Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»272510.25742/NRIPH.2024.01.010Научная статьяOrganizational ways to improve medical rehabilitation in the Russian Federation on the example of the Federal State Medical Institution Reshma medical center FMBA of RussiaKizeevMihail V.m.kizeev@nriph.ruhttps://orcid.org/0000-0002-0293-8372GolubevaGalina A.golybevagalia@gmail.comhttps://orcid.org/0009-0007-3486-798XNezhkinaNatal`ya N.natanezh@mail.comhttps://orcid.org/0000-0002-3731-130XBodunovAleksandr V.a.v.bodunov@gmail.comhttps://orcid.org/0009-0008-3367-6046KulikovaYuliya A.kulikova_sr@mail.ruhttps://orcid.org/0009-0006-6356-6716N. A. Semashko National Research Institute of Public HealthFederal State Budgetary Healthcare Institution Reshma Medical Center of the Federal Medical Biological Agency of RussiaFederal State Budgetary Educational Institution of Higher Education «Ivanovo State Medical Academy» of the Ministry of Healthcare of the Russian Federation (FSBEI HE IvSMA MOH Russia)5Federal State Budgetary Healthcare Institution Reshma Medical Center of the Federal Medical Biological Agency of Russia16032024281646825042025Copyright © 2025,2025<p>The State is currently implementing programs aimed at improving the scheme of providing medical rehabilitation services to patients. The article analyzes the changes in legislation adopted in 2023. The assessment of changes in the structure was carried out on the example of the work of the Federal State Budgetary Institution Reshma medical center of the FMBA of Russia. For this purpose, a retrospective analysis of the medical histories of patients treated in a round-the-clock and day hospital in 2022 and 2023, as well as patients treated on an outpatient basis in 2023, was carried out. As a result of the conducted research, a tendency has been established to expand the possibilities for receiving and managing patients more difficult to curate (according to the rehabilitation routing scale equal to 5 points), as well as an increase in the coverage of patients hospitalized from the second to the third stage as part of a day hospital or outpatient rehabilitation.</p>public healthorganizational structuremedical rehabilitationpatient routingcontinuityобщественное здоровьеорганизационная структурамедицинская реабилитациямаршрутизация пациентовнепрерывность1.Ivanova G.E., Mel`nikova E.V., Belkin A.A., Belyaev A.F., Bodrova R.A., BujlovaT .V., Mal`ceva M.N., Mishina I.E., Prokopenko S.V., Sarana A.M., Staxovskaya L.V., Xasanova D.R., Cykunov M.B., Shamalov N.A., Suvorov A.Yu., Shmonin A.A. How to organize medical rehabilitation? Bulletin of Rehabilitation Medicine. [Vestnik vosstanovitel`noj mediciny]. 2018;84(2):2—12 (in Russian).2.3.Shinkorenko O.V. Problems and prospects of rehabilitation development in the Russian Federation. Scientific notes of the Altai branch of the Russian Academy of National Economy under the President of the Russian Federation. [Ucheny`e zapiski Altajskogo filiala Rossijskoj akademii narodnogo xozyajstva pri Prezidente Rossijskoj Federacii]. 2019;(16):220—224 (in Russian).4.5.Richards LG, Vallée C. Not just mortality and morbidity but also function: Opportunities and challenges for Occupational Therapy in the World Health Organization’s rehabilitation 2030 initiative. Am J Occup Ther. 2020;74(2):7402070010p1—6.6.7.Krug E, Cieza A. Strengthening health systems to provide rehabilitation services. Neuropsychol Rehabil. 2019;29(5):672—4.8.9.Bautmans I, Knoop V, Amuthavalli Thiyagarajan J, Maier AB, Beard JR, Freiberger E, et al. WHO working definition of vitality capacity for healthy longevity monitoring. Lancet Healthy Longev. 2022;3(11):e789-e796.10.11.M.V.Yerugina, I.L.Krom, G.Yu. Sazanova, M.G.Yeremina, N.N.Shigaev, E.M.Dolgova, E.V.Kovalenko The population of the russian federation's trends in demographic indicators. Current problems of health care and medical statistics. [Sovremenny`e problemy` zdravooxraneniya i medicinskoj statistiki]. 2023;(1):79—88 (in Russian).12.13.Shherbatkina M.A., Asrorova N.Sh., Anikeeva O.B., Pavlenko O.V., Faleczkaya E.A., Timofeeva L.N., Ushakova T.L. New technologies in medical rehabilitation: opportunities and prospects. Analytical Bulletin. [Analiticheskij vestnik]. 2023;832(12): 47—57 (in Russian).