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 ???????
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• THE INTEGRATING ROLE OF RESTORATIVE AND RESORT
  MEDICINE IN THE PROGRESS OF MEDICAL SCIENCE AND
  PRACTICAL HEALTHCARE
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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).

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.
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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.
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18
For the progress of resort medicine in future it
is necessary to improve the methods of medical
resorts therapy.
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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.

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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.
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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.

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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.
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20072011?.?. ?????????????? ? ?????? ?
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(20072012?.?.) ???????? ??????? ??? ??
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?????????? ????????? ?? 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.
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?? 2007-2011??. ? ???????? ???? ??????????
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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.
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?????????? ???? ? ?????????? ????????? ?? 2007
2011 ??. ??? ???????????????? ??????? ??????
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???????.
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.
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20072011?.?. ?????????????? ? ?????? ?
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(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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