Issue: 2023, Vol. 28, No. 4
QUALITY OF REHABILITATIVE DIAGNOSIS: INFLUENCE OF MULTIDISCILPINARY REHABILITATIVE SPECIALISTS TEAM PARTICIPATION
- Keywords
- rehabilitation in stroke, International classification of functioning, life activity and health lim- itations, domains of International classification of functioning, life activity and health status limitations, multidisciplinary rehabilitation team, rehabilitative diagnosis.
- Abstarct
- Objective – to determine how the absence of one specialist at the session of multidisciplinary rehabilitative team (MDRT) influences rehabilitative diagnosis quality. Material and methods. The study was performed in neurological department of Saint-Petersburg municipal hospital No 26. 211 patients over 18 years old with ischemic and hemorrhagic strokes were enrolled in the study; they were admitted within first 14 days since the onset of the disease symptoms. The participation of rehabilitative specialists in multidisciplinary work was evaluated by the analysis of rehabilitation diagnoses, composed in the categories of International classification of functioning, life activity and health limitations (IFC). The total number of MDRT domains which were related to competences of different MDRT specialists in rehabilitation diagnosis in cases of presence or absence of such specialist at MDRT session was compared. The dynamics of the used domains number was also studied in dependence on MDRT work time. Results and discussion. The absence of speech therapist, clinical psychologist, ergotherapist, physical therapist at MDRT session resulted in the decrease of the total number of domains which were related to their competence in the rehabilitation diagnosis. The increase of activity and participation domains, environment factors was marked; but functions and structures domains were not changed. Conclusion. The absence of such specialist at MDRT session resulted in unrevealed problems of the patients which were related to such specialist competence.
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