Method of Expert Rehabilitation Diagnostics of Patients with Consequences of Auditory Organ Diseases from the Position of the International Classifi cation of Functioning, Disability and Health
Introduction. A detailed analysis of the existing system of medical and social examination of patients with auditory deficits identified a number of problems of both conceptual and methodological nature in it. The identified shortcomings should be eliminated by creating new theoretical foundations and developing modern methods, algorithms and criteria for assessing the consequences of diseases of the hearing organ. Purpose. To develop a methodology for expert-rehabilitation diagnostics of patients with consequences of diseases of the organ of hearing from the standpoint of the International Classification of the Functioning, Disabilities and Health (ICF) and to conduct examination of patients with hearing impairments using it. Materials and methods. 129 patients of working age (from 17 to 56 (61) years) with hearing impairments of various severity, who were examined by medical and rehabilitation expert commissions and at the State Institution “Republican Scientific and Practical Centre of Medical Assessment and Rehabilitation” in the period from 2016 to 2018. Development of the methodology for expert-rehabilitation diagnostics of this category of persons was carried out from the standpoint of the ICF. Results. The technique for expert-rehabilitation diagnostics of patients with the consequences of diseases of the organ of hearing from the standpoint of the ICF has been developed. It includes a set of new methods for assessing the severity of the disorders of the structures and functions of the hearing organ and disabilities that arise from them. Conclusions. The use of the new methodology for expert-rehabilitation diagnostics of patients with consequences of diseases of the organ of hearing from the standpoint of the ICF will contribute to higher degree of objectivity and individualization of the expert decision.