L.A. Bockeriya, E.B. Milievskaya, S.M. Krupyanko. O.A. Manerova
Bakoulev Center for Cardiovascular Surgery, Moscow

Abstract. The object of the study is organization of rehabilitation to patients with congenital heart disorders.

The aim was to provide scientific rationale for selection of integral components of the optimal organizational and functional model of rehabilitation of patients after surgical treatment for congenital heart disorders.

The study used a wide range of methods: statistical, descriptive, retrospective analysis, system analysis, case study, information analysis, expertise, systematization of data.

Integral components of organizational and functional model of rehabilitation of patients with congenital heart disorders include crosscutting interaction between: organizational and structural model of rehabilitation center for such patients; components of the model of technical resources of the rehabilitation center, model of informational structure and information environment.

Organizational and functional model of rehabilitation of patients with congenital heart disorders includes the following three rehabilitation stages: 1) rehabilitation at cardiac surgery hospital after provision of high-tech specialized medical care; 2) rehabilitation at a specialized cardiac rehabilitation center as a primary recovery stage; 3) rehabilitation at a specialized cardiac rehabilitation center as a late (final) recovery stage.

The structural model of the rehabilitation center for children with congenital heart disorders should reflect the structure of cardiac surgery hospital ensuring optimization of routes and arrangement of patients’ flows.

Provision of rehabilitation care to children with congenital heart disorders is impossible without modern high-specific technological infrastructure of the center.

Introduction of such organizational and functional model into the rehabilitation center for children with congenital heart disorders will help address many objectives of the “Healthcare development” State program of the Russian Federation. Development of medical rehabilitation requires modernization of the existing regulatory and legal framework related to this type of medical care.

Keywords: congenital heart disorder; rehabilitation care for children with congenital heart disorders; medical rehabilitation.

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