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State of Provision of Medical Rehabilitation to People with Disorders of the Musculoskeletal System at the Regional Level

Aim: To analyse the state of medical rehabilitation services for musculoskeletal disorders under contracts of the National Health Service of Ukraine (NHSU) at the regional level and identify possible problems in terms of health care reform.
Materials and Methods: Normative documents regulating the provision of rehabilitation care in the health care system of Ukraine, and published by the NHSU information on concluded agreements on medical care under the Medical Guarantees Program were used as materials of the study. The research embraced methods of system analysis, structural-logical analysis, medical-statistical, graphic and bibliosemantic methods. 
Conclusions: The analysis of NHSU contracts in 2021 revealed that funding for packages of medical rehabilitation services for musculoskeletal disorders involves the provision of services in 129,170 cases, which is only 0.8% of the 2019 need. It was established that in Transcarpathian region in 2021 the amount of contracting for medical rehabilitation for musculoskeletal disorders was 45.4% of the funds for all rehabilitation packages in the region. With the increase in the total funding of signed contracts in the region, the number of projected cases of rehabilitation care in this area decreased by 9.9%. The provision of medical rehabilitation services for musculoskeletal disorders in Ukraine is insufficient and does not cover the potential needs of the population. At the regional level, there is a decrease in the number of planned cases of such services, but an increase in the number of health care facilities that provide them.