Evaluation of efficiency of individual complex rehabilitation of patients based on the international classification of functioning

Authors

DOI:

https://doi.org/10.26641/2307-0404.2021.2.234722

Keywords:

rehabilitation, efficiency, rehabilitation profile, international classification of functioning

Abstract

In order to determine the possibility of using a rehabilitation profile to assess the effectiveness of rehabilitation and develop a methodology for quantifying the effectiveness of rehabilitation measures in the short term in inpatients of the State Institution "Ukrainian State Research Institute of Medical and Social Disability of the Ministry of Health of Ukraine" we created a rehabilitation profile of the patient based on the principles of the International Classification of Functioning, Disability and Health (ICF). There were analyzed rehabilitation profiles of 522 patients with therapeutic pathology, musculoskeletal system diseases, and eye diseases. Rehabilitation of patients was comprehensive, with the use of methods of medical, psychological, and physical rehabilitation. The severity of dysfunctions was assessed by a quantitative scale from 0 to 4 points, where "0" – no issues, and "4" – extremely serious issue. The evaluation was performed twice by members of the multidisciplinary team: at the initial examination of the patient and at the discharge from the clinic. The statistical method and the method of expert evaluations were used to process the research results. The licensed software MS Excel for Windows was used. The study found that the proposed method of assessing the effectiveness of short-term rehabilitation is accurate and objective, it considers the initial functional status of the patient and allows to assess the quality and effectiveness of rehabilitation measures at the patient level and at the institution. Its implementation will provide a unified approach to the provision of rehabilitation services and draw conclusions about the effectiveness of rehabilitation activities of the medical institution differentially, considering the type of pathology, leading limitations of life, severity of disorders, age of patients.

References

Antomonov MY. [Mathematical processing and analysis of biomedical data]. Kyiv: Medinform; 2017. p. 578. Russian.

Moysa B. [Policy proposals for the rehabilitation of people with disabilities]. 2017 Sept. Ukrainian. Available from: https://parlament.org.ua/wp-content/¬uploads/¬2017/09/Propozicii_Politiki_reabilitacii_zdoroviya-1.pdf

[Assessment of the system of disability and rehabilitation in Ukraine. Summary of the report of the WHO advisory mission - the International Society for Physical and Rehabilitation Medicine]. Ukrainian Bulletin of Medical and Social Expertise. 2016;1:21-25. Ukrainian.

[On rehabilitation of persons with disabilities in Ukraine: Law of Ukraine of 06.10.2005 № 2961-IV]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/2961-15#Text

World Health Organization. How to use the ICF: A practical manual for using the International Clas¬sification of Functioning, Disability and Health (ICF). Exposure draft for comment. Geneva: WHO; 2013 Octob.

Bickenbach J, et al. ICF core sets. Manual for Clinical Practice. Göttingen: Hogrefe; 2021. p. 136.

Ehrmann C, et al. ICF Generic Set as new standard for the system wide assessment of functioning in China: a multicentre prospective study on metric pro¬perties and responsiveness applying item response theory. BMJ Open. 2018;14(8):e021696. doi: https://doi.org/10.1136/bmjopen-2018-021696

World health organization: International classification of functioning disability and health. Available from: http://www.who.int/classifications/en

Lexell J, Brogardh C. The use of ICF in the neurorehabilitation process. NeuroRehabilitation. 2015;36:5-9. doi: https://doi.org/10.3233/NRE-141184

Chang K-H, et al. Perceptions and attitudes to¬wards the implementation of a disability evaluation system based on the international classification of func¬tioning, disability, and health among people with disabilities in Taiwan Disability and Rehabilitation. 2018;41(13):1-9. doi: https://doi.org/10.1080/09638288.2018.1442506

Gimigliano F, et al. Use of the International Classification of Functioning, Disability and Health Generic-30 Set for the characterization of outpatients: Italian Society of Physical and Rehabilitative Medicine Residents Section Project. European Journal of Physical and Rehabilitation Medicine. 2019;55(2):258-264. doi: https://doi.org/10.23736/S1973-9087.18.05324-8

Finger M, et al. Using the International Classification of Functioning, Disability and Health in Physiotherapy in Multidisciplinary Vocational Re¬ha¬bilitation: A Case Study of Low Back Pain. Physiotherapy Research International. 2015;20(4):231-241. doi: https://doi.org/10.1002/pri.1587

Published

2021-06-18

How to Cite

1.
Ipatov A, Sanina N, Khanyukova I. Evaluation of efficiency of individual complex rehabilitation of patients based on the international classification of functioning. Med. perspekt. [Internet]. 2021Jun.18 [cited 2024Apr.15];26(2):153-9. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/234722

Issue

Section

SOCIAL MEDICINE