Culture of managing the process of comprehensive rehabilitation of the disabled in Russia: research approaches and features

the article provides a general description of the problem field of the formation of a culture of management of the process of comprehensive rehabilitation of the disabled. The main approaches to identifying the problems and principles of a culture of integrated rehabilitation management, taking into account local conditions, are considered. Based on a survey of people with disabilities and interviews with experts, the feedback mechanisms of departments and other management entities with people with disabilities are revealed, which are implemented in specific local conditions using the example of Nizhny Novgorod. The author comes to the conclusion that many problems of the management culture of complex rehabilitation of the disabled arise as a result of ignoring the specifics of the socio-cultural environment of the disabled, socio-cultural parameters and the needs of the disabled themselves. In the analysis of the results of empirical data presented in the form of a table, an assessment of the role of the socially active, positive-offensive position of the disabled is given. In this context, the importance of feedback management of the social and medical process in terms of providing the disabled with relevant information about services is shown. Different points of view are analyzed. A sociocultural concept is proposed in understanding disability and health when they are not separated from social institutions in general and culture. The phenomenon of the health and personality of a sick person, a disabled person, is not only his externally expressed individual biological characteristics, but also moral, cultural, religious, lifestyle and communication. The causes of disability, the structure of disability, and the structure of social actors of interdepartmental interaction in the provision of medical and social assistance and services to people with disabilities change depending on the nature of the transformation of society's culture and the complex historical situation that has arisen. The study, despite the contradictions between the departments revealed in it, showed that there is reason to be optimistic about the possibility of creating a high culture of managing the process of comprehensive rehabilitation and habilitation of the disabled.

management culture, comprehensive rehabilitation, people with disabilities, problematization, care, local conditions