rehabilitation system in ukraine: updates from august 21, 2015...rehabilitation system in ukraine:...
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Rehabilitation system in Ukraine:
updates from August 21, 2015
Volodymyr Golyk, WHO UA Disability and Rehabilitation Sub-Cluster Coordinator,
Assoc. Prof. , MD, PhD,
Ukrainian State Institute of Medical and Social Problems of Disability
Ministry of Health of Ukraine,
Ukrainian Society for Neurorehabilitation, Board Chairman,
Neurologist
ACTION PLAN: 3W
1. Joining UEMS PRM Section and Board;
2. Establishing REHAB medical Specialties with EU based
professional competences;
3. PRE Legislation EDU and Organization Activities;
4. Education changes
5. Low for Rehabilitation in Ukraine
1. Joining UEMS PRM Section and Board;
2. Establishing REHAB medical Specialties with EU based
professional competences;
3. PRE Legislation EDU and Organization Activities;
4. Education changes
5. Low for Rehabilitation in Ukraine
The Committee for Education = the European Board of PRM
The Committee for Professional Practicedomain of competence of PRM Specialists
The Committee for Clinical Affairs
Quality of Care in PRM
Permanent Working Group of Balneology
September 05, 2015
The European Board of Physical and Rehabilitation Medicine
The main activities of the Board are:
Harmonization of PRM training in Europe
Certification of PRM specialists (by examination and equivalence)
Certification of PRM trainers
Certification/Recertification of PRM training centers
Continuing Medical Education and Recertification of PRM Specialists
Accreditation of European congresses and Teaching Programs
“Teaching” “Teachers”
SELECTION CRITERIA: chairing (deputy chairing) academic department with adequate clinical
environment (acute and subacute rehabilitation), possibility and capacity for introducing all gained practical and organizational
info into the clinical setting, possibility and capacity for teaching (reeducating) future UA PRM doctors.
35 UA PRM academic specialists
Selection of such persons will be made by general decision of Chairs Ukrainian Society of PRM and Ukrainian Society for
NeuroRehabilitation
Ukrainian Society of Physical and Rehab Medicine
2016
4 EU PRM academic experts
4*5 days PRM trainings
ISPRM Rehabilitation Advisory Team Involvement
WHO-ISPRM (UEMS PRM S&B) Collaboration Plan
Collaboration project #2:
Fast Response Teams on strategies and plans of rehabilitation
and related services.
Collaboration project #3:
ICF based routine data collection in national health information
systems.
WHO-ISPRM (UEMS PRM S&B) Collaboration Plan
Collaboration project #2:
Fast Response Teams on strategies and plans of rehabilitation and
related services.
Objectives:
To carry out consultations with countries on request aiming at
strengthening rehab services and building capacity of the rehab
workforce:
to provide matrix and checklists to analyze existing Rehab
services as well to identify gaps in service provision;
to establish Rehab Services Advisory Teams of experts with
global and regional health systems understanding that can
provide guidance for governments
WHO-ISPRM (UEMS PRM S&B) Collaboration Plan
Collaboration project #3:
ICF based routine data collection in national health information
systems.
Objectives:
Development and implementation of a National models for the
use of ICF in routine clinical practice;
Development and implementation of a National Rehabilitation
Quality Management Programs
ISPRM Rehabilitation Advisory Team Involvement
Fast Response Rehab Service Advisory Team
visit to Ukraine
is expected for the
first decade of December 2015
1. Joining UEMS PRM Section and Board;
2. Establishing REHAB medical Specialties with EU
based professional competences;
3. PRE Legislation EDU and Organization Activities;
4. Education changes
5. Low for Rehabilitation in Ukraine
hard discussion
NO consensus/decision
Agreement reached
MDs
Name: MD “Physical and Rehabilitation Medicine”
Professional competences – according to White Book of Physical and
Rehabilitation Medicine (majority of MDs and academic staff unaware)
Edu (re-Edu) – the same Chairs as for Physiotherapy MDs
adequate clinical environment (subacute-acute low functioning
rehab)!!!
Working places – acute/subacute/continuous rehab settings – NA
team for chairing - NA
Establishing REHAB medical Specialties with EU based
professional competences
Medical but not MD
Name:
“Physical therapists” (WCPT) vs “Physical Rehabilitologists” (UA)
NO “Non MD” Therapists in UA!!
Professional competences –World Confederation of Physical Therapy based
Edu (re-Edu) – non Medical vs Medical high schools (bachelor-magister) ????
adequate clinical environment (subacute-acute low functioning rehab)!!!
Working places – current legislation (1 per 250 beds) ????, What to do with
existing and still educating persons???
team for joining - NA
Establishing REHAB medical Specialties with EU based
professional competences
Medical but not MD
Name:
“Ergo (occupation) therapists” (WCOT) vs “Labor therapists” (UA)
Professional competences – both medical & pedagogical based
Edu – both Pedagogical and Medical high schools (bachelor-magister) ????
adequate clinical environment (subacute-acute low functioning rehab)!!!
Working places – absents
team for joining - NA
Establishing REHAB medical Specialties with EU based
professional competences
Medical but not MD
Name:
“Prosthetic and Orthotic” (ISPO) vs “Technicians Prosthetists” (UA)
Professional competences – both medical & technical based
Edu – ??? (bachelor-magister) ????
adequate clinical environment (integrating subacute-acute rehab services)!!!
Working places
team for joining - NA
Establishing REHAB medical Specialties with EU based
professional competences
1. Joining UEMS PRM Section and Board;
2. Establishing REHAB medical Specialties with EU based
professional competences;
3. PRE Legislation EDU and Organization Activities;
4. Education changes
5. Low for Rehabilitation in Ukraine
hard discussion
NO consensus/decision
Agreement reached
Mapping Disability and Rehab information
Pilot centers detecting and local rehab team building;
Partners edu activities for pilot centers and teams in clinical setting
PRE Legislation EDU
and Organization Activities
Mapping Disability and Rehab information
PRE Legislation EDU
and Organization Activities
Analytical –
informational
reference book
Annually more
than 37 years
Mapping Disability and Rehab information
PRE Legislation EDU
and Organization Activities
Disability = Invalidity Status (after examination and revealing certain
level of…)
ONLY primary examination results (not re-examination)
ONLY for some specific groups of disorders
NOT come – NOT served (no general medical digitalized records)
0
500
1000
1500
2000
Инвалиды ІА группа ІБ группа ІІ группа ІІІ группа %
2148 16 58 132
897
1613
27 43
363
1180
2 5132014 2015
Total number: 2014 – 1116 persons
2015 (9 months) – 4126 persons
Servicemen examinations (primary)
PRE Legislation EDU
and Organization Activities
Mapping Disability and Rehab information
PRE Legislation EDU
and Organization Activities
Mapping Disability and Rehab information
PRE Legislation EDU
and Organization Activities
Про затвердження Інструкції щодо заповнення форми звітності №14 "Звіт
про причини інвалідності, показання до медичної, професійної і
соціальної реабілітації за 20___ рік": Наказ МОЗ №378 від 10.07.2007
2015,V. Stebliuk, МoD
Pilot centers detecting and local rehab team building
PRE Legislation EDU
and Organization Activities
Partners edu activities for pilot centers and teams in clinical setting
PRE Legislation EDU
and Organization Activities
1. Joining UEMS PRM Section and Board;
2. Establishing REHAB medical Specialties with EU based
professional competences;
3. PRE Legislation EDU and Organization Activities;
4. Education changes
5. Low for Rehabilitation in Ukraine
hard discussion
NO consensus/decision
Agreement reached
MDs PRM Edu (re-Edu):
medical High Schools; NO current programs (exp. EU PRM S&B);
the same Chairs as for Physiotherapy MDs
adequate clinical environment (subacute-acute low functioning rehab)!!!
Non MDs PT/OT/P&O Edu (re-Edu):
General Edu Standard need !!!
Non Medical vs Medical?
adequate clinical environment (aver WCPT 1200 hours per min 4
years)!!
Education Changes
1. Joining UEMS PRM Section and Board;
2. Establishing REHAB medical Specialties with EU based
professional competences;
3. PRE Legislation EDU and Organization Activities;
4. Education changes
5. Low for Rehabilitation in Ukraine
hard discussion
NO consensus/decision
Agreement reached
1. Process starting since Dec 2014 (Parliam. Committee for
Veterans & Invalids)
2. Process continuing since May 2015 (Parliam. Committee for
Health Care)
Non MDs specialties names (definitions from UA Vocabularies vs
Intl Bodies);
ICF NOT included;
Goal setting principles NOT included
Person-Invalid AND Person with Disabilities
Low for Rehabilitation in Ukraine
vs