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Title:

THE INTEGRATING ROLE OF RESTORATIVE AND RESORT MEDICINE IN THE PROGRESS OF MEDICAL SCIENCE AND PRACTICAL HEALTHCARE

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Title: THE INTEGRATING ROLE OF RESTORATIVE AND RESORT MEDICINE IN THE PROGRESS OF MEDICAL SCIENCE AND PRACTICAL HEALTHCARE


1
The main expert of the restorative and resort
medicine of the Russian public healths and
social developments ministry, Honored Worker of
science of the Russian Federation, The
academician of the Russian Academy of Medical
Sciences, The director of the Russian Scientific
Centre for Restorative and Resort
Medicine Alexander RAZUMOV ???????
??????????-??????? ?? ????????????????? ????????
? ???????????? ??????????????????? ??????,
??????????? ??????? ????? ??, ???????? ??? ???
????????????????? ???????? ? ????????????
?????????, ???????? ????, ????????? ?????????
?????????? ???????
  • THE INTEGRATING ROLE OF RESTORATIVE AND RESORT
    MEDICINE IN THE PROGRESS OF MEDICAL SCIENCE AND
    PRACTICAL HEALTHCARE
  • ?????????????
  • ???? ????????????????? ???????? ? ???????????? ?
    ???????? ??????????? ????? ? ?????????????
    ???????????????

2
The intensification of the prophylactic direction
of medicine by upgrading of the system of
restorative and resort medicine has become an
important stage of reformation of public
healthcare, improvement of demographic situation
in the country and growth of nations health
potential (Address of V. V. Putin, President of
Russia to the Federal Assembly).
  • ?????? ?????? ?????????????? ??????????????? ?
    ????????? ??????????????? ???????? ? ??????,
    ??????????? ?????????? ???????? ????? ?
    ???????????? ? ????????? ?????????? ??????
    ?. ?. ?????? ???????????? ????????, ????????
    ???????? ???????????????? ?????????????? ????????
    ????? ????????????????? ??????? ?????????????????
    ???????? ? ????????????.

3
  • The need of formation of restorative medicine as
    an independent prophylactic direction in Russia
    has come up on the background of low level of
    population health and a demographic crisis
    combined with the progressing lack of funds for
    providing the needful scope and high quality of
    medical assistance to a big flow of ill and
    disabled persons. Absence of realization of
    prophylactic medicine priority in the past has
    played its negative role, concentration of the
    existing economic, social, medical institutions
    of healthcare control on treatment of ill and
    rehabilitation of disabled persons to the
    detriment of prevention of the diseases among
    still healthy people as well as absence of
    uniform structure of health rendering,
    prophylactic medical organizations and the system
    of education of the specialists in this sphere.

???????? ????? ??????????? ? ????????????
???????????????? ????????????????? ??????????? ?
???? ????????????????? ???????? ???????????? ?
?????? ?? ???? ?????????? ??????? ??????
????????? ?????????????? ???????? ? ????????? ?
????? ? ??????????? ??????????????? ????????,
?????? ? ??????????????? ????????? ??? ? ???????
??? ??????????? ???????????? ?????? ? ????????
??????????? ?????? ??? ????? ????????????? ??????
??????? ????? ? ?????????. ???????????? ????????
??? ???? ????? ????? ???????, ???
????????????????? ??????????????? ?????
??????????? ???????????????? ????????
?????????????? ???????????? ????????,
?????????????, ??????????, ??????????? ??????????
?????????? ????????? ?? ??????? ??????? ?
???????????? ?????????, ?? ?? ?? ??????????????
??????? ?????????? ??????? ??????????????
??????????????? ? ???????????????? ???????????
???????????, ??????? ?????????? ???????????????
????????????.
4
  • We face the necessity of the building a system of
    prophylactic by implementation of highly
    effective medical and economic testing
    technologies and medicament-free methods to
    increase the functional reserves of the human
    organism weakened by ill-factors of todays
    environment and hard working conditions, or as a
    result of a disease and during a convalescence
    period. We have created a new direction, we are
    working out also a system of health rendering and
    rehabilitation assistance to the people which
    includes the various forms beginning from a self
    healthcare practices to a special medical
    rehabilitation. A unique place in the above
    system belongs to medical resorts which are
    specialized on rendering healthcare and
    rehabilitation services based on natural curative
    factors.

??????????? ??????????? ? ???????? ???????
???????????? ????? ????????? ????????????????? ?
??????????? ? ????????????? ????? ??????
?????????? ???????????? ? ?????????????????
??????? ????????? ?????????????? ????????
????????? ? ???, ??????????? ? ??????????
??????????? ??????????????? ???????? ????? ?
???????????? ??? ? ?????????? ???????, ?? ?????
?????????????, ???? ????????. ???? ???? ?
???????????? ????? ?????? ??????????? ???????
??????????????-???????????????? ?????? ?????????,
??????????? ????????????? ???? ? ????? ??
???????????????? ?? ??????????????????
??????????? ????????????. ?????? ????? ? ????
??????? ???????? ?????????-????????? ???????????,
?????????? ??????? ???????? ????????
??????????????-???????????????? ????? ?? ??????
????????????????? ?????????? ????????? ????????
????????.
5
  • The sanatorium system of Russia is regional and
    is presented by resorts Krasnodar, Stavropol
    Territory, Republic Bashkortostan, the Caucasian
    mineral waters, a resort zone of Northwest, Urals
    Mountains, Siberia, the Far East and Kamchatka.

?????????-????????? ??????? ?????? ????????
???????????? ? ???????????? ?????????
??????????????, ??????????????? ????, ??????????
????????????, ?????????? ??????????? ???,
????????? ????? ??????-??????, ?????, ??????,
???????? ??????? ? ????????.
6
  • For a long time the resort medicine and
    physiotherapy have been studying the positive
    action of various physical and climatic factors
    on the human organism which preserve and recover
    health as well as cure certain diseases.

???????????? ? ???????????? ?? ??????????
??????????? ??????? ?????????????, ????????? ?
??????? ??????????? ????????????? ?????????
?????????? ? ????????????? ???????? ???
???????????, ?????????????? ???????? ? ???????
???? ??????????? ????????.
7
  • The big research work proving the extremely high
    prophylactic and economic efficacy of health
    rendering and rehabilitation aid has helped
    substantially to intensify the development of
    resorts, restorative and health centers within
    the framework of Wellness industry. This is a new
    landmark in the civilized approach to
    understanding of the human health in general and
    a step further towards creating a scientific
    fundament for utilization of various natural and
    physical factors helpful to protection of mans
    health and improvement of his well-being.

?????????????? ????????????, ???????????? ?????
??????? ???????????????? ? ?????????????
????????????? ??????????????-????????????????
??????, ?????????????? ?????? ????????????
???????? ???????? ?????????, ????????????????? ?
??????????????? ??????? ? ???? Wellness ?????????
???????? ????? ?????? ? ?????????????? ??????? ?
????????? ???????? ???????? ? ????????? ????? ?
??????? ??????????? ????????????? ??????????????
????????? ? ???????????????? ?????????? ????????,
?????????????? ?????????? ???????? ???????? ?
????????? ??? ????????????.
8
  • However up to this moment there is no any uniform
    system of legal and technologies basis,
    requirements for the equipment, personnel
    structure and educational programmers for the
    specialists. At the same time we have a
    successful experience of running health and
    rehabilitation centers both in Russia and other
    countries. This proves the necessity of
    integration of the streams of healthy persons who
    need a qualified restoration of functional
    reserves using the technologies of restorative
    medicine and ill persons for whom a course of
    medical rehabilitation has been recommended.

?????? ?????? ??????????-???????? ??????, ????
?????? ? ??????????, ?????????? ? ?????????,
??????????????-??????? ?????????, ?????????
?????????? ??????????????? ???????????? ??
?????????? ??????? ??? ? ?? ???? ????????????.
????? ???, ???????? ???? ????????
??????????????-???????????????? ???????, ??? ?
??????, ??? ? ?? ???????, ??? ????? ?????????
????????? ??????????? ???????????????? ?
?????????? ??????? ???????? ??? ???????????
???????? ???, ??????????? ? ?????????????????
?????????????? ?????????????? ???????? ?
??????????? ?????????? ????????????????? ????????
(??????????? ????????????), ? ???????, ???????
??????? ???? ??????????? ????????????.
9
  • Restorative medicine is the system of scientific
    knowledge and practical steps, aimed at the
    restoration of the functional reserves and
    adaptive human capabilities weakened by the
    ill-factors of todays environment and bad
    working conditions or as a result of a disease.
    It uses preferably medicament-free rehabilitation
    technologies.

? ????????? ????? ??? ????????????????? ?????????
?????????? ??????? ?????? ? ????????????
????????????, ???????????????? ?? ??????????????
?????????????? ???????? ? ?????????? ????????????
????????, ????????? ? ???????? ????????????????
??????????? ???????? ????? ? ???????????? ??? ?
?????????? ???????, ????? ??????????
??????????????? ?????????????????
??????????????-???????????????? ??????????.
10
  • Restorative medicine is a new prophylactic
    direction in science and healthcare. Its aimed
    at the creation of the system which will
    guarantee the progress of formation, protection
    and restoration of the functional reserves of
    organism, realization of ones health potential
    in business, social and personal life of full
    value, impeding gerontological changes, premature
    mortality, sick and disablement rates, increase
    of average life-span and improvement of
    demographic situation in the country.

????? ????????????????? ???????? ??? ??????
????????????????? ??????????? ? ????? ? ????????
??????????????? ???????? ???????? ???????,
?????????????? ???????? ????????????, ?????????
?????????? ? ?????????????? ??????????????
???????? ????????? ????????, ??????????
?????????? ???????? ??? ????????? ???????????
????????????????, ?????????? ? ?????? ?????,
???????? ?????? ????????, ???????????????
??????????, ??????????????, ?????????????
?????????, ?????????? ??????? ????????????????? ?
???????? ?????, ????????? ???????????????
???????? ? ??????.
11
The main objectives of restorative medicine are
  • Working out of the theory and organizational and
    systematic principles, oriented on the formation
    of protection of health of a healthy person,
    diseases prophylactic and medical rehabilitation.
  • Working out and implementation into healthcare
    practice of sophisticated methods of human
    functional reserves evaluation. Development of
    health rendering programmers and evaluation of
    their effectiveness.
  • ???????? ?????? ????????????????? ????????
  • ?????????? ?????? ? ??????????????-????????????
    ?????????, ??????? ????????????? ?? ????????????
    ??????? ?????? ???????? ????????? ????????,
    ???????????? ??????????? ? ?? ???????????
    ????????????
  • ?????????? ? ????????? ? ????????
    ??????????????? ??????????? ??????? ??????
    ?????????????? ???????? ????????. ??????????
    ?????????????? ??????????????-????????????????
    ???????? ? ??????? ?? ?????????????

12
The main objectives of restorative medicine are
  • Analysis of individual, collective and
    population indexes of health reserves of the
    people. Determination of the normal range,
    development of the optimal methods,
    implementation of information technologies of
    restorative medicine in public healthcare
    practice.
  • Working out of new promising and increasing the
    scope of the existing health rendering and
    rehabilitation measures with medicament-free
    techniques.
  • ???????? ?????? ????????????????? ????????
  • ?????? ??????????????, ??????????????? ?
    ????????????? ??????????? ???????? ???????? ?
    ????????? ? ????? ???????????? ????????? ?????
    ???????????? ??????????? ???? ? ??????? ?????????
    ?????????? ????????????????? ???????? ? ????????
    ???????????????
  • ?????????? ????????????? ? ?????????? ??????
    ?????????? ???????????? ??????????????-???????????
    ????? ??????????? ? ?????????????? ????? ????????
    ????????????????? ???????

13
The main objectives of restorative medicine are
  • Control and restoration of the human functional
    reserves during working activities. Development
    and protection of the working potential of the
    country, realization by a person of his creative
    capabilities, maintaining of the professional
    health and longevity.
  • Forming of good habits of keeping ones needful
    health reserves among the citizens.
    Implementation of health protection technologies
    aimed at strengthening of biological and
    spiritual components of human health, increasing
    the cultural level of individual and social
    healthcare.
  • ???????? ?????? ????????????????? ????????
  • ???????? ? ?????????????? ??????????????
    ???????? ???????? ? ???????? ????????????,
    ???????? ? ?????????? ????????? ??????????
    ??????, ?????????? ????????? ????? ??????????
    ????????????, ???????????? ? ??????????
    ????????????????? ???????? ? ??????????
  • ???????? ????????? ??????????? ? ???????
    ??????????? ??????????? ???????? ???????? ?
    ?????????? ???????? ??????????? ?????????? ?
    ????? ?????????? ???????? ????????????? ?
    ???????? ???????????? ????????, ????????? ??????
    ?????????????? ? ???????????? ???????? ????????

14
The main objectives of restorative medicine are
  • Improvement of the quality of life of
    chronic-invalids and disabled persons.
  • Forming and realization of the government policy
    in the sphere of medical resorts.
  • Scientific foundation of restorative medicine
    infrastructure including the questions of
    control, personnel, equipment, certification of
    the involved medical services, specialists
    education.
  • ???????? ?????? ????????????????? ????????
  • ????????? ???????? ????? ?????????? ??????? ?
    ?????????
  • ???????????? ? ?????????? ???????????????
    ???????? ? ????? ?????????? ????
  • ?????????? ?????? ???????????? ??????????????
    ?????? ????????????????? ????????, ???????
    ??????? ??????????, ??????????????-???????
    ?????????, ?????????, ?????????????? ?
    ???????????? ??????????? ? ????????? ?????,
    ?????????? ? ?????????? ??????

15
The main objectives of restorative medicine are
  • Providing of interaction with the other
    healthcare institutions.
  • International cooperation, including the WHO
    Centre for Global strategy of human health
    protection.
  • ???????? ?????? ????????????????? ????????
  • ??????????? ??????????????? ? ??????? ????????
    ??????? ??????????????? ? ????? ?????????
    ???????? ??????????? ?????? ?????????
  • ????????????? ??????????????, ? ??? ????? ?????
    ?????????????? ????? ??? ?? ????????? ??????????
    ????????? ?????????? ???????? ????????.

16
The strategically important scientific directions
concerning restorative medicine were determined
by the Presidium of the Russian Academy of
Medical Sciences on October 22, 2003. - In the
field of individual passport certificate of human
health reserves. Implementation of modern
technologies to evaluate human organisms
reaction to stress factors.
????????????? ?????? ??????????? ????? ??
????????? ????????????????? ???????? ????????
?????????? ???? ??22 ??????? 2003 ?. ??????????
????????? - ? ??????? ???????? ???????????????
???????? ???????? ???????? ???????? ??????????
???????? ? ?????????????? ??????????? ??????????
?????? ??????-???????????????? ?????????.
17
- In the field of development of corrective
technologies of restorative medicine. Development
of complex individual prophylactic programmers of
human organism adaptation. - In the field of
monitoring of the state of population health
reserves and control over effectiveness of
prophylactic programmers. Inclusion the
evaluation of functional reserves section into
the system of socio-hygienic monitoring.
- ? ??????? ?????????? ????????????? ??????????
????????????????? ???????? ??????????? ?
?????????? ??????????? ??????????????
???????????????? ???????? ?????????????
????????. - ? ??????? ??????????? ??????????? ??
?????????? ???????? ???????? ? ????????? ?
???????? ????????????? ???????????????? ????????
????????? ? ??????? ?????????-??????????????
??????????? ??????? ?????? ??????????????
????????.
18
For the progress of resort medicine in future it
is necessary to improve the methods of medical
resorts therapy.
?????????? ???????? ??????????? ????????????
????? ?????????? ????? ???????? ???????
????????????????? ????????????? ??????? ?????????
??????? ??? ????????? ?????? ???????? ?????????,
??????? ? ???????????? ?????????.
19
  • The keys to achieve this goal
  • Analysis of medico-biological and
    socio-ecological problems of the formation of the
    system of protection and restoration of human
    health including medical resorts factors.
  • Development of new technologies using medical
    resorts factors on the basis of fundamental
    science achievements. Implementation of complex
    and automated methods of evolution and correction
    of health reserves.
  • ???? ??????? ???? ??????
  • ?????? ??????-????????????? ? ???????-??????????
    ??????? ???????????? ??????? ????????? ??????????
    ? ?????????????? ???????? ???????? ? ???????????
    ????????? ????????.
  • ?????????? ????? ?????????? ?????????? ?????????
    ???????? ? ?????? ?????????? ???????????????
    ????? ?? ???? ??????????? ? ??????????????????
    ??????? ?????? ? ????????? ???????? ????????.

20
- Development of individual programs of medical
resorts assistance. - Development of short term
courses of medical resorts health rendering and
rehabilitation, recommendation for their use in
practical work. - Development of protocols of
patients stay in medical resorts on the basis of
complex of implementation of natural resorts
factors and needful medicament treatment.
- ?????????? ??????????? ??????? ????????????
?????????????? ???????? ?????????-?????????
??????. - ?????????? ??????????? ??????
?????????-?????????? ???????????? ? ????????????,
?????????. - ?????????? ?????????? ???????
????????? ? ?????????-????????? ???????????? ??
?????? ???????????? ?????????? ????????? ?
???????????????? ????????? ????????, ? ?????
???????????? ???????????????? ???????.
21
  • Development of resource saving and sophisticated
    proper technologies of resort medicine.
  • Scientific foundation of effectiveness of the
    curative and preventive measures provided at the
    medical resort.
  • ???????? ?????????????????? ? ???????????????????
    ????????????? ?????????? ????????? ????????.
  • ?????????? ?????? ???????????? ?????????
    ????????????? ???????-????????????????
    ????????????????? ??????????? ?? ???????.

22
There are projects of several complex programs
for the development of the system of restorative
and resort medicine. Program Development of
resort medicine in the Russian Federation for
20072011 years. Program Prevention of fight
against the diseases of social character for
20072012 years. Development of the system of
actions to lower the risks for public health and
formation of health way of life of the citizens
of the Russian Federation for 20072010
years. The children of Russia for 20072010.
?????????? ???????? ??????? ?????????????????
???????? ? ???????????? ????????????? ?????????
???? ??????????? ??????? ???????? ????????
?????????? ???? ? ?????????? ????????? ??
20072011?.?. ?????????????? ? ?????? ?
????????????? ??????????? ?????????
(20072012?.?.) ???????? ??????? ??? ??
???????? ?????? ??? ???????? ????????? ?
???????????? ????????? ?????? ????? ? ???????
?????????? ????????? ?? 20072010?.?. ????
?????? ?? 20072010?.?.
23
There is also the Project of the Federal Program
Conception Development of resort medicine in the
Russian Federation for 20072011. The main goal
of this program is - Standardization and
increase of the scope of resort facilities,
improvement of the medical and economical
efficiency of resorts medical care and health
rendering with implementation of modern
technologies of restorative medicine. This
program is based on a new approach oriented not
only on the treatment of sick people but on the
protection of health of a healthy man also as
well as on primary and secondary preventive
measures.
?????? ????????? ??????????? ??????? ?????????
???????? ?????????? ???? ? ?????????? ?????????
?? 2007-2011??. ? ???????? ???? ??????????
???????? ?????????? ???? ? ??????,
????????????????? ?????????????? ? ??????????
??????? ???????? ?????????-????????? ??????,
????????? ??????????? ? ?????????????
????????????? ?????????-?????????? ??????? ?
???????????? ????????? ?? ?????? ?????????
??????????? ?????????? ?????????????????
????????. ??? ????????? ???????? ?? ?????????????
????? ?????????????? ???????, ??????????????? ??
?????? ? ?? ??????? ?? ??????? ???????, ???????
?? ???????????? ? ?????????? ????????.
24
Developed the Federal target program "Development
of resort business in the Russian Federation" on
2007 - 2011 at direct participation FEMTEC can be
used All-russia scientific research center for
restorative and resort medicine balneology in
interests of other countries members FEMTEC.
Cooperation of organizers of resort business, to
scientists and experts within the limits of
FEMTEC promotes development and strengthening of
resort business at national and international
levels.
????????????? ?????????? ??????? ???????
????????????????? ???????? ? ????????????
??????????? ??????? ????????? ????????
?????????? ???? ? ?????????? ????????? ?? 2007
2011 ??. ??? ???????????????? ??????? ??????
????? ???? ???????????? ? ????????? ?????? ?????
?????? ??????. ?????????????? ?????????????
?????????? ????, ?????? ? ????????? ? ??????
?????? ???????????? ???????? ? ??????????
?????????? ???? ?? ???????????? ? ?????????????
???????.
25
There are projects of several complex programs
for the development of the system of restorative
and resort medicine. Program Development of
resort medicine in the Russian Federation for
20072011 years. Program Prevention of fight
against the diseases of social character for
20072012 years. Development of the system of
actions to lower the risks for public health and
formation of health way of life of the citizens
of the Russian Federation for 20072010
years. The children of Russia for 20072010.
?????????? ???????? ??????? ?????????????????
???????? ? ???????????? ????????????? ?????????
???? ??????????? ??????? ???????? ????????
?????????? ???? ? ?????????? ????????? ??
20072011?.?. ?????????????? ? ?????? ?
????????????? ??????????? ?????????
(20072012?.?.) ???????? ??????? ??? ??
???????? ?????? ??? ???????? ????????? ?
???????????? ????????? ?????? ????? ? ???????
?????????? ????????? ?? 20072010?.?. ????
?????? ?? 20072010?.?.
26
The final adoption of all components of the
development of restorative and resorts medicine
as a new direction of practical public health
care will become an important step towards
formation in Russia of a completely system of
control over dynamic of public health. The
construction of such preventive measures needs
active support from all Government and social
institutions of the country. And this system may
prove to be a basis for the development of our
national system of healthcare.
????? ???????, ? ?????????? ???? ??????? ????????
?????? ??????????? ????????????? ???????????????
? ???? ????????????????? ???????? ? ????????????
????? ??????, ?? ??? ??????, ?????? ??? ?
???????? ? ?????? ????????????? ????? ???????
?????????? ????????? ???????? ?????????.
??????????? ?? ????????????????? ????????, ??????
??????? ????????? ????????? ???? ???????????????,
???????????? ?????????? ?????? ? ????? ????????
??? ???? ???????? ????? ???????? ??? ????????
????????????? ??????? ???????????????.
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