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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">223</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2019-27-6-1064-1069</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>The on-line communication in organization of rehabilitation of patients of traumatological orthopedic profile</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Fedonnikov</surname><given-names>A. S.</given-names></name><bio></bio><email>fedonnikov@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">The Federal State Budget Educational Institution of Higher Education “The V. I. Razumovsky Saratov State Medical University” of Minzdrav of Russia</aff><pub-date date-type="epub" iso-8601-date="2019-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2019</year></pub-date><volume>27</volume><issue>6</issue><fpage>1064</fpage><lpage>1069</lpage><history><pub-date date-type="received" iso-8601-date="2021-04-06"><day>06</day><month>04</month><year>2021</year></pub-date></history><permissions><copyright-statement>Copyright © 2019,</copyright-statement><copyright-year>2019</copyright-year></permissions><abstract>The purpose of the study is to design and to prove rehabilitation process management for musculoskeletal system disorders with the use of on line communication technology between patients and medical institution.Material and methods. Medical and sociological study used sampling of 381 patients involved in hip-and-knee joint replacement program before the surgery and in rehabilitation period with the use of specially designed and implemented at the base of the V. I. Razumovsky Research Institute of Traumatology, Orthopedics and Neurosurgery of Saratov State Medical University interactive system of monitoring and feedback (SMF). The results. The implementation of developed criteria of SMF performance confirmed its demand among the patients. It was revealed that more than 91% of them are ready for active rehabilitation after surgery and all the participants of the study consider as acceptable the distant communication with medical specialists. The performed trial test established that for the period of interaction with SMF patients have changed their attitude to the ways of communication preferring those which suppose on line communication.Conclusion. The developed organizational technology being patient-focused provided acceptable quality of informational interaction for health services access at the base of active feedback, interactivity and customization. It is shown that aged but able-bodied patients are impressionable for such practice, so using of on line communication influencing labor and social activity prolongation being both factor and instrument of health services accessibility.</abstract><kwd-group xml:lang="en"><kwd>on line communication</kwd><kwd>digital health</kwd><kwd>joint replacement</kwd><kwd>distant rehabilitation</kwd><kwd>labor ability</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>онлайн-коммуникация</kwd><kwd>цифровое здравоохранение</kwd><kwd>эндопротезирование суставов</kwd><kwd>дистанционная реабилитация</kwd><kwd>трудоспособность</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Отчет Счетной палаты о реформе здравоохранения. 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