Improvement of prevention of loss of working capacity and rehabilitation of patients with disability due to non-oncological urological diseases

Abstract

Improvement of medical and social care, including for patients with disabilities due to diseases of the urinary system, is today a priority task for preserving and restoring the working capacity of the population of Ukraine, which is especially relevant in the conditions of its post-war reconstruction. The purpose of this work was to analyze the structure of disability as a result of non-oncological urological diseases, deficiencies in the diagnosis and treatment of patients, and to propose conceptual approaches to improving the prevention of permanent disability and rehabilitation of persons recognized as disabled. Methods. The quality of providing specialized care to persons recognized as disabled due to non-oncological diseases of the genitourinary system was studied, with the development of a model for their monitoring using methods of expert assessment, comparative analysis, and conceptual modeling. Results. An analysis of the nosological structure of diseases of persons recognized as disabled as a result of non-oncological urological diseases is presented. The distribution of patients according to the nosological form, depending on the disability group, was determined. The shortcomings of diagnosis and treatment of patients, depending on their disability group and nosological form of the disease, are analyzed. For implementation in medical practice, an organizational and functional monitoring model of persons recognized as disabled due to non-oncological urological diseases is proposed, the basis of which is the formation of a single information system with regional data banks, which determines the regional dynamics of the number and structure of the causes of disability. Dispensary with the development of regional programs to preserve the health of the population and effective interaction of family doctors with urologists of all branches and MSEC is an important component. The personal program of rehabilitation and restorative treatment with the determination of the terms and scope of measures with the possibility of their dynamic correction provides comprehensive interdisciplinary rehabilitation in its three components – medical, professional, social – to preserve and restore the working capacity of the population of Ukraine, which is especially relevant in the conditions of the post-war reconstruction and restoration of Ukraine. Conclusions. The most frequent causes of disability due to non-oncological urological diseases, deficiencies in diagnosis and treatment depending on the group of disability, and nosological form are determined. An organizational and functional model of monitoring persons recognized as disabled due to non-oncological diseases of the genitourinary system in the general system of observation and restorative treatment has been developed.