ОЦІНКА ЕФЕКТИВНОСТІ РЕАБІЛІТАЦІЙНИХ ЗАХОДІВ НА ОСНОВІ МКФ-ПРОФІЛЕЙ ПАЦІЄНТІВ

Abstract

Rehabilitation is an important health strategy and is seen as a set of measures aimed at helping people with disabilities to achieve and maintain optimal functioning in interaction with the environment. Determining the rehabilitation potential of patients and assessing the eff ectiveness of rehabilitation is a necessary condition for the formation of the correct rehabilitation strategy. The International Classifi cation of Functioning, Disability and Health (ICF) is a modern international tool that defi nes the principles of forecasting rehabilitation results, assessing rehabilitation potential and building rehabilitation programs. The implementation of these principles allows to make the rehabilitation process transparent, which helps to improve the quality of medical care. But in addition to evaluation on these scales, the necessary method of determining on the basis of the relevant indicators of the integral value of the rehabilitation potential of the patient, his ability to recover and the eff ectiveness of rehabilitation.The purpose of the research was to develop a scientifi c and methodological approach to determining the eff ectiveness of rehabilitation measures based on IСF assessment sheet of patients and the software implementation of this approach in the form of information and analytical systemThe current state of methods for assessing the rehabilitation potential and eff ectiveness of rehabilitation on the basis of the international IСF standard is considered. The method of evaluation of rehabilitation effi ciency on the basis of calculation of rehabilitation integrated indicator from the point of view of possibility of its improvement and formalization in the form of a certain mathematical model is analyzed. The software of the rehabilitation effi ciency assessment was creating with the help of appropriate design patterns and on the basis of object-oriented approach.The method of evaluating the eff ectiveness of rehabilitation measures has been improved and its mathematical model has been created, which allows to evaluate the complex result of rehabilitation, using the ICF domains. A software system for assessing the eff ectiveness of rehabilitation based on IСF assessment sheet of patients has been developed, which allows for a comprehensive analysis of the process of their recovery. In particular, the system provides the following opportunities: to determine the rehabilitation potential of the patient, which allows to assess his potential for recovery; to establish a rehabilitation integrated indicator after the rehabilitation course, which allows to determine the level of realization of the initial rehabilitation potential and the degree of restoration of compensatory opportunities; to analyze the dynamics of changes in ICF domains and identify the most problematic areas.The use of the established software system for assessing the eff ectiveness of rehabilitation based on IСF assessment sheet of patients allows to assess the rehabilitation potential of each patient, determine his need for rehabilitation services, monitor the dynamics and evaluate the eff ectiveness of rehabilitation.