The aim: The purpose of this article is to identify through the analysis of biographical and scientific Sofia Okunevska-Morachevska, Sofia Parfanovych and Volodymyra Krushelnytska common features of personal and professional development to understand the scientific, social and cultural parts of their activities in the context of the history of national medical tradition. Materials and methods: We will try to consider in general terms the life and professional path of Sofia Okunevska-Morachevska, Sofia Parfanovych, Volodymyra Krushelnytska, highlighting common features and analyzing them in contexts of social, political, and cultural features of the era. Conclusions: Analyzing the biographical milestones and scientific achievements of women physicians in Western Ukraine in the late XIX – early XX century, we concluded that these personalities of Ukrainian medicine can be combined with a number of characteristics, thus demonstrating the continuity and longevity of the national female medical elite in Ukraine.
Aim: To analyze the reasons of low rehabilitation efficiency of persons with disabilities after musculoskeletal injuries. Materials and Methods: A retrospective study of the 102 people’s records whose permanent disability is extended after next certification was conducted. Results: Only 31.4% persons reduced the severity of disability. The rest remained unchanged (67.6%) or deteriorated (1.0%). Permanent disability after musculoskeletal injuries is typical for men (86.3%), villagers (74.5%), working age (99.0%), of which 37.5% – men under 40 years. Near half persons (45.1%) have passed the next re-examination more than 3 times; in 52.0% ones four or more years have passed after injury; in 9.8% cases the continuation of rehabilitation is considered as hopeless. Defects in the implementation of rehabilitation measures were revealed, namely: excessive use of drugs with insufficient evidence of effectiveness (85.3-88.2%), inadequate coverage of physical therapy and occupational therapy (56.4%), a formal approach to the individual rehabilitation programs (IRP) formation, in particular in the assessment of rehabilitation potential (100.0%), the degree of movement restrictions (20.6%), social and labor rehabilitation (36.3%). Despite the fact that the majority of the observed people (86.3%) were recognized as capable for work, only 63.7% were provided with advice on rational employment, and 78.4% of them do not work. Conclusions: Improving of the rehabilitation effectiveness requires comprehensive integrated solutions at the state level in order to change approaches to assessing the degree of disability, the formation and implementation of IRP based on modern world standards.
З метою обґрунтування і розробки ефективних стратегій поліпшення задоволеності пацієнтів якістю медичної допомоги провели медико-соціальне дослідження у два етапи. На першому етапіПостанова проблеми. Питання забез-печення якості медичної допомоги -одне із ключових завдань систем охорони здоро-в'я [3][4][5]. Міжнародні експерти ВООЗ визна-чають якість медичної допомоги як «рівень досягнення системами охорони здоров'я сут-тєвих цілей у поліпшенні здоров'я і відпо-відності справедливим очікуванням насе-лення», а головними її критеріями -ефек-тивну і своєчасну медичну допомогу, ефек-тивне використання ресурсів, задоволен-ня потреб пацієнтів і результативність лі-кування [13].На сьогодні якісним вважається медич-не обслуговування, «при якому ресурси ор-ганізуються таким чином, щоб з максималь-ною ефективністю і безпечністю задоволь-няти медико-санітарні потреби тих, хто най-
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.