology and a concrete disorder. It was shown that the subjects of the advanced age (60-69 and 70 or more years) make up the group of those who are most in need of medical care (874,7 and 1346,3 per 1,000 population respectively) in comparison with the group of 18-29 year old subjects (106,2 per 1,000 population). Evidently, this difference can be accounted for by the higher frequency of diseases as well as the enhanced requirements for both inpatient and outpatient rehabilitation among the older age groups. The bodies of executive power in the subjects of the Russian Federation can calculate the requirements of the local adult population in the rehabilitative treatment for different age groups based on the above data on the frequency of hospitalization.

medical rehabilitation, age-related requirements for medical rehabilitation, rehabilitation of the adult population, the number ofcases of hospitalization for medical rehabilitation, normatives of requirements for medical rehabilitation, population age structure