Organization of medical rehabilitation: gaps and solutions

Background. Rehabilitation services are an essential part of modern healthcare systems. Despite the achieved technological progress in medical care, gaps in the organization of effective medical rehabilitation remain unresolved. Objective: review of current approaches to organizing effective medical rehabilitation services. Material and methods. The search for sources published over the period of last 10 years was conducted using PubMed/ MEDLINE, Google Scholar, Science Direct, eLibrary and CyberLeninka databases. The search for documents related to the regulation of rehabilitation care was carried out using the Yandex and Google search engines. Individual references included in review articles were studied in greater detail. The selection procedure conducted in accordance with the PRISMA recommenda- tions retrieved 35 publications. Results. The current recommendations given by World Health Organization experts were presented. The state of rehabilitation services in Russia and the experience of organizing rehabilitation services abroad were analyzed. The shortcomings of existing rehabilitation approaches were identified, along with issues related to accessibility of medical care. Gaps in legislation were indicated, and innovative technologies for solving issues with the provision of rehabilitation support were described. Conclusion. The existing systems of providing rehabilitation services in different countries are associated with certain short- comings. In this connection, countries and research groups continue to develop schemes for optimizing the load on rehabilitation services.