Rehabilitation of disabled people in Russia
Main article: Medical rehabilitation in Russia
2024
In Russia, recipients of grants among developers of medical rehabilitation funds have been selected. They will be given 7 million rubles each
In early August 2024, Skolkovo"" hosted the final of the Innovation in ReHabilitation accelerator to select new technological solutions to restore and improve the quality of life of people with disabilities. Six winning projects have been identified that can qualify for a special grant of 7 million. rubles More. here
Mandatory digital marking of equipment for disabled people is launched in Russia
From September 1, 2024, mandatory digital labeling is introduced in Russia for five types of technical means of rehabilitation (TSR) of disabled people, and from March 1, 2025 - for medical gloves. The corresponding order was approved by the Russian government on July 4, 2024.
The list of TCPs subject to mandatory labeling includes crutches, support and tactile canes, orthoses and functional nodes of prostheses, anti-bedside pillows and mattresses, urinal- and caloretums, as well as chairs with sanitary equipment. These changes were made to government decree No. 792 of April 28, 2018.
The decision to introduce mandatory labeling was made following an experiment on voluntary labeling of TCP, which started on October 15, 2023 and will end in August 2024. The main goals of this initiative are to counter the illegal import, production and circulation of technical means of rehabilitation, including counterfeit, as well as to increase the collection of taxes and fiscal payments.
According to government decree No. 744 of May 31, 2024, the turnover of unmarked products put into circulation before the deadline will be allowed until February 28, 2025. From March 1, 2025, participants in the TCP turnover system will begin to transmit information on the withdrawal of products from circulation, and from October 1, 2025 - data on their turnover on the market.
As for medical gloves, their mandatory labeling will begin on March 1, 2025. This was preceded by a voluntary pilot project, which started at the end of June 2024. The labeling will cover all the main types of gloves - inspection, surgical, latex, nitrile - according to eight codes of OKPD 2 and 36 codes of the type of medical device.
The introduction of mandatory labeling of TCP and medical gloves will significantly reduce the share of counterfeit products on the market and support bona fide domestic manufacturers. |
For products imported before March 1, 2025, a monthly period for assigning codes is provided. The turnover of unmarked medical devices during the transition period will be allowed until August 31, 2025.
Government of the Russian Federation Order of July 4, 2024 No. 1765-r
Russian Prime Minister Mikhail Mishustin allocated 1.5 billion rubles for the purchase of rehabilitation equipment
On April 5, 2024, Prime Minister Mikhail Mishustin announced the allocation of more than 1.5 billion rubles from the federal budget for the purchase of rehabilitation equipment for 49 federal medical centers. As part of this project, more than 600 units of various modern equipment will be delivered during 2024 to restore the health of people with disabilities and people who have undergone serious diseases, operations and injuries.
We will continue to develop medical rehabilitation for patients with a variety of diagnoses throughout the country, "Mishustin said during a government meeting on April 5, 2024. |
As specified in the Telegram channel of the Cabinet, work on the development of the rehabilitation system is being carried out within the framework of the project "Optimal medical rehabilitation for restoring health." For the renewal of rehabilitation equipment in regional health care institutions in 2024, a total of more than 7.7 billion rubles is provided in the federal budget.
The Ministry of Health of the Russian Federation will receive 686 million rubles for retrofitting 24 clinics, the Ministry of Education and Science of the Russian Federation - 368 million rubles for 11 medical organizations, the Ministry of Defense of the Russian Federation - 159 million rubles for five medical organizations.
The project "Optimal medical rehabilitation for restoring health" is included in the list of initiatives for the socio-economic development of Russia until 2030, which was approved by the government on behalf of Russian President Vladimir Putin. The main goal of such initiatives is to improve the quality of life of people and make the Russian economy more modern and flexible, added to the press service of the Cabinet. It is assumed that due to the purchase of rehabilitation equipment in 2024, medical institutions will provide high-quality rehabilitation treatment, including on an outpatient basis and in a day hospital.[1]
In Taganrog, launched the production of complexes for the correction of motor functions
On January 31, 2024, the Ministry of Health of the Russian Federation announced that the company OKB "RITM" organized a mass production of Stabilan-01 complexes in Taganrog (Rostov Region), designed to correct motor functions. These systems are made entirely of domestic components. Read more here.
Ufa company began to build a plant for the production of medical devices for rehabilitation for 232 million rubles
The Orbita Scientific and Innovative Enterprise (NVP) has begun construction of a plant for the production of medical devices for medical rehabilitation in Ufa. The volume of investments in this project will amount to 232 million rubles. The press service of the Development Corporation of the Republic of Bashkortostan announced this on February 5, 2024. Read more here.
2023
The production of wheelchairs in Russia increased by 8.5%, to 78.4 thousand wheelchairs
In 2023, 78.4 thousand wheelchairs were produced in Russia. For comparison, a year earlier, the volume of production was 72.3 thousand units. Thus, an increase of 8.5% was recorded. One of the growth factors is the aging of the country's population, as stated in BusinesStat materials published at the end of September 2024.
Several main types of wheelchair are distinguished: classic with manual drive, active (light and improved design of the model with manual drive), electric drive and models for children with cerebral palsy (appearance is close to a regular pram). In Russia, Otto Bokk Mobility LLC, Special Equipment Plant LLC, SPC LLC, Podyem LLC, Katervil LLC, and others are named significant players in the market under consideration.
In 2019, according to the estimates of BusinesStat analysts, 72.7 thousand wheelchairs were manufactured in the Russian Federation. In 2020, the indicator increased by 1% - to 73.4 thousand units, and in 2021 a rise of 12.3% was recorded with a final result of 82.5 thousand units. In 2022, the production of wheelchairs in Russia decreased for the first time in five years: the fall was at the level of 12.3%. In the context of rising prices and costs for components and equipment, as well as uncertainty in demand from the state and private buyers, manufacturers were forced to reduce production volumes.
But already in 2023, positive dynamics recovered. The growth in the production of wheelchairs is facilitated, in particular, by state support for manufacturers of rehabilitation goods. Companies can receive subsidies of up to 50 million rubles for the development, testing and implementation of products with the mandatory participation of disabled people in its testing. In addition, an increase in the proportion of elderly people leads to an increase in the number of people in need of rehabilitation means.[2]
The Ministry of Industry and Trade has developed measures to support the production of prosthetic limbs in Russia
In early July 2023, the Ministry of Industry and Trade spoke about the developed measures to support the production of prosthetic limbs in Russia. According to the head of the department Denis Manturov, in the Russian Federation, about 50 manufacturers in the country are developing and producing prostheses of the upper and lower extremities, which over the past 5 years have brought to the market a total of more than 300 different domestic technical solutions for people with disabilities. Read more here.
$3 Smart Patch for Muscle Repair After Injury Introduced
At the end of June 2023, American scientists from the University of California at Los Angeles announced the development of a smart patch capable of tracking muscle activity with high accuracy. It is expected that the novelty will help in the rehabilitation of patients after injuries. In addition, the product can be useful to athletes - to optimize physical activity. Read more here.
Ministry of Industry and Trade approved digital labeling of rehabilitation products
In June 2023, it became known about the decision of the Ministry of Industry and Trade to conduct an experiment in Russia to label certain types of technical means of rehabilitation. It will begin on October 1, 2023 and will last until the end of February 2028. Read more here.
Roszdravnadzor will control the purchase of medical rehabilitation products by the regions
The Federal Service for Supervision of Health Care (Roszdravnadzor) will control the purchase of medical rehabilitation products by the regions. We are talking about the fact that this department is responsible for the implementation by the regions of the federal program "Optimal medical rehabilitation for the restoration of health."
The Ministry of Health of the Russian Federation decided to tighten the system for obtaining medical devices by the regions for medical rehabilitation, taking into account the conclusion of the Accounts Chamber, as well as after the order of the profile Deputy Prime Minister Tatyana Golikova.
In accordance with the initiative of the Ministry of Health, the regions of Russia will have to determine the "coefficient of insufficiency" of medical products for rehabilitation - subsequently, these coefficients will be included directly in the state program of the subject and taken into account when deciding on the provision of subsidies from the federal budget.
Earlier, Prime Minister Mikhail Mishustin signed a decree simplifying the procedure for purchasing medical devices, which will avoid their shortage. We are talking about the purchase of medical equipment, consumables for it and technical means of rehabilitation for the disabled. Now medical organizations will be able to purchase even more such products according to a simplified scheme - through an electronic request for quotes, which will significantly reduce the procurement time. The initial contract price, at which it is allowed to use a simplified system, increases from 3 million to 50 million rubles. The annual volume of purchases of medical devices under a simplified scheme is also increasing - from 100 million to 750 million rubles.
In addition, the Ministry of Health, together with the Federal Treasury and Roszdravnadzor, will constantly monitor prices for such medical devices and inform [[Government of the Russian Federation | Government]] on the results of this work[3]
Mishustin approved 19 measures to develop the production of medical rehabilitation products
In April 2023, Prime Minister Mikhail Mishustin signed a decree approving a set of measures for the development of the production of rehabilitation products for 2023-2024. We are talking about the manufacture of products for people with disabilities: ramps, wheelchairs, hearing aids, speech synthesizers, braille displays and other means they need.
Within the framework of the approved plan, 19 different support measures will be implemented, grouped into four areas. They cover a wide range of tasks - from improving the quality of rehabilitation products to their promotion to domestic and foreign markets, from creating innovative products to improving the level of qualifications of employees engaged in this area.
One of the important events of the complex will be the holding of training and familiarization seminars, where representatives of charitable foundations, pharmacy chains, as well as people with disabilities themselves can get acquainted with new samples of rehabilitation products made at domestic enterprises.
In addition, the needs of disabled people in high-tech technical means of rehabilitation will be monitored annually. Also, monitoring of accessibility for disabled people of various objects - shops, cafes, consumer services enterprises will be continued.
For enterprises, the roadmap involves the preservation of state subsidies for the production and development of medical devices for the rehabilitation industry and support for their participation in Russian and international exhibitions. In addition, it is planned to develop professional standards and an independent assessment of qualifications for industry workers.
The corresponding document was developed as part of a strategy for the development of the production of rehabilitation products, the purpose of which is to create by 2025 a competitive and stable industry that meets the needs of citizens with disabilities, the Cabinet said in a statement dated April 15, 2023.
Government of the Russian Federation Order of April 8, 2023 No. 854-r
Mishustin allocated 1.7 billion rubles for the purchase of medical equipment for rehabilitation at hospitals
In February 2023, Prime Minister Mikhail Mishustin wrote an order to which he allocated more than 1.7 billion rubles for the purchase of medical equipment for rehabilitation to hospitals. These funds will be received by 43 organizations, the document says.
More than 617 million rubles will be received by the Ministry of Health for 18 medical institutions, 443 million - by the Ministry of Education and Science (8 medical organizations), over 104.7 million rubles - by the Ministry of Defense (3 medical institutions), almost 576 million rubles - by the FMBA (13 institutions). In addition, Rospotrebnadzor will be allocated about 24.5 million rubles for the retrofitting of one hospital. The names of the clinics - recipients of medical equipment are not disclosed.
The funds must be used effectively and in full so that our medical workers have everything they need to provide restorative treatment to people who have undergone serious diseases, complex operations, injuries, "Mishustin said at a cabin meeting on February 22, 2023. |
He also recalled that in 2023, 8 billion rubles have already been allocated for the purchase of rehabilitation equipment for regional medical institutions. Mishustin added that the allocated additional 1.7 billion rubles will be spent on equipping specialized departments with modern equipment. Even more citizens will undergo rehabilitation, including on an outpatient basis and in a day hospital, will cope with the disease faster and return to a normal, familiar lifestyle, the Chairman of the Government of the Russian Federation said.
In total, in 2022-2024, it is planned to equip or re-equip more than 1350 medical rehabilitation departments, as well as about 130 day hospitals. The rules for the provision and distribution of subsidies for equipping clinics with equipment for medical rehabilitation were previously approved by the Cabinet. Medical equipment is allowed to be purchased according to the standard approved by the Ministry of Health for equipping medical rehabilitation departments, and the department recommended giving preference to Russian manufacturers.
Government Order of February 20, 2023 No. 408-r
2022
Mishustin allocated 8.8 billion rubles for the supply of equipment for rehabilitation to the regions
At the end of April 2022, Prime Minister Mikhail Mishustin signed an order, which allocated another 8.8 billion rubles for the supply of rehabilitation equipment to the regions. The money will go to equip medical rehabilitation departments in 157 clinics.
Among the regions, the Sverdlovsk region will receive the most funds - 340.1 million rubles and Dagestan - 339.2 million rubles. Least of all funds are provided for the Sakhalin region - 12.2 million rubles and the Yamalo-Nenets Autonomous Okrug - 14.5 million rubles. Tatarstan will be allocated 149.1 million rubles, Chelyabinsk region - 186.6 million rubles. Bashkiria from these funds will allocate 247.9 million rubles.
Modern equipment will make it possible to provide patients with effective treatment. Even more citizens will undergo such rehabilitation, including on an outpatient basis and in a day hospital, and free of charge, under the compulsory health insurance policy (compulsory medical insurance), Mishustin said at a meeting with deputy prime ministers on May 4, 2022.
According to him, the problem of medical rehabilitation escalated during the COVID-19 coronavirus pandemic, when the health care system was focused on combating this infection.
According to the press service of the Cabinet of Ministers on May 4, 2022, in just the next three years it is planned to equip or re-equip more than 1,350 medical rehabilitation departments, as well as about 130 day hospitals. The work is being carried out within the framework of the new federal project "Optimal medical rehabilitation for restoring health." This project is included in the list of initiatives for the socio-economic development of Russia until 2030, which was approved by the Government in the fall of 2021. The main goal of such initiatives is to improve the quality of life of people and make the Russian economy more modern and flexible, the government added.[4]
The government allocated 8.2 billion rubles for the supply of rehabilitation equipment to the regions of the Russian Federation
At the end of March 2022, the Prime Minister Mikhail Mishustin signed a decree by which he made changes to the state program "Development." health care In particular, the document involves the allocation of funding for the renewal of rehabilitation equipment in the regions. Russia
In 2022, the federal budget provides 8.2 billion rubles for equipping regional medical organizations with modern rehabilitation equipment. In total, in 2022-2024, it is planned to equip or re-equip more than 1350 medical rehabilitation departments in the regions, as well as about 130 day hospitals.
In order to receive a federal subsidy, the region, in addition to its own thematic program and the possibility of co-financing, will need clinics with a license for medical rehabilitation, with functioning specialized departments - early or specialized inpatient rehabilitation of adults or children. Also, the clinic should have a day hospital or an outpatient department of adult medical rehabilitation, and in the departments themselves, at least 70% of employees should be responsible for the relevant direction.
The work will be carried out within the framework of the new federal project "Optimal medical rehabilitation for the restoration of health." This project is included in the list of initiatives for the socio-economic development of Russia until 2030. The main goal of such initiatives is to improve the quality of life of people and make the Russian economy more modern and flexible.
Russian President Vladimir Putin spoke about the need to improve the medical rehabilitation system in Russia. The head of state instructed the Cabinet to develop a program for the development of medical rehabilitation until 2026 and allocate 100 billion rubles for these purposes.[5]
Notes
- ↑ Mikhail Mishustin: We will continue to develop medical rehabilitation for patients with different diagnoses throughout Russia
- ↑ In 2023, the production of wheelchairs in Russia increased by 8% and amounted to 78 thousand units.
- ↑ Roszdravnadzor will control the purchase of medical rehabilitation products by the regions
- ↑ Medical organizations in the regions will receive almost 9 billion rubles to update rehabilitation equipment
- ↑ Medical organizations in the regions will receive funding for the renewal of rehabilitation equipment