of December 21, 2016 No. 1083
About introduction of amendments to the order of the Minister of Health of the Republic of Kazakhstan of December 27, 2013 No. 759 "About approval of the standard of the organization of rendering medical rehabilitation to the population of the Republic of Kazakhstan"
According to the subitem 6) of Item 1 of article 7 of the Code of the Republic of Kazakhstan of September 18, 2009 "About health of the people and health care system", I ORDER:
1. Bring in the order of the Minister of Health of the Republic of Kazakhstan of December 27, 2013 No. 759 "About approval of the standard of the organization of rendering medical rehabilitation to the population of the Republic of Kazakhstan" (it is registered in the Register of state registration of regulatory legal acts for No. 9108), the following changes:
in the Standard of the organization of rendering medical rehabilitation to the population of the Republic of Kazakhstan approved by the specified order:
2) of Item 7 to state the subitem in the following edition:
"2) department (bed) of MR of the republican centers, multi-profile hospitals (regional, city hospitals, the central district hospitals (further - TsRB), interdistrict hospitals (further - MRB) and rural hospitals (further - SATURDAY);";
18, 19 to state Items in the following edition:
"18. Rendering MR to the adult and children's population at all stages is performed in amounts of MR provided to patients according to clinical protocols on medical rehabilitation.
19. Allocate MR amounts:
1) rehabilitation of I is amount of the medical and diagnostic and separate rehabilitation services provided in intensive care unit and intensive therapy or specialized profile department according to clinical protocols on medical rehabilitation;
2) rehabilitation of II And is amount of the rehabilitation services provided to patients with violation of BSF according to the international criteria in department MR of the republican centers, multi-profile hospitals, RTs according to clinical protocols on medical rehabilitation;
3) rehabilitation of the II B is amount of the rehabilitation services provided to patients with heavy violations of BSF according to the international criteria in department MR of the republican centers, multi-profile hospitals, RTs according to clinical protocols on medical rehabilitation;
4) out-patient rehabilitation of I - amount of the medical and diagnostic and separate rehabilitation services provided to patients in APO, sanatoria according to clinical protocols on medical rehabilitation;
5) out-patient rehabilitation of II is amount of the rehabilitation services provided to patients with violation of BSF according to the international criteria in APO, day hospitals of polyclinics and (or) polyclinic departments TsRB, MRB, SATURDAY, RTs, sanatoria according to clinical protocols on medical rehabilitation;
6) the rehabilitation supporting (for disabled people and children) is amount of the rehabilitation services provided to patients with violation of BSF according to the international criteria in APO, day hospitals of polyclinics and (or) polyclinic departments TsRB, MRB, SATURDAY, RTs, hospitals at home and sanatoria according to clinical protocols on medical rehabilitation;
7) rehabilitation repeated (for children) is amount of the rehabilitation services provided to patients with violation of BSF according to the international criteria in department MR, RTs, sanatoria according to clinical protocols on medical rehabilitation.";
in Item 20:
2) to state the subitem to part two in the following edition:
"2) the second stage (continued) - rendering MR in the early recovery period of course of disease or injury depending on nosology, severity of condition of the patient, violations of BSF according to the international criteria is also carried out by MDK in amounts "Rehabilitation of II And" and "Rehabilitation of the II B" in departments MR of the republican centers, multi-profile hospitals, RTs, according to clinical protocols on medical rehabilitation.
Patients go to the second stage "IIA Rehabilitations" within the first six months after the postponed disease (surgery), twelve months after the postponed injury, according to clinical protocols on medical rehabilitation.
Patients go to the second stage "Rehabilitations of IIB" within the first twelve months after the postponed disease (surgery), twenty four months after the postponed injury, according to clinical protocols on medical rehabilitation.";
1) to state the subitem to part five in the following edition:
"1) the supporting rehabilitation - is performed for disabled people and children in the residual period of disease, BSF which completed the second or third stages MR, having permanent violations according to the international criteria.
The supporting rehabilitation is performed in out-patient conditions and sanatoria by specialists of MDK with purpose of MR in amount "The rehabilitation supporting" once a year in the conditions of APO, day hospitals of TsRB, MRB, SATURDAY, sanatoria, according to clinical protocols on medical rehabilitation.
To patients who cannot independently move, but have the researches of perspective of recovery or compensation of function confirmed with objective methods, MR is performed at home by specialists of MDK APO (exit form).
Hospitalization at the main stages of medical rehabilitation is carried out once for the entire period of disease.";
state Item 27 in the following edition:
"27. For carrying out the first stage MR in one medical organization, the patient is transferred to department (beds) of MR without registration in the Portal and it is considered as one treated case. In case of absence of department (beds) of MR, transfer of the patient in the medical organization having department (beds) of MR is performed through the Portal. Transfer of the patient in profile department MR is made by the doctor-coordinator of the directing organization by preliminary approval of the doctor-coordinator of MDK of the accepting organization.
The second stage MR is carried out with registration in the Portal.";
6) of Item 29 to state the subitem in the following edition:
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The document ceased to be valid since April 22, 2023 according to Item 2 of the Order of the Minister of Health of the Republic of Kazakhstan of April 7, 2023 No. 65