ASPECTS OF MEDICAL ASSISTANCE AND ITS ORGANIZATION FOR STROKE PATIENTS
Regulatory framework of stroke patient medical treatment is considered in the article with a special focus on improvement of neurorehabilitational care for patients suffered a cerebrovascular accident. Key points of conception and organization system for neurorehabilitation of patients with focal brain lesions are presented with due account for principles of stage-by-stage approach in outpatient, inpatient and sanatorium-resort institutions. Neurorehabilitational assistance procedure providing step care for patients with refractory aphasia and other deficits of higher mental processes or locomotor system functioning is attended. A demand for early onset of afterstroke therapy with allowances made for individual's rehabilitation potential is emphasized. The necessity for developing a state policy declaring neurorehabilitation of patients with focal brain lesions, particularly caused by stroke, as one of public health service priority goals is also accented. Some results of implementation in Saint Petersburg of the consistent anti-stroke program with a system-based multidisciplinary approach aimed at coordination of all services, institutions and professionals that take part in rehabilitation of stroke patients are presented. Routing designs for patients suffered a cerebrovascular accident and ways for optimization of healthcare management are introduced in the article.