Economic components of the morbidity and rehabilitation of the musculoskeletal system as factors of the organization of the system of physical therapy at the ambulatory stage

S. М. Fedorenko, M. S. Balazh, V. V. Vitomskyi, О.B. Lazarіeva, M. V. Vitomskа

Abstract


The aim:  to consider the economic consequences of morbidity and rehabilitation of the musculoskeletal system (MSS) among the able-bodied population to confirm the economic feasibility of using physical therapy and the development of its system in the country in order to reduce losses from MSS pathologies in Ukraine.

Material and methods: the data of 63 literature sources on the prevalence of MSS diseases among the working population, their economic consequences (payments for treatment, employers' losses), the role of rehabilitation, physical therapy in reducing financial costs, and the needs of the population in rehabilitation and physical therapy were analyzed.

Results. Occupational diseases of the MSS are characterized by long-term disability and a high incidence of disability. The effectiveness of rehabilitation, including economic, with injuries and diseases of the MSS was given great attention in the works of domestic and foreign authors. A significant amount of research has confirmed that the funds spent on the implementation of rehabilitation are reimbursed many times by reducing the periods of temporary and permanent loss of working capacity.

Conclusion. The economic feasibility of directing the funds for rehabilitation and physical therapy in pathologies of the MSS is reflected in the short duration of disability, the period of adaptation of patients to work, and the need for rehabilitation. Therefore, channeling funds into building a rehabilitation and physical therapy system in Ukraine is appropriate in the framework of medical reform and will have long-term positive economic consequences.


Keywords


prevalence; disability; orthopedic pathology; economic efficiency; efficiency, system; medical rehabilitation

Full Text:

PDF

References


Borovik EB, Lebedev IP, Semyonov BN. Organization of rehabilitation of the sick and disabled in foreign countries. Voprosy kurortologii, fizioterapii i lechebnoj fizkul'tury. 1989;1:68-72. (in Russian)

Donskov VV, O-ZHi-Ho EA, SHCHerbuk AYu. Possibilities of using innovative neurorehabilitation technologies in St. Petersburg. Mediko-biol. i social'no-psihol. problemy bezopasnosti v chrezvychajnyh situaciyah. 2010;2:28-31. (in Russian)

Connelly LB, Woolf A, Brooks P. Cost-Effectiveness of Interventions for Musculoskeletal Conditions Disease Control Priorities in Developing Countries. A copublication of The World Bank and Oxford University Press. 2006;51:963-81.

Annual report on the state of health of the population, the sanitary-epidemic situation and the results of the health care system of Ukraine. 2016 year. Ministry of Health of Ukraine. MOZ Ukrainy. Kiev: DU «UISD MOZ Ukrainy»;2017. 516 р. (in Ukrainian)

Andriichuk OYa, Hryhus IM. Analysis of the morbidity and prevalence of diseases of the bone and muscular system in Ukraine and the Volyn region. Problemy fizychnoho vykhovannia i sportu. 2010;4:3-7. (in Ukrainian)

Іpatov AV, Moroz OM, Holyk VA. Basic indicators of disability and activities of medical and social expert commissions of Ukraine for 2015: An analytical and informational directory. Dnipropetrovsk: Aktsent PP;2016. 162 p. (in Ukrainian)

Bambra C. Health inequalities, work, and welfare. The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society; 2014. 989-992 p.

Ellis B, Silman A. Epidemiology: Measurement matters [mdash] making musculoskeletal disease count. Nature Reviews Rheumatology. 2014;10 (8):449-450.

Fartushna OYe, Basanets AV. Occupational diseases of the musculoskeletal system: economic aspects and risk factors. Mizhnarodnyi nevrolohichnyi zhurnal. 2014;8(70):123-128. (in Ukrainian)

Gerr F, Fethke NB, Anton D, Merlino L, Rosecrance J, Marcus M, Jones MP. A prospective study of musculoskeletal outcomes among manufacturing workers: II. Effects of psychosocial stress and work organization factors.Human factors. 2014;56(1):178-190.

Fartushna OYe, Basanets AV. Prevention of occupational diseases of the musculoskeletal system: a modern look. Medytsyna transportu Ukrainy. 2014;4:81-85. (in Ukrainian)

Bhattacharya A. Costs of occupational musculoskeletal disorders (MSDs) in the United States. International Journal of Industrial Ergonomics. 2014;44 (3):448-54.

Ellis B, Silman A. Epidemiology: Measurement matters [mdash] making musculoskeletal disease count. Nature Reviews Rheumatology. 2014;10 (8):449-50.

Badley EM, Ibanez D. Socioeconomic risk factors and musculoskeletal disability. The Journal of rheumatology. 1994;21(3):515-22.

Lawrence RC, Felson DT, Helmick CG. Estimates of the prevalence ofarthritis and otherrheumatic conditionsin the United States. Part II. Arth. Rheum. 2008;58:26-35.

White AG, Birnbaum HG, Janagap C. Direct and indirect costs of pain therapy for osteoarthritis in an insured population in the United States. J Occup Environ Med. 2008;50:998-1005.

Ringdahl E, Pandit S. Treatment of knee osteoarthritis. Am Fam Physician. 2011;83:1287–92.

Ramdas J, Vasantha J. Prevalence and risk factors of low back pain. International Journal of Advances in Medicine. 2018;5(5):1120-3.

Bozhenko NL. Back pain: some aspects of diagnosis and treatment. Liky Ukrainy. 2015;4(190):58-65. (in Ukrainian)

Lazareva EB. Physical rehabilitation in the surgical treatment of vertebral lumbosacral syndromes: monograph. Kiev: Ekspress; 2012. 327 p. (in Russian)

Deshevyi Ye, Balazh M. Efficiency of the complex program of physical rehabilitation of persons with dorsalgia in the thoracic spine. Molodizhnyi naukovyi visnyk Skhidnoievropeiskoho natsionalnoho universytetu imeni Lesi Ukrainky. 2017;29:126-31. (in Ukrainian)

Kozhevnikova SA, Budnevskij AV. Clinical efficacy of a comprehensive rehabilitation program in patients with chronic obstructive pulmonary disease and hypertension. Sistema analiza i upravleniya v biomedicinskih sistemah. 2011;1 (10):202-7. (in Russian)

Kulikov AG, Ardatskaya MD, Sarapulova NYu. The effectiveness of early rehabilitation treatment of patients undergoing cholecystectomy. Eksperimental'naya i klinicheskaya gastroenterologiya. 2010;9:97-102. (in Russian)

Val'chuk EV. Stage of the organization of medical rehabilitation in the hospital, problems and prospects. Zdravoohranenie Belarussii. 1992;11:42-4. (in Russian)

Val'chuk EA. Scientific substantiation and development of a medical rehabilitation system (on the example of rural areas of the Republic of Belarus): author's abstract dis. Moskva;1993. 48 p. (in Russian)

Grando AA, Dmitrieva ZD. Rehabilitation of patients in outpatient settings. Sovetskoe zdravoohranenie. 1980;6:17-22. (in Russian)

Shchepetova O.N. (1991). The concept and prospects of creating a rehabilitation service. Sovetskaya medicina, 2, 48-50. (in Russian)

Shcherbakov MV. Organizational and medico-economic aspects of the activities of the recreational treatment in the refining of stationary care. SPb.; 2000. 21 p. (in Russian)

Danilova NV. Completion of the organization of the rehabilitation of the working environment and rehabilitation of the working population. Zdravoohranenie Roc. Federacii. 2009;4:23-7. (in Russian)

Hodarev SV. Modern approaches and principles of organization of the center for restorative medicine and rehabilitation at the regional level: avtoref. dis. Moskva;2005. 47 p. (in Russian)

Luk'yanova NN. Nauchnoe obosnovanie organizacionnogo obespecheniya vosstanovitel'nogo lecheniya v lechebno-profilakticheskih uchrezhdeniyah krupnogo goroda: avtoref. dis. Moskva;2006. 23 p. (in Russian)

Pieber K, Herceg M, Quittan M, Csapo R, Muller R, Wiesinger GF. Long-term effects of an outpatient rehabilitation program in patients with chronic recurrent low back pain. Eur Spine J. 2014;23:779-85.

Coulter CL, Scarvell JM, Neeman TM, Smith PN. Physiotherapist-directed rehabilitation exercises in the outpatient or home setting improve strength, gait speed and cadence after elective total hip replacement: a systematic review. Journal of Physiotherapy. 2013;59:219-26.

Developing an Outpatient Rehabilitation Model of Care for Patients Post-Hip Fracture. Summary Report. 2014. 25 p. [updated 2019 June 15; cited 2019 June 15]. Available from: http://www.gtarehabnetwork.ca/uploads/File/reports/Developing_an_Outpatient_Rehab_Model_of_Care_-_Hip_Fracture_Report__June_2014_FINAL.pdf

Auais MA, Eilayyan O, Mayo NE. Extended exercise rehabilitation after hip fracture improves patients' physical function: a systematic review and meta-analysis. Physical therapy. 2012;92(11):1437-51.

Binder EF, Brown M, Sinacore DR, Steger-May K, Yarasheski KE, Schechtman KB. Effects of extended outpatient rehabilitation after hip fracture: a randomized controlled trial. Jama. 2004;292(7):837-46.

Sylliaas H, Brovold T, Wyller TB, Bergland A. Prolonged strength training in older patients after hip fracture: a randomised controlled trial. Age and ageing. 2011;41(2):206-12.

Hauer K, Specht N, Schuler M, Bärtsch P, Oster P. Intensive physical training in geriatric patients after severe falls and hip surgery. Age and ageing. 2002;31(1):49-57.

Carmeli E, Sheklow SL, Coleman R. A comparative study of organized class-based exercise programs versus individual home-based exercise programs for elderly patients following hip surgery. Disability and Rehabilitation. 2006;28(16):997-1005.

Singh NA, Quine S, Clemson LM, Williams EJ, Williamson DA, Stavrinos TM, Singh MAF. Effects of high-intensity progressive resistance training and targeted multidisciplinary treatment of frailty on mortality and nursing home admissions after hip fracture: a randomized controlled trial. Journal of the American Medical Directors Association. 2012;13(1):24-30.

Pahomova NP, Troickij VG, Pogorel'ckij II, Kuchulin AV. The economic efficiency of the rehabilitation of persons with disabilities with injuries of the locomotor apparatus. Cov. medicina. 1988;9:67-9. (in Russian)

Krauth C, Bartling T. Is rehabilitation worth it? : Review of economic evaluations of rehabilitation in Germany. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2017;60(4):394-401.

Kennedy N, Stokes E, O'Shea E, Brendan Murphy T, Bresnihan B, FitzGerald O. Inpatient and outpatient rehabilitation for patients with rheumatoid arthritis: a clinical and economic assessment. Journal of Medical Economics. 2007;10(4):515-28.

Zeidler J, Mittendorf T, Vahldiek G, Zeidler S. Comparative cost analysis of outpatient and inpatient rehabilitation for musculoskeletal diseases in Germany. Merkesdal Rheumatology. 2008;47(10):1527-34.

Sakalauskienė G, Obelienius V, Pilvinienė R, Jauniškienė D. Evaluation of daily outpatient multidisciplinary rehabilitative treatment of patients with musculoskeletal, neurological and traumatic disorders in a municipality outpatient setting. Medicina. 2016;52(1):61-8.

Abdrahmanova SM. The use of therapeutic mud in combination with low-frequency magnetic therapy in patients with cervical dorsopathy at the outpatient rehabilitation phase: avtoref. dis. Moskva; 2008. 22 p. (in Russian)

Korzh NA, YAremenko DA, SHevchenko EG. Modern problems and prospects for the development of the organization of medical rehabilitation of patients with injuries and diseases of the musculoskeletal system. Ortopediya, travmatologiya i protezirovanie. 2011;4:86-9. (in Russian)

Schein RM, Holin MB, Pramuko M, Saptono A, Brienza DM, Schmeler MR. Telerehabilitation assessment using the functioning Everyday with a Wheelchair-Capacity instrument. J. Rehabil. Res. and Dev. 2011;48(2):115-24.

Marin TJ, Van Eerd D, Irvin E, Couban R, Koes BW, Malmivaara A, van Tulder MW, Kamper SJ. Multidisciplinary biopsychosocial rehabilitation for subacute low back pain (Review). Cochrane Database of Systematic Reviews. 2017;6. CD002193.

Kamper SJ, Apeldoorn AT, Chiarotto A, Smeets RJ, Ostelo RW, Guzman J, van Tulder MW. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain. Cochrane Database of Systematic Reviews. 2014;9.

Khan F, Ng L, Gonzalez S, Hale T, Turner-Stokes L. Multidisciplinary rehabilitation programmes following joint replacement at the hip and knee in chronic arthropathy. Cochrane Database Syst Rev. 2008;16(2). CD004957.

Frassanito L, Vergari A, Nestorini R, Cerulli G, Placella G, Pace V, Rossi M. Enhanced recovery after surgery (ERAS) in hip and knee replacement surgery: description of a multidisciplinary program to improve management of the patients undergoing major orthopedic surgery. Musculoskelet Surg. 2019:1-6. doi: 10.1007/s12306-019-00603-4.

Baziyan GV, Novgorodcev GG. Possibilities of modeling the territorial characteristics of the level and structure of the incidence and need of the population in medical care. Sovetskoe zdravoohranenie. 1989;4:14-8. (in Russian)

SHestakova NA, Bogdanov EA. Organization, regulation and planning of labor in the department of rehabilitation treatment of polyclinic № 51 of Leningrad. Organizaciya, normirovanie i planirovanie truda v uchrezhdeniyah i otdeleniyah vosstanovitel'nogo lecheniya i dolechivaniya. Moskva. 1981:135-53. (in Russian)

Arhangel'skaya AA. Generalization of experience in the design and operation of departments and hospitals of follow-up care and rehabilitation, identifying the needs of multi-disciplinary hospitals in beds for follow-up care and rehabilitation treatment: abstract. Proektirovanie i issledovanie zhilyh i obshchestvennyh zdanij v Moskve. Moskva, GOSINTI. 1972:19-22. (in Russian)

Pavlov VP. Organizational principles of surgical rehabilitation of patients with rheumatism, arthritis. Sovetskij medicina. 1979;3:86-9. (in Russian)

Rogovoj MA, Korzhinskij LA, Najshtut GM. Organizational and methodological issues of treating therapeutic patients in the department (hospital) for follow-up care. In: Tezisy 18-go Vsesoyuznogo s"ezda terapevtov;1981. Part 2. Moskva;1981. 531-32. (in Russian)

SHimkevich RL, Sverkunova NP, Kryzhkov VD. On the work of the convalescent department in a multidisciplinary hospital. Zdravoohranenie Belorussii. 1978;4:41-3. (in Russian)

Minyaev VA, Polyakov IV, Afonina EV. Organization of community-based rehabilitation treatment in a large city. Sovetskoe zdravoohranenie. 1984;5:15-9. (in Russian)

Belova AN, Radau YuV. The need for outpatient rehabilitation of patients with a neurological profile. Zdravoohranenie Rossijskoj Federacii. 1993;1:15-7. (in Russian)

Novikov AV. Determination of the need for medical rehabilitation of patients with hand pathology. Zdravoohranenie Rossijskoj Federacii. 1998;6:28-30. (in Russian)

Novikov AV. Pokazateli potrebnosti i mediko-social'noj znachimosti reabilitacii bol'nyh ortopedo-travmatologicheskogo profilya. Travmatologiya i ortopediya Rossii. 1998;3:77-80. (in Russian)

Renker K. Sovremennaya reabilitaciya detej i vzroslyh. Zdravoohranenie, mezhdunarodnyj zhurnal, Buharest. 1979;1:47-56. (in Russian)




DOI: http://dx.doi.org/10.34142/HSR.2020.06.01.07

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM

Refbacks

  • There are currently no refbacks.


Copyright (c) 2020 Health, sport, rehabilitation

License Creative Commons BY