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EN
Rehabilitation of people with disabilities is a process aimed at enabling them to reach and maintain their optimal physical, sensory, intellectual, psychological and social functional levels. WHO, in “World Report on Disability”, defines rehabilitation as a set of measures that assist individuals who experience, or are likely to experience, disability to achieve and maintain optimal functioning in interaction with their environments. Lack of rehabilitation services creates a barrier to full inclusion and participation in all aspects of life. The aim of this article was to present the nature of medical rehabilitation, in particular medical rehabilitation of elderly people. The basic definitions of medical rehabilitation and physiotherapy were also presented. The medical rehabilitation system in Poland, its organization and funding system was shown based on publications and statistical data of the Central Statistical Office (GUS) as well the access to medical rehabilitation services and selected medical procedures was assessed based on available data from National Health Fund (NFZ) and Ministry of Health (MZ).
EN
In eight regions audited by NIK in 2016 and 2017, the gynaecological and obstetrical services for outpatients were provided – respectively in the two audited years – in 1,204 and 1,170 clinics, out of which only 199 (16.5%) and 181 (15.5%) were located in rural areas, while 361 (30%) and 357 (30.5%) in the municipal-rural local units. In 2016, the number of gynaecological-obstetrical clinics was from 72 (Podlaskie Region) to 300 (Wielkopolskie Region), including from six in rural areas in the Podlaskie Region and seven in the Opolskie Region, to 50 in the Podkarpackie Region and 41 in the Łódzkie Region (22.2%). A year later, the access to the services of gynaecological-obstetrical clinics for rural citizens further deteriorated.
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