There is an imbalance between the number of physical rehabilitation centers in Ukraine and the number of rehabilitation specialists that is currently insufficient, according to Vadim Kerestey, head of rehabilitation department of Adonis medical clinic network.
“We can observe a noticeable imbalance between the number of physical rehabilitation centers that have opened over the last year and the number of experienced specialists who can provide quality assistance to the injured”, – he told Interfax-Ukraine.
At the same time, according to Kerestei, “the medical system of Ukraine does not currently have sufficient capacity to provide comprehensive rehabilitation services.”
“The heavy load on the entire medical system of Ukraine, the lack of the necessary number of experienced specialists and specialized centers make it impossible to provide harmonious and versatile rehabilitation care wherever it is needed,” he said.
The expert noted that “the state catastrophically lacks physically enough doctors of rehabilitation medicine: physical therapists and occupational therapists.”
“Many, newly opened, rehabilitation centers are critically understaffed with a team of specialized experienced physicians and must create a team from scratch, with specialists who have very little clinical experience, which consequently affects the quality of patient care,” he said.
At the same time, the expert noted that “the state medical system is changing very rapidly and actively adapting.
“This allows us to say that in the near future we will be able to do everything for the quality and comprehensive recovery of patients who suffered as a result of Russia’s military aggression against Ukraine,” he said.
“An option for cooperation between the state and private rehabilitation centers could be the following scenario: since private medical centers already have excellent conditions for comprehensive and effective rehabilitation of victims, the state should guarantee 100% compensation to patients for rehabilitation costs in such medical institutions,” Kerestei believes.
The expert noted that such cooperation may be beneficial for the state due to the specifics of rehabilitation: many state rehabilitation centers cannot provide effective help and there will be a need to undergo repeated courses of treatment several times.
At the same time, according to Kerestei, in private medical centers “after the first cycle, the patient will have significantly better results or even will fully recover and be able to return to normal social life.
Commenting on Adonis’ place in the national rehabilitation system, Kerestay pointed out that the network of medical centers has been working with wounded warriors for more than 15 months.
He reported that Adonis has had “a vivid experience working with charitable foundations and private donors”.
Kerestey stressed that “rehabilitation is an individual and long-term process.”
“Unfortunately, we can’t talk about a specific price range. The cost of rehabilitation depends on the severity of the injury, the accompanying schedules, and the speed and quality of primary care,” he said.
Commenting on the development of prosthetics in Ukraine, Kerestey noted that “the situation in the state medical system is much better in this regard.”
“Now all prosthetics procedures take place at state expense. But providing a prosthesis is only half the success. The victim must first be prepared for the prosthetics procedure (surgeons, prosthetists and rehabilitologists work with him at this stage), and once the prosthesis is fitted, the difficult stage of patient adaptation to using the device begins and this process is impossible without the participation of an experienced rehabilitator,” he said.
Adonis Medical Group has opened a modern physical rehabilitation center in Kiev.
The company informed the Interfax-Ukraine news agency that the Center services are free for Ukrainian servicemen who have been wounded; the programs will be paid for by charitable foundations.
The center is designed for 16 inpatients and a large number of outpatients and has two operating rooms. It is equipped with modern simulators and rehabilitation equipment for restoration of motion function and inclusion of different muscle groups, a shared hospital, and a diagnostic complex for rapid assessment with its own laboratory.
The center specializes in rehabilitation after injuries and contusions, limb injuries, preparing limbs for prosthetics, as well as rehabilitation after strokes, craniocerebral injuries, spinal cord injuries and CNS lesions, rehabilitation after injuries, traffic accidents and accidents, speech rehabilitation, treatment of chronic pain in spinal conditions.
In addition, the center provides training in nursing skills for patient’s relatives and implements ready-made rehabilitation programs at home.
According to Vadim Kerestei, head of the rehabilitation division of the Adonis network of medical clinics, the treatment of wounds sustained during the war requires a comprehensive approach, so the center has a number of specialists working with the wounded.
“We work according to an international protocol and our main goal is to comprehensively cover all the disorders that the patient has. We have a professional team: a physical therapist – he works with movement disorders; an occupational therapist works with the patient to restore self-care skills; a psychologist to stabilize the psychological state. All rehabilitation is designed to comprehensively address all the impairments the patient has: mental, physical and medical, to restore him comprehensively,” he said.
Adonis is a network of private medical centers for adults and children.
Adonis Private Clinic was founded more than 20 years ago. Its network consists of 11 branches in Kiev and Kiev region. Physicians receive patients in 66 medical fields in branches of the clinic.
The majority of medical experts, who had fled abroad due to the Russian full-scale invasion of Ukraine, have come back and continue to work, practitioners and experts in the sphere of medicine said during a roundtable discussion hosted by the Interfax-Ukraine News Agency on Thursday.
“For the moment, 98% of personnel are in place. Some of them left for western Ukraine or abroad in the first months of the war, however, today almost all of them have come back and continue to work,” Head of the Department of Cardiometabolic Diseases of the Clinic for Adults of the State Institution “Center for Pediatric Cardiology and Cardiac Surgery of the Ministry of Health of Ukraine,” PhD in Medical Sciences Yevhen Marushko said.
“Speaking about the personnel of the Filatov Institute, almost none of our employees left. Some 99% of our personnel stay here. There is a shortage of specialists in very specific profiles as there are few of them all over the country. If specialists, whom we already lack, leave, this has a negative impact on the level of medical assistance,” ophthalmologist of the highest category, head of the department of inflammatory pathologies of the eye and microsurgical treatment of their consequences at state institution “Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine” Oleksandra Zborovska said.
In turn, Business Development Director of ADONIS medical group of companies Svitlana Lonska said that the majority of the personnel of private medical institutions have returned, while those who are abroad also plan to come back soon.
Despite the fact that a maternity hospital was destroyed during large-scale military operations in Kyiv region, the doctors did not suspend their work and had to deliver babies under emergency conditions, she stressed.
At the same time, Head of the Department of Nephrology and Renal Replacement Therapy of the National University of Health Protection, owner of the Nephrology Clinic, Professor Dmytro Ivanov noted that the doctors and senior staff, who have returned to Ukraine, thus proved the level of their reliability.
“In the first two months we lost more than 60% of doctors and around 75% nurses in Kyiv in the first two months. Almost no medical personnel remained in the districts of Ukraine where military operations were conducted. Around 90% of medical staff have returned as of today. I think this could be considered a criteria of reliability of doctors and senior staff, for example, heads of departments and chief doctors,” Ivanov said.
Chief Physician of the National Cancer Institute, PhD in Medical Sciences Andriy Beznosenko said that the patient flow significantly reduced at the National Center Institute in the first month of the war.
“We received 150 patients during the first month of the war, while last year we received 2,700 patients during the same period of time,” he said.
The expert also noted that the specialists of the National Cancer Institute do the utmost to monitor the situation with the oncology centers in the temporarily occupied territories.
“Today, Kherson, Melitopol, Mariupol oncology centers and the one in Krasnyi Luch are under occupation. They lack personnel and there are patients there. But there are no medicines for treatment and we are unable to deliver them,” Beznosenko said.
ADONIS, FILATOV INSTITUTE, ZBOROVSKA, БЕЗНОСЕНКО, ИВАНОВ, МАРУШКО
Ukraine may become the first country to describe in detail civilian medicine during the war, practitioners and experts in the field of medicine expressed this opinion during a round table at the Interfax-Ukraine agency on Thursday.
“We can become the first nation to describe civilian medicine in detail during the war. Today there is nothing like it. There is only military medicine in war conditions, these are one-sided NATO and Russian articles,” said Andrey Beznosenko, head physician of the National Cancer Institute.
He noted that there have never been articles, information from a country that systematically analyzes what happened to civilian medicine during the war.
At the same time, Svetlana Lonskaya, business development director of the ADONIS medical group of companies, said that ADONIS has introduced medical field teams for the affected regions.
According to her, a group of two or three narrow specialists is being created who travel to the affected regions and provide free medical advice to those who wish.
She also noted that ADONIS is working on creating a more stable form of stem cells for easier transportation, as they are now transported frozen at a constant low temperature.
Lonskaya predicts that the innovative form of stem cells could be stored as a cream or hydrogel patches.
In turn, the head of the Department of Inflammatory Eye Pathologies and Microsurgical Treatment of Their Consequences of the VP Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine Oleksandra Zborovskaya spoke about the need to create a supra-cluster ophthalmological center.
“The war convinced us of the need to create a supra-cluster ophthalmological center, since it is more profitable for the state to finance even the patient’s travel to the only center in the country where he can receive a closed cycle of ophthalmological care. Telemedicine has not justified our hopes. In ophthalmology, many things cannot be standardized, and methods There are simply no objective diagnostics,” Zborovskaya said.
Head of the Department of Cardiometabolic Diseases of the Clinic for Adults of the State Institution “Center for Pediatric Cardiology and Cardiac Surgery of the Ministry of Health of Ukraine” Yevhen Marushko emphasized that the Ukrainian healthcare system has survived and continues to develop.
“Is there any other country in the world where new departments, new programs, new buildings, new directions are opened during the war? Our healthcare system has not only survived, it is developing,” Marushko said.
Кардіодіабет 1 дня
ADONIS, CIVILIAN MEDICINE, FILATOV INSTITUTE, WAR, БЕЗНОСЕНКО, ЗБОРОВСКАЯ, ЛОНСКАЯ, МАРУШКО
The Adonis medical group at the Podil branch in Kyiv has implemented a knopka system to control the safety of patients.
According to a press release from Adonis, the knopka system is a Ukrainian technology startup that has proven its effectiveness in a number of state-owned clinics, including in the COVID-19 wards for critically ill patients, where there is a high workload on staff.
At the Adonis clinic in Podil, the first stage of the system has been launched, which allows tracking the work of nurses. The launch of the second phase will make it possible to make not only hospital beds and toilets safe for patients, but also any point in the hospital.
“The system will check the arrival of a medical team where the patient may feel bad – from wards to doctors’ offices in the clinic. Thus, the clinic plans to comply with the international safety standard under the Code Blue,” the medical group said.
As explained, the knopka system receives signals from buttons that are accessible to patients in the clinic and generates messages to the phone, which are received by nurses and doctors. Thus, doctors identify the patient and where he is. In addition, the system checks if the medical staff was at the patient’s bed in no more than 2-3 minutes.
If a MAWI sensor is connected to the patient, which monitors the pulse, pressure, body position in space, saturation and other indicators in real time and if the indicators become critical, the system notifies the medical staff and generates messages of the highest priority. The medical team will be in the ward in no more than 1-2 minutes.
Adonis is a network of private medical centers for adults and children.
The private clinic Adonis was founded over 20 years ago. Its network includes 12 branches in Kyiv city and the region, including two of its own maternity hospitals and a stem cell laboratory.
In the branches of the clinic, doctors from 66 medical areas receive patients.
The medical company Adonis has begun implementing a strategy for the development of its franchise network.
General Director of the company Vitaliy Hyrin told Interfax-Ukraine that the strategy is being implemented in two formats – a medical center and points for collection of laboratory tests.
“We have two options: a small medical center with an outpatient appointment, or a collection point – a manipulation room. They will work under our Adonis brand and comply with all the rules and requirements of corporate culture. At the same time, we will control our franchisees,” he said.
According to Hyrin, Adons has already attracted three franchise partners to open a large medical center with surgery and two collection points. By the end of the year, it is planned to open up to ten collection points in different regions of the country.
Answering the question of who can be the Adonis franchisee, Hyrin said that it can be “both people from medicine, as well as people from outside the healthcare sector, whom we are ready to accompany and to help.”
“Among our potential franchisees may be medical workers, for example, a doctor who wants to open his office, or a medical facility. We are ready to help at any stage, from obtaining a license to supporting operational activities. Also, our franchisees can be owners of premises who want to develop a medical business in them. In this case, we are ready to help with all medical issues. The only condition: our partner must understand that he will be engaged in the development of his business, this is not about making passive investments,” he said.
Adonis is a network of private full-cycle medical centers for adults and children.
The private clinic Adonis was established over 20 years ago. Its network includes ten branches in Kyiv and the region, including two of its own maternity hospitals and a stem cell laboratory. In the branches of the clinic, doctors conduct appointments in 60 medical directions.
ADONIS, DEVELOPMENT, FRANCHISE NETWORK, HYRIN, MEDICAL COMPANY, АДОНИС
