Ukraine. Nation’s Health

Demographic characteristics and socioeconomic risk factors of thyroid cancer and chronic thyroid diseases

2025-10-30T09:51:19+02:00

The most common diseases of the endocrine system after diabetes are thyroid diseases. Purpose: to analyze demographic characteristics and socioeconomic risk factors for thyroid cancer and chronic thyroid diseases.Materials and methods. During 2024, a case-control study was conducted at the capital`s specialized endocrinology center. The main group consisted of 600 people with thyroid diseases, 95 of them with thyroid cancer, and 505 with chronic thyroid diseases. The control group consisted of 172 people who were recognized as practically healthy according to results of a comprehensive check-up at the center`s outpatient department.Results. It was found that cancer and other chronic thyroid diseases affect mainly women (75–79%) and people of working age (82–85%). They are accompanied in thyroid cancer by higher odds of unemployment (OR=2.57; 95%CI: 1.49–4.43) and low – below the subsistence level per family member – income (4.81; 1.40–16.55), and in chronic thyroid disease – unemployment (2.07; 1.40–3.08), low income objectively (3.21; 1.11–9.31) and subjectively (2.96; 1.67–5.24). It has been established that urban residents (75–80%) with a high level of education (63–65% have a university degree; OR=3.05; 95%CI: 1.80–5.16 for cancer and 3.33; 2.32–4.80 for chronic thyroid diseases) mostly use highly specialized endocrinological care. Conclusions. Cancer and other chronic thyroid diseases pose a significant socio-economic burden for the state and the health care system. The data obtained should be taken into account when developing organizational measures for the prevention of thyroid diseases at the state, regional, individual and community levels.

Trends in the incidence of malignant tumors in Ukraine in 2014–2019 on the example of lung and breast cancer

2025-10-30T09:57:18+02:00

Purpose: to investigate the trends in the incidence of malignant neoplasms in Ukraine during the period from 2014 to 2019, specifically lung cancer in men and breast cancer in women, assess the impact of demographic and socio-economic changes on incidence, and identify changes in the structure of cancer diseases.Materials and methods. The study utilized data from the National Cancer Registry of Ukraine and official statistics on oncological diseases in Ukraine. Age categories and the dynamics of lung cancer and breast cancer incidence in men and women were examined.Statistical methods were used for data analysis, including comparison of indicators over different years.Results. During the studied period, there was an increase in the overall incidence of malignant neoplasms by 2.37%, with a 7.9% increase in the cases of breast cancer in women. At the same time, there was a slight decrease in lung cancer incidence in men. The proportion of older patients increased, which is a characteristic trend for all types of oncological diseases.Conclusions. Despite a decrease in the population of Ukraine, the incidence of oncological diseases is rising. A change in the structure of diseases is observed, particularly a decrease in lung cancer incidence in men and an increase in breast cancer incidence in women. Additionally, the proportion of older patients has significantly increased, which indicates the influence of demographic changes on cancer incidence.

Analysis of post-COVID syndrome and preventive strategies in diabetes mellitus

2025-10-30T10:20:21+02:00

Purpose. The aim of this paper is to analyze the factors contributing to the occurrence of post-COVID syndrome in patients with diabetes mellitus and to highlight the importance of preventive strategies, including nutritional support, in managing the long-term consequences following COVID-19.Material and methods. The study included 181 patients with diabetes mellitus who had recovered from COVID-19 and were hospitalized in Slovakia. Data were collected using an anonymous questionnaire. Statistical analysis was performed using SPSS software, employing the chi-square test and the non-parametric Mann–Whitney and Kruskal–Wallis tests.Results. The results showed that the occurrence of post-COVID syndrome was associated with the duration of diabetes – patients with a longer disease duration more frequently reported post-COVID symptoms. The most common symptoms were fatigue, joint and muscle pain, shortness of breath, and sleep disturbances. A significant difference was also found in the use of vitamins and minerals – patients without symptoms more often reported regular supplementation (e.g., vitamins C, D, zinc, B-complex), suggesting a potential protective effect. Neither gender nor age showed a statistically significant impact on the occurrence of symptoms. Although slight differences were observed between age groups, the p-value confirmed they were not significant. This result may be related to the uneven distribution of respondents across age categories and the variability of symptoms.Conclusions. Post-COVID syndrome in diabetic patients represents a clinically serious issue that requires an individualized and multidisciplinary approach, including targeted prevention and nutritional support.

Trends in somatic health indicators among representatives of the security and defense sector during the war

2025-10-30T10:26:56+02:00

The purpose of the work is to compare somatic health indicators in security and defense sector representatives who complied (Group A) and did not comply (Group B) with the motor activity regimen during their training and combat activities.Materials and methods. The research, which was conducted in 2024–2025, involved 443 security and defense sector representatives – cadets (n=281), officer trainees (n=65) and commissioned officers (n=97) of the S. P. Korolov Zhytomyr Military Institute (Zhytomyr, Ukraine) who complied (Group A, n=112) and did not comply (Group B, n=331) with the motor activity regimen during their training and combat activities. Research methods: analysis and generalization of literature sources, medical and biological methods, methods of data processing.Results. It has been found that in the course of training and combat activities, the somatic health indicators of the security and defense sector representatives in both groups deteriorated, but in Group A the changes in all indicators were unreliable (p>0.05), and in Group B – reliable (p≤0.01–0.001). It has been found that at the end of the research, the cadets, officer trainees and commissioned officers of Group A had all the studied indicators of somatic health significantly (p≤0.01–0.001) better than in Group B, in terms of their body mass index – by 0.38, 0.73 and 1.24 kg/m2 in cadets, officer trainees and commissioned officers, respectively; in terms of their vital index – by 0.55, 1.47 and 1.79 ml/kg; in terms of their strength index – by 0.98, 1.38 and 1.45%; in terms of their Robinson index – by 0.82, 1.49 and 1.96 c. u.; in terms of their Martine-Kushelevsky index – by 3.6, 4.9 and 7.6 s; in terms of their somatic health level – by 0.40, 0.87 and 1.29 points.Conclusions. The effectiveness of motor activity (physical exercises) in improving somatic health in the security and defense sector representatives during their training and combat activities under martial law has been proven.

Study of socio-psychological factors associated with men’s sexual dysfunctions

2025-10-30T10:45:09+02:00

Purpose: to analyze the interrelation between socio-psychological factors and the sexual dysfunctions in men.Materials and methods. During 2023-2024, an analytical retrospective epidemiological medical and sociological study was conducted on a representative sample of 402 men with sexual dysfunctions and 200 men without them.Results. It was found that sexual disorders in men are associated with their complaints about frequent and constant stressful situations in life (OR=28.52; 95%CI=15.88–51.22), sleep disturbances (7.98; 1.89–33.76), dissatisfaction with their own health (10.62; 7.05–16.00) and life in general (5.77; 3.93–8.48). It has been proven that sexual dysfunction in men negatively affects their family relationships, as it is accompanied by significantly higher chances of not having a marriage or partner (1.47; 1.04–2.08), tense family relationships (3.60; 2.52–5.15) and a feeling of loneliness (8.56; 2.03–36.10). It has been found that sexual dysfunctions in men are associated with negative relationships in the workplace (1.96; 1.37–2.80) and low activity in social life: meeting with friends, family, attending public events, church, fellowships, clubs, etc (1.43; 1.01–2.02).Conclusions. In the management of sexual dysfunctions in men, screening for psychological disorders and preventive counseling and care aimed at social and psychological support should be a mandatory component.

Dynamics of mental health indicators in security sector professionals under the influence of training and combat stressors

2025-10-30T11:01:31+02:00

The purpose of the work is to investigate the dynamics of mental health indicators of security sector professionals under the influence of stress factors of training and combat activities under martial law conditions.Materials and methods. The research was conducted in 2024–2025 at the Kharkiv National University of Internal Affairs (Ukraine, Kharkiv). The study involved: 244 cadets of the1st–4th years, 58 trainees, 85 officers. Research methods: theoretical analysis and generalization of literature sources, psycho-diagnostic methods (for assessing the mental health of security sector professionals), methods of mathematical statistics.Results. The negative impact of stress factors of training and combat activities on the mental health of security sector specialists and, in particular, on the level of manifestation of stress disorders, predisposition to the development of stress, decreased stress tolerance, increased neuro-emotional tension, increased anxiety, and worsening of the emotional state has been proven. The most pronounced negative changes in the indicated mental health indicators were found in professionals whose training and combat activities are characterized by prolonged systematic exposure to stress factors (officers during a trip to a combat zone, trainees during internships), and those who have not developed the skills to counteract stress during the performance of training and combat tasks (junior year cadets).Conclusions. The obtained results highlight the necessity of developing stress resilience among security sector professionals to ensure the effectiveness of their training and combat activities under martial law conditions. They also emphasize the importance of fostering skills in applying effective stress prevention strategies during such activities, as well as promoting the recovery of mental health indicators following their completion.

Development of professional standards for public health specialists: Ukrainian context and European experience

2025-10-30T12:21:26+02:00

Purpose. The aim of the study is to substantiate the feasibility of developing professional standards for public health professionals/ specialists, taking into account European experience in the context of Ukraine's European integration.Materials and methods. The study used methods of systemic, comparative and logical-legal analysis of the regulatory framework in the field of public health in Ukraine and the European Union.Results. European legislation, namely Directive 2005/36/EC, is a key legal instrument in regulating professional mobility through the recognition of qualifications.The study substantiates the relevance of developing professional standards for public health professionals/specialists with higher non-medical education as a strategic tool for improving sanitary and epidemiological security in Ukraine, especially in the context of integration into the European Union and responding to emergencies.Conclusions. It is shown that the domestic system of professional training in the field of public health, in particular for specialists with non-medical education, is at the stage of institutional formation, and its further development requires the implementation of unified approaches to the definition of qualifications. It is proved that the regulatory and legal framework of Ukraine is already largely harmonized with European approaches, in particular with the requirements of Directive 2005/36/EC on the recognition of professional qualifications.Scientifically grounded professional standards will contribute to strengthening the workforce, harmonizing with European norms, enhancing the culture of safety, implementing preparedness monitoring, and supporting continuous professional development.

Features of the influence of the menstrual cycle on the physical performance of female athletes

2025-10-30T12:38:48+02:00

The article provides a review of recent publications on the influence of female menstrual cycle hormones on athletic performance.As demonstrated, hormonal fluctuations of the menstrual cycle trigger numerous processes in the body related to reproduction.Purpose. The aim of the study was to evaluate, based on the literature, the current state of scientific research regarding the impact of the hormonal cycle on the physical performance of female athletes.Materials and methods. Research methods. Within the framework of this review article, a systematic approach to literature analysis was applied. Scientific databases such as PubMed, Scopus, Web of Science, and Google Scholar were used for data collection.A total of 1,563 articles were reviewed. The search was conducted using the following keywords: «hormonal cycle», «physical performance», «female athletes», «menstrual cycle» and «hormonal fluctuations». A total of 102 articles were selected, of which 54 met the inclusion criteria.Results. Hormonal fluctuations of the menstrual cycle affect many processes in the body related to reproduction. A significant number of studies have shown interest in the influence of the menstrual cycle on sports performance. The study highlights significant difficulties in studying this issue, as the hormonal profile can change in cases of menstrual cycle disorders, such as luteal phase defects or anovulation, as well as with the use of oral contraceptives. The study highlights significant challenges in investigating the issue, as the hormonal profile may vary in cases of menstrual cycle irregularities, such as luteal phase defects or anovulation, as well as with the use of oral contraceptives.Studies have shown that the decline in performance and the worst results are to be found in the late luteal phase and early follicular phase, as there is a decline in both progesterone and estrogen. This is probably why the body is not ready to reach its maximum levels.It has also been shown that women with anovulation or luteal phase defects have a relative energy deficit in sports, which can lead to an increased incidence of injuries and reduced adaptation to training and subsequent performance. There is a possibility of serious complications, including low bone mineral density, increased risk of injury, decreased coordination, and decreased muscle strength.Nevertheless, most researchers agree that the late follicular phase and ovulation are the optimal stages for training focused on speed and explosiveness, as well as the development of more complex jumps and sprints. In contrast, during the luteal phase, it is advisable to conduct lower-intensity training sessions that range between the minimal effective volume and the adaptive maximum. Studies have also shown that menstrual cycle hormones primarily affect training sessions requiring efforts close to the athlete's maximum capacity. The influence of the menstrual cycle, evident only in the most intense types of elite training, may partially explain the current conflicting results in research. Conclusions. 1. The importance of coaches’ awareness of the menstrual cycle. 2. The necessity of an individualized approach.3. Optimizing the training process through cycle adaptation. 4. Injury prevention and performance enhancement. 5. The need for educational efforts.

The assessment of the electronic public health system under martial law

2025-10-30T14:03:37+02:00

Purpose: This paper aims to substantiate methodological approaches to assessing and measuring the effectiveness of the current electronic healthcare system model under martial law in Ukraine, to preserve public health.Materials and methods. The substantiation of criteria for evaluating the effectiveness of medical care organizations using an electronic system is based on risk factor and current challenge investigations in public health in Ukraine, as well as an analysis of regulatory documents, European, and global eHealth practices.Results. Under the current conditions of martial law in Ukraine, special attention is paid to the provision of medical care to internally displaced persons. The novelty of the study lies in the justification of the methodology for assessing the state of the electronic healthcare system by evaluating the compliance of actual service indicators with required standards.The authors propose a unique methodology for studying the modern national eHealth model. For its implementation, it is recommended to create the community medical registries to assess population appeals for primary, urgent, and emergency medical care; district-level medical registries based on premature mortality indicators to evaluate the quality of specialized, palliative, and rehabilitation medical care; and regional-level medical registries to assess citizens' disability status as important indicators for reducing the disease burden in the country.Conclusions. 1. Under the condition of martial law in Ukraine, it is relevant for the state to focus its efforts on accelerating the completion of software development to provide patients with access to their own electronic cabinet and the implementation of medical registries at the community, district, and regional levels. The use of the proposed assessment of the electronic health system will allow obtaining information about the real state of population access to medical services for taking necessary government measures.2. An important decision of the Ukrainian government is to promote the National Public Health System of the Ministry of Health of Ukraine to be the Central Electronic Information Base on the health status of the country's population, bringing, together with the National Health Service of Ukraine, the electronic health system into compatibility with the electronic systems of EU countries based on international standards. This will significantly improve the quality of medical care, primarily for evacuated Ukrainian citizens who are in European and other countries around the world; the speed and timeliness of analysis and assessment of the health status of the country's population; and the development and adoption of effective government programs for the preservation of the nation's health.3. To launch the electronic healthcare system in a mode capable of ensuring the collection, analysis, and storage of information regarding patient visits for various forms of medical care based on electronic cards, state funding at the level of the National Health Service of Ukraine is required. 4. The decisive factors for the effectiveness of e-health in the organization of medical services will be the timely implementation of effective software, the support of professional computer literacy among medical personnel, and the population of the country as a whole.

Medico-sociological study of the role of primary care nurses in motivating community residents for a healthy lifestyle

2025-10-31T08:51:10+02:00

Purpose: Despite the positive outcomes of the primary health care (PHC) reform in Ukraine and the growing implementation of a family-oriented model of service delivery, the level of adherence to healthy lifestyle (HLS) practices among adults remains insufficient.Only one-third of the population regularly follows key HLS principles. This study aimed to assess the contribution of primary care nurses to promoting adherence to HLS and to identify key barriers and motivators influencing health-related behaviors in two typical communities in central Ukraine: Lokhvytsia (Poltava region) and Stanyshivska (Zhytomyr region).Materials and methods: A cross-sectional medical-sociological survey was conducted in March 2025 among 330 respondents aged 18 to 69 years (mean age: 42.4 ± 0.6 years; 58,0% women) using a standardized 36-item questionnaire based on the WHO STEPS instrument, adapted for the Ukrainian context. The sample included 180 participants from Lokhvytsia and 150 from Stanyshivska. Data were processed using SPSS v29, including descriptive statistics, 95,0% confidence intervals (CI), relative errors (δ), and correlation analysis. The differences in the studied criteria were insignificant and did not affect the overall conclusions, so the results were summarized, which allowed for a combined interpretation of the materials. Additionally, qualitative insights were obtained through two focus group discussions with practicing primary care nurses from both regions to contextualize survey findings and capture practical experiences.Results: Over half of respondents (55.2%; 95,0%; CI: 49.7–60.6%) recognized adherence to HLS as the primary factor for improving health. However, only 42.1% (95,0%; CI: 36.9–47.5%) rated their own health status as «good», and 52.1% (95,0%; CI: 46.6–57.5%) admitted that they do not pay sufficient attention to their health. Chronic fatigue was reported by 66.1% of respondents and showed a significant correlation with low physical activity (r = 0.41; p < 0.01). Inadequate diet and insufficient physical activity were reported by 37.9% and 36.1% of participants, respectively. Respondents with obesity (BMI > 30 kg/m²) were three times more likely to suffer from chronic pain (OR = 3.2; 95,0%; CI: 1.7–5.9), which limited their ability to engage in preventive behaviors.Motivational factors for adopting HLS included physician advice or symptom exacerbation (32,0%), maintaining physical fitness (25,0%), desire for a fulfilling life and sustained work capacity (21,0%), saving on treatment costs (18,0%), and gaining knowledge and skills for health preservation (17,0%). Key barriers included chronic fatigue, lack of time, limited access to sports infrastructure, and an overload of conflicting health information. These factors often undermined respondents’ confidence in making informed decisions.Focus group results confirmed that nurses play a pivotal role in individual counseling, early risk detection, and tailoring educational efforts to patients’ psychological readiness for change.Conclusions: This study highlights the critical importance of integrating behavioral prevention strategies into routine PHC practices. Empowering nursing staff through continuous professional development and promoting intersectoral partnerships could significantly enhance the effectiveness of health promotion at the community level. Importantly, 85,0% of respondents expressed willingness to receive regular health tips and personalized content via mobile applications linked to their family clinics. These findings support the scaling-up of digital tools and nurse-led interventions to improve health behaviors. A follow-up study is planned for 2026 to evaluate long-term changes in individual practices and community-level health outcomes.

Risk factors of non-communicable diseases as a component of patients' health

2025-10-30T14:12:32+02:00

Purpose. This study addresses the persistent problem of non-communicable disease (NCD) risk factors. Its purpose was to investigate the prevalence of controlled risk factors and propose strategies for mitigation. The research focused on NCD risk factors, patient compliance, and physician preventive activity.Materials and methods. Methods included a sociological questionnaire survey (based on WHO STEPS) of 257 patients from the State Scientific Institution «Center for Innovative Healthcare Technologies», alongside medical-statistical, analytical, and generalization approaches. Results. Results revealed alarmingly high prevalence: 93.8% of respondents (74.3% daily) smoked tobacco; 83.3% consumed alcohol in the last year (28.0% weekly at risk levels). Unhealthy eating was widespread, with 40.5% not daily consuming fruits and 23.3% vegetables; low portion sizes were common. Over 66% reported sedentary lifestyles. A significant number did not take prescribed medications for hypertension (23.5%), high blood glucose (69.4%), or high cholesterol (50.5%). Physician recommendations for healthy behaviors were inconsistently received (18.3–50.9%).Сonclusion. In conclusion, controlled NCD risk factors are prevalent, compounded by low patient compliance and insufficient physician preventive action. Widespread implementation of individual and population-level preventive programs, involving public health specialists, media, and local government, is crucial for promoting health technologies in communities.

Risks to the supply of quality medicines to the population of Ukraine under conditions of transformation in international pharmaceutical trade and digitalization

2025-10-30T14:22:33+02:00

Purpose of the Study. The purpose of this study is to analyze the risks associated with the declining availability of quality medicinal products and medical devices for the population of Ukraine under the conditions of transformation in international pharmaceutical trade, socio-humanitarian crises, and the digitalization of healthcare systems.Materials and Methods. The object of the study is the medicine supply system in Ukraine under disrupted global supply chains.The research methodology is based on a comprehensive approach that includes comparative analysis of international strategies, case studies of practices used by leading pharmaceutical companies, and statistical analysis of official data on imports, investment programs, and API market structure. The sources of information include official reports from international organizations (WTO, WHO, EFCG), national statistics, regulatory initiative documents (HERA, ACAA, PLI), and analytical research by companies such as IQVIA and McKinsey.Research Results. It was found that the transformation of the global pharmaceutical market is accompanied by trade regionalization, rising tariff barriers, price pressure on APIs, and stricter GMP certification requirements. Ukraine, which depends on imported medicines for more than 70% of its supply, faces increased risks of supply disruptions, especially in wartime conditions.The critical importance of implementing digital tools for monitoring the circulation of medicinal products is emphasized. International adaptation strategies (EU, USA, China, India) were analyzed, and the need for Ukraine to localize production and integrate into regional logistics platforms was identified.Conclusions. The global pharmaceutical system is shifting toward a new paradigm – from centralized global production to resilient regional models. For Ukraine, key priorities include the development of local manufacturing, digitalization of logistics, harmonization with European standards, and the formation of a national pharmaceutical security strategy. Ensuring access to quality medicines for the population must remain a core objective of national health policy in the context of global crises.

Analysis of changes in indicators of provision of medical care at Poltava military hospital in 2022–2023

2025-10-30T14:29:37+02:00

Purpose. To understand the complexity and structure of medical care for military personnel, it is necessary to analyze the number of patients treated, the average duration of hospital stay, and the contingent of patients. Materials and methods. The object of the study was the Poltava Military Hospital. The hospital's performance indicators for 2022–2023 were analyzed. The work used bibliosemantic and statistical methods. Results. In general, the number of patients in the hospital has increased by 4.97% since 2022 and was the largest among military personnel undergoing contract service. Thus, this number increased by 14.75% from 2047 in 2022 to 2349 in 2023. Accordingly, bed days also increased from 19736 to 32396, which amounted to an increase of 64.15%. If we consider the use of the bed fund since the beginning of the war in Ukraine by military categories, it can be noted that the largest number of patients was among those serving on a contract basis in the surgical and traumatology departments. In second place among the categories of military personnel who were inpatients were officers, the number of whom in the hospital as a whole increased slightly from 414 to 436 people, bed days increased by 45.06%.Conclusions. The hospital's performance indicators showed that during the reporting period, the number of those treated in the hospital compared to 2022 increased by 14.75% and was the largest among military personnel serving on a contract basis. Surgical diseases occupy the leading positions in the morbidity structure. The average duration of treatment of patients in the hospital was the largest in the neurological department – 19.6 in 2023.

Analysis of key trends in the financing of perinatal medical care under the medical guarantee program in Ukraine

2025-10-30T14:33:41+02:00

Purpose. The aim of this study is to determine the key trends in the medical care financing in Ukraine within the priority medical care packages under the Medical Guarantee Program «Medical care in childbirth», «Medical care to newborns in complex neonatal cases» and «Prenatal care in outpatient settings».Material and methods. The indicators of the provided medical services in connection with childbirth and the number of the provided medical care services to newborns in complex neonatal cases in healthcare institutions in the regions of Ukraine have been determined in comparison with the average indicator in Ukraine. The trends regarding the dynamics of payments from the National Health Service of Ukraine under the Medical Guarantee Program from 2018 to 2023 have been defined.Results. The medical care packages under the Medical Guarantee Program «Medical care in childbirth» and «Medical care to newborns in complex neonatal cases» are among the priority ones, therefore they are fully financed by the state. Their payment is constantly increasing, but it is not enough to cover the costs of healthcare institutions. The number of сhildbirths in the hospital, which is lower than 400 per year, can negatively affect doctors’ qualifications. Conclusion. The authors prove the inconsistency problem of the established tariff with the actual costs of healthcare institutions for providing perinatal care. Also, the established tariff does not take into account the differences in the costs of physiological childbirth and cesarean section.

Market efficiency of the organization of medical services for patients with persistent, long-standing persistent, and permanent forms of atrial fibrillation based on an adapted theoretical model

2025-10-30T14:42:05+02:00

Purpose: To evaluate market efficiency in organizing medical services for patients with persistent, long-standing persistent, and permanent atrial fibrillation using an adapted model by Dranov and Satterwait, considering the role of information noise in demand elasticity and consumer decisions.Materials and methods: The study analyzed services for 250 patients with various atrial fibrillation forms during 2015–2023 across five clinical pathways. Structural Equation Modeling (SEM) with latent variables – quality, comfort, and information noise – was applied using R’s «lavaan» package. Model fit was assessed with RMSEA, SRMR, CFI, TLI, and the Satorra-Bentler test.Results. SEM showed significant links between quality, comfort, cost, and information noise. For persistent atrial fibrillation patients, service cost correlated strongly with quality and comfort; in other forms, quality sensitivity prevailed. Information noise reduced perceived quality but increased cost. Physician qualification influenced quality, while physician changes affected comfort.Conclusions. The Dranov and Satterwait model effectively assesses healthcare market behavior. Patients with severe atrial fibrillation prioritize quality; those with milder forms value comfort more. Minimizing information noise can optimize cost, quality, and convenience balance. SEM is a suitable method for analyzing complex consumer behavior factors.

The cost of treatment and rehabilitation of servicemen with amputation after mine-blast injury

2025-10-30T14:50:13+02:00

Purpose: to study the «portrait» of servicemen with amputations as a result of mine-blast injuries and to calculate the costs of their treatment and rehabilitation in a specialised institution providing highly qualified inpatient care Materials and methods. The study was conducted among servicemen who underwent treatment and rehabilitation at the Feofiniya Clinical Hospital of the State Management of Affairs of Ukraine from September 2022 to June 2024 (46 people in total). The following methods were used to conduct the study: cost-of-illness method, economic analysis. The costs of prosthetics due to amputations were not analysed in the calculations.Results. 46 patients (servicemen) who sustained mine-blast wounds while performing combat missions were included in the study. The patients' ages ranged from 21 to 58 years (mean age – 36.7 years). On average, there were 1.2 amputations per patient. The average length of stay for treatment and rehabilitation was 144 days (median 120 days). Overall, it was estimated that the largest share of costs was for inpatient treatment (45%), laboratory and instrumental tests (9.1%), and medicines (28.6%). The cost per patient was UAH 628 thousand.Conclusions. According to the calculations, the total cost of treatment and rehabilitation of servicemen with amputations (excluding prosthetics) in the study sample was more than UAH 28.9 million (in 2024 prices).

Formation of digital competence in the training of future doctors

2025-10-30T15:00:08+02:00

In the context of rapid informatization and integration of digital technologies into all spheres of life, including healthcare, the issue of developing digital literacy and targeted formation of digital competence in future healthcare professionals is becoming strategically important. The article is devoted to an in-depth analysis of this multifaceted issue. The key focus of this study is the development, theoretical substantiation and practical implementation of innovative educational components in the educational process of medical universities, based on the experience of the Kyiv Medical University. The proposed innovations will ensure a high level of digital readiness of future doctors for effective professional activity in the context of the continuous digital transformation of the healthcare sector in Ukraine.The article discusses a new training course for the comprehensive development of digital competencies in medical students. The article presents the developed structural and logical scheme, reflecting the gradual acquisition by students of the necessary theoretical knowledge and practical skills in the field of digital technologies in medicine, with details of the key elements and their interaction.The benefits of implementing the model of digital competence formation are highlighted. The key educational components have been identified and formed, with a vector of focus on the targeted formation of digital competence in the context of health care for future doctors. Thanks to this, graduates of medical institutions will be able not only to be competitive in the labor market, but also to effectively and quickly adapt to the ever-growing challenges of modern practical medicine in the context of active use of the latest information technologies, which is especially important in the context of the dynamic development of the EHS of Ukraine.The article emphasizes the critical need for a continuous and consistent process of acquiring digital competencies to ensure full and effective professional activity in the national E-Health system in senior years of study. This can be realized through the active formation of practical skills and sustainable skills of direct work in the E-Health electronic system in the process of in-depth study of the educational components «Medical Electronic Systems: Family Medicine» and «Medical Electronic Systems: Inpatient; Secondary Care», using interactive teaching methods: analysis of specific clinical cases (case studies) and simulation professional games.Purpose: to analyze, summarize and integrate new digital components into the educational process of medical universities that will contribute to the quality training of future doctors with a high level of digital competence.Materials and methods. The study was based on the educational components implemented in the educational process to form the digital competence of future doctors.A set of theoretical and methodological methods was used, including literature analysis, document study, expert evaluation, testing, questionnaires, observation, modeling and forecasting, and case studies, role-playing games, testing on the E-Health platform.Results. The results of the study emphasize the fundamental need to initiate the systematic formation of digital competencies in future doctors already at the stage of studying in medical universities for their successful adaptation to the digital healthcare environment.Conclusions. Specialized educational components have been developed and integrated into the educational process to ensure the development of practical skills in working with the E-Health electronic system, and are an effective tool for the quality training of competitive medical personnel with a high level of digital competencies.

Issues of preserving and strengthening the health of the region's population in the development strategy of the Transcarpathian Region for the period up to 2027

2025-10-30T15:09:37+02:00

Purpose: to conduct a comprehensive analysis of the development strategy of the Transcarpathian region for the period until 2027 in terms of creating conditions to ensure the preservation and strengthening of the health of the population in the region.Materials and methods. Materials: Development Strategy of Transcarpathian region for the period until 2027. Methods: bibliosemantic, of structural-and-logical analysis.Results. The strategy consists of an introduction and seven sections. It presents a description of the main trends and problems of socio-economic development of the region, an analysis of strong sides, opportunities of development, weak sides and threats to the development of the region, scenarios for the development of the regional economy, strategic vision of the development of the region.Three strategic goals are presented: «People-centered development», «Increasing the competitiveness of the region», «Environmental protection and balanced development of mountainous and rural areas of the region». Each strategic goal includes operational goals and objectives and possible areas of project implementation. On a par with the economic development of the region, the issues of preserving and strengthening the health of the population are a priority in the Strategy. Objectives of the operational goal 1.3. «Formation of an accessible, inclusive, health-preserving space for physical recovery and human development» are: ensuring the functioning of a capable public health system and the formation of a healthy lifestyle; formation of a capable network of health care institutions at all levels (including the creation of rehabilitation departments); maternity and childhood protection, dissemination of knowledge and practices on reproductive health; expansion of the network of institutions and creation of an inclusive sports infrastructure.Other strategic and operational goals and their tasks are aimed at creating safe living conditions, an optimal environment for human health and the possibility of ensuring health-preserving behavior. The development of security and civil protection infrastructure involves promoting the development of a centralized warning system and increasing the fund of protective structures of civil protection, taking into account the principles of inclusiveness and barrier-free, and promoting the formation of security centers in territorial communities. The development of the tourism and health sector provides the development and improvement of the quality of tourist and health infrastructure, the expansion of the range of services and the development of a regional network of tourist routes and tourist visits. Important conditions for preserving and changing the health of the population are the implementation of the measures of operational goal 3.1 «Preservation and reproduction of biological and landscape diversity, natural complexes, water, land and forest resources, expansion of the regional ecological network», operational goal 3.2. «Environmentally friendly space of the region» and operational goal 3.3. «Equalization of disproportions in the socio-economic development of mountainous and rural areas».The strategic goals of the Strategy are largely aligned with the Sustainable Development Goals. This connection shows that the Development Strategy of the Transcarpathian region for the period until 2027 corresponds to the vision of Ukraine's achievement of the Sustainable Development Goals for the period up to 2030.Thus, the strategy for the development of the Transcarpathian region consists in the following vision of the region: «Transcarpathian region is a region with unique opportunities for creating new projects and ideas, the southwestern gateway of Ukraine to the European Union, an attractive land where residents work together with authorities and local governments to achieve comfortable living conditions, the land of preservation of cultural and historical monuments, traditions and nature; an area where the balance of industrial development and preservation of unique natural resources is observed; a region where you want to live and work.» Conclusions. The Development Strategy of the Transcarpathian region for the period up to 2027 is a document that defines trends and main problems of socio-economic development of the region, strategic and operational goals, priorities of the development of the region for the relevant period, the main tasks, stages and mechanisms of their financing and implementation, a system of monitoring and evaluating performance. Considerable attention in the Strategy is payed to the optimization of conditions for preserving and strengthening the health of the population in the region.

Mechanisms of integration of otolaryngology care in the activities of family doctors

2025-10-31T07:55:56+02:00

Integration is a conceptual approach to ensuring the quality of medical care in modern conditions. One of the most important tasks of the medical services integration is the achievement of a sustainable health care system focused on the of the patient’s needs, since fragmented services, poor coordination of medical care often become the main obstacle for patients and reduce its quality. In general, about 70.0% of ENT diseases can be cured in primary care, and its importance increases with a significant shortage of ENT specialists who work mainly in clinics. Therefore, the integration of otolaryngological care into the practice of a general practitioner is considered by scientists and health care organizers as a revolutionary approach that needs to be promoted. In Ukraine, as in the whole world, the incidence of diseases of the ear, throat, and nose, especially during epidemics, according to the Center for Public Health of the Ministry of Health of Ukraine, is high. Therefore, the problem of high-quality medical care for patients with these diseases in primary care is relevant, and the mechanisms for integrating otolaryngological care into the practice of a general practitioner have not been sufficiently studied.The purpose of the study: to investigate what mechanisms for integrating medical care for patients with ear, throat, and nose diseases are implemented in the activities of a general practitioner.Materials and methods. The object of the study: mechanisms of integration of otolaryngological care in the activities of a general practitioner. The subject of the study: coordination of actions in teams of employees of a primary health care institution, cooperation of general practitioners with otolaryngologists and interested community representatives, namely social workers, suppliers of medical products, pharmacy employees, doctors of private medical institutions; the orientation of a general practitioner to a patient with ear, throat, and nose diseases.Research methods: sociological (based on the standardized questionnaire PSPIC, 2019), medical and statistical, analytical, generalization of results. Results. The results of the study showed that integration as a modern strategy for improving the quality of medical care is used by general practitioners-family doctors in Kyiv for patients with ear, throat, and nose diseases. However, integration mechanisms are used unevenly both within primary care institutions and in their external interactions. According to the respondents, coordination mechanisms for preventive measures and monitoring patients with chronic diseases need to be improved (average scores of 3.49±0.50 and 3.68±0.46 points, respectively). The survey participants gave low scores for sincerity and openness in communication between members of the teams of the primary health care institution (score of 3.58±0.55 points), which indicated the need to build more trusting relationships that will positively affect the quality and effectiveness of cooperation in the team. The most problematic position in using integration mechanisms was the coordination of activities between general practitioners and otolaryngologists (average scores of 2.62±0.48 – 2.94±0.46 points), which indicates the continued fragmentation of medical care for patients with ear, throat, and nose diseases and the threat to its quality when transferring the patient to specialized medical care institutions. More active cooperation between general practitioners and social workers, suppliers of medical devices, pharmacy employees, doctors of private medical institutions, and interested community representatives is advisable (average scores 3.58±0.49 and 3.76±0.42 points).Conclusions. The use of integration mechanisms requires management decisions by the heads of primary and specialized medical care institutions for their balanced implementation in the activities of health care institutions in the hospital district. Prospects for further research lie in further monitoring of the integration mechanisms used both within domestic primary health care institutions and in their external interactions, considering international approaches to conducting such research.

Providing the population of Transcarpathian Region with dental care under the program of medical guarantees

2025-10-31T07:59:48+02:00

Purpose: to study the level of provision of dental care to the adult population of the Transcarpathian region under the Medical Guarantee Program.Materials and methods. Object of study: provision of free dental care in health care institutions of Transcarpathian region.Research materials: electronic records of the National Health Service of Ukraine for the period 2021–2024 in the context of health care institutions of the Transcarpathian region. Research methods: bibliosemantic, medico-statistical, of structural-and-logical analysis.Data processing was carried out with the use of generally accepted methods of medical statistics.Results. During the period of the study, guaranteed dental care was provided to the population of the Transcarpathian region in health care institutions of the general network and two specialized dental clinics. During the study period, the number of health care institutions in which dental care was provided decreased by five and in 2024 included 17 institutions. In the process of reforming the health care system of the region, the «Transcarpathian Regional Clinical Dental Polyclinic» of the Transcarpathian Regional Council was liquidated. At present, one specialized health care institution in the region – the Communal Non-Commercial Enterprise «Svalyava Dental Center» of the Svalyava City Council of the Transcarpathian region is functioning. For 2024, 3 health care institutions (Communal Non-Commercial Enterprise «Uglya Hospital» of the Uglya Village Council of the Tyachiv District of the Transcarpathian Region, Communal Non-Commercial Enterprise «Teresva Hospital» of the Teresva Village Council of the Tyachiv District of the Transcarpathian Region, Communal Non-Commercial Enterprise «Tereblya Hospital» of the Bushtyn Village Council of the Tyachiv District of the Transcarpathian Region) have concluded an agreement with the National Health Service of Ukraine on the provision of free dental care to the population by the state program of medical guarantees, but it is not provided. Despite the presence of an extensive network of specialized institutions of dental medical care of private ownership in the region, none of them has concluded an agreement with the National Health Service of Ukraine for the provision of medical care to the population within the framework of the state Program of Medical Guarantees over the years of the study. The number of the population of the region who received dental care under the program of state guarantors by years was: 2021 – 56402 persons, 2022 – 63148 persons, 2023 – 61467 persons, 2024 – 52578 persons. There exists a tendency to reduce the volume of dental care under the program of state guarantees. Of the total number of people who received dental care, up to 34.7% were children. Some health care institutions provide dental services to less than 400 patients per year, which, according to evidence-based management, does not ensure their quality. In the structure of the reasons for the population's request for dental care, up to 3.0% were preventive appeals, the rest of the appeals were for therapeutic purposes. At the same time, not all health care institutions that have concluded contracts with the NHSU provide preventive dental services. The data obtained indicate that in the Transcarpathian region, the WHO principles adopted for implementation in the health care system of Ukraine, which are defined by the «Global Strategy to Combat Oral Diseases», are not implemented.Conclusions. The analysis indicates that the organization of the provision of dental care to the population under the program of State Guarantees in the Transcarpathian region is not a priority and requires managerial decision-making in order to provide the population with geographically available dental care.

Innovative technologies of mobile applications in rehabilitation practice: personalised approach to restoring body functions

2025-10-31T08:14:12+02:00

The purpose of the article is to assess the effectiveness and reasonability of using mobile applications as a tool for personalized rehabilitation.Materials and methods. This study used a systematic literature review method. The search for scientific sources was carried out in databases such as PubMed, Scopus and Google Scholar. The selection of articles was carried out according to the following criteria: publication in peer-reviewed journals, articles in English, studies conducted in the last ten years (2014–2024). A structured questionnaire method was used to survey physical and rehabilitation medicine doctors, physical therapists and occupational therapists.The selected free mobile applications were tested in clinical settings with the involvement of patients of different ages (from 18 to 68 years, 128 women, 149 men) and with different pathologies. Patients used PhysiApp, RehabCoach and Kaia Health in their daily rehabilitation practice. The effectiveness of the applications was assessed based on data on patient improvement, rehabilitation duration and user satisfaction.Results. Overall, the majority of specialists, including 34 physical therapists, 11 Doctor of Physical and rehabilitation medicine, and 26 occupational therapists, would recommend the use of mobile applications in rehabilitation to other specialists, which confirms the high appreciation of mobile technologies among healthcare professionals and their readiness to integrate such tools into their practice.Conclusions. The results of the study demonstrate that mobile applications in rehabilitation medicine significantly increase the efficiency and convenience of the rehabilitation process. The responses of specialists showed that most of them positively evaluate mobile technologies, considering them effective and functional. The main benefits of using mobile applications include accessibility for patients, a personalized approach and constant monitoring of health status. Ease of use was also highly rated by both patients and medical professionals.

Assessment of the relationship between prognostic risk factors for lower back pain and extent of its interference with daily activities

2025-10-31T08:19:36+02:00

Purpose. Chronic lower back pain (CLBP) disrupts daily activities and negatively affects work capacity and socio-economic well-being worldwide. This study aimed to explore the relationship between prognostic physical and psychosocial risk factors and interference with daily activities in patients with non-specific back pain using the stratified approach of the STarT Back Screening Tool. Materials and methods. The study was conducted at the «Institute of Vertebrology and Rehabilitation» in Kyiv, Ukraine, involving 146 participants (66 males and 80 females) with lower back pain complaints. Assessment tools included: Numerical Rating Scale (NRS) for pain intensity, STarT Back Screening Tool (SBST) for chronic pain risk stratification, Oswestry Disability Index (ODI) for evaluating the impact of pain on daily activities. Patients were categorized into low (112 patients, 76.7%), medium (28 patients, 19.2%), and high-risk groups based on the SBST.Results. A moderate positive correlation between SBST and ODI scores was observed (ρ = 0.551). Fear, anxiety, and depression were statistically predominant among psychometric factors (χ² = 60.521; p < 0.05). Anxiety and depression were the most frequently reported psychological risks contributing to chronic pain. Demographic and anthropometric indicators (such as age and BMI) showed only weak or no correlation with pain characteristics. Psychological factors were dominant predictors of pain chronicity, regardless of gender.Conclusions. This is the first study in Ukraine to assess the relationship between SBST and functional disability in patients with non-specific back pain during wartime. The findings highlight the importance of integrating psychological risk factor screening (particularly anxiety and depression) into rehabilitation strategies to enhance functional outcomes.

Optimization of outpatient stroke rehabilitation using remote technologies

2025-10-31T08:26:39+02:00

Stroke remains a major cause of long-term disability in Ukraine and worldwide, with growing patient numbers and limited inpatient rehabilitation resources. Recovery of motor, cognitive, and social functions after discharge is essential for improving quality of life and reducing healthcare burden. Optimizing outpatient rehabilitation has therefore become a priority. Remote technologies ensure continuity of care regardless of location or infrastructure, a need that became evident during the COVID-19 pandemic.Telerehabilitation platforms with modules in neuropsychology, speech therapy, physiotherapy, and occupational therapy align with global trends in telemedicine and personalized care.The purpose. To optimize outpatient rehabilitation of stroke patients by implementing remote technologies, enhancing recovery outcomes and quality of life while reducing disability.Materials and methods. The study used organizational-legal, historical, content analysis, and structural-organizational modeling methods. Surveys of patients and relatives assessed motivation and access. Statistical analysis employed Student’s t-test, Pearson’s coefficient, and Microsoft Excel and Statistica 6.0.Results. A regional outpatient telerehabilitation model was tested in the Transcarpathian region. Patients receiving both outpatient and remote care showed better mobility, cognition, and self-care, with improvements in 15 of 16 indicators. Additional effects included reduced anxiety and pain, lower dependence, and increased motivation.Conclusions. Remote technologies in outpatient stroke rehabilitation effectively improve physical, emotional, and social outcomes, prevent recurrent strokes, and expand access in rural areas. Wider implementation and long-term evaluation are recommended.

Modern approaches to physical rehabilitation of patients after stroke: analysis of effective methods of movement therapy

2025-10-31T08:29:25+02:00

The purpose of this review is to analyse current approaches to physical rehabilitation of patients after stroke, assess their effectiveness based on recent clinical trials and identify promising areas for the development of neurorehabilitation, as well as to summarise and systematise the available evidence on kinesiotherapy in post-stroke rehabilitation.Materials and methods. The study materials included systematic reviews, meta-analyses and original clinical trials on various aspects of physical rehabilitation for stroke patients. The main focus was on the following methods: – Functional training: exercises that mimic everyday movements. – Forced movement therapy (CIMT): Restricting the healthy limb to stimulate the affected limb. – Robotic rehabilitation: the use of exoskeletons and robotic devices. – Hydrokinesiotherapy and aerobic training: physical exercises in water and cardio exercise. – Functional electrical stimulation (FES): the use of electrical impulses to stimulate muscles. – Virtual reality (VR): interactive systems with biofeedback. – Kinesiotaping: the use of special elastic patches. – Traditional methods: proprioceptive neuromuscular stimulation (PNF) and the Bobath concept.The research methods consisted of a systematic review and analysis of scientific literature. The effectiveness of each method was assessed based on published data, the results were compared, and advantages and limitations were identified. Mechanisms of action were analysed, including stimulation of neuroplasticity, normalisation of muscle tone and activation of cortical-spinal pathways.The scoring scales used (e.g., Fugl-Meyer, Barthel, Rankin, NIHSS) and methodological features of the included studies were also considered.Results. A literature review has confirmed that kinesiotherapy is a highly effective tool in restoring motor function after stroke, especially when integrated with modern technologies. – Functional training increases motor recovery by 35–40% compared to passive exercises. – CIMT therapy increases the range of motion in a paretic limb by 30–40%, and its combination with transcranial magnetic stimulation increases efficiency by 37%. – Robotic rehabilitation significantly improves the range of motion, walking speed and functional performance, ensuring high accuracy and repeatability of movements. – Hydrokinesiotherapy and aerobic training improve physical endurance, cognitive function and reduce the risk of recurrent stroke. – Functional electrical stimulation (FES) effectively reduces spasticity and improves muscle activity, with personalised approaches allowing for a high degree of compliance with physiological movement patterns. – Virtual reality (VR) shows 31% better results in restoring upper limb function, increasing patient motivation and improving coordination.At the same time, a number of limitations have been identified, including the small sample size and short duration of most studies, the lack of standardised kinesiotherapy protocols, uneven use of assessment scales, and insufficient consideration of individual patient characteristics. The high cost and limited availability of some innovative technologies are also obstacles.Conclusions. The evidence base confirms that kinesiotherapy, especially in combination with modern technologies, provides significant functional improvement in stroke patients in both the acute and chronic periods. Its benefits include individualisation, sensorimotor stimulation and active patient participation, which helps to activate neuroplastic processes and improve quality of life.A modern rehabilitation strategy should be based on an individualised approach that combines early mobilisation, intensive motor training, aerobic exercise, CIMT and innovative technologies (VR).Prospects for further research include the development and evaluation of personalised rehabilitation programmes using artificial intelligence, standardisation of kinesiotherapy protocols, long-term studies to assess cognitive and psycho-emotional effects, and in-depth integration of new technologies with an assessment of their economic feasibility. Comparative studies with alternative methods and an in-depth study of neuroplasticity mechanisms are needed to develop more effective strategies.

General approaches to the creation of an inter-integral rehabilitation system in Ukraine

2025-10-31T08:34:32+02:00

Purpose: The article is devoted to the analysis and development of general approaches to the creation of a structural model of an integrated rehabilitation system in Ukraine in the current conditions of growing population needs.Materials and methods. The research was based on data from open sources: regulatory acts of Ukrainian legislation, reports of the statistical system of the Ministry of Health of Ukraine, and data from the State Statistics Service of Ukraine for 2020–2025; scientific publications on rehabilitation, its organization, and effectiveness. To achieve the research objectives, content analysis of regulatory and legal acts, causal analysis of reform processes, a structural-genetic approach to building a rehabilitation system model, and basic descriptive statistical analysis of official data were used, as well as multidimensional regression, factor, and geoinformation analysis.Results. The analysis of legislative initiatives and international experience indicates a high potential for the creation of an effective integrated rehabilitation system in Ukraine. The introduction of European standards can significantly improve the quality of rehabilitation services and facilitate the implementation of rehabilitation intervention packages, tools for assessing national rehabilitation personnel, and the integration of rehabilitation into health financing mechanisms. However, the lack of specific mechanisms for implementing integration approaches creates barriers to the practical application of legislative initiatives. The results of the study revealed regional disparities in the distribution of rehabilitation resources in Ukraine, which is a consequence of the fragmentation of the existing infrastructure.Despite the positive trend in the growth of the number of rehabilitation centers, it was found that remote areas lag significantly behind in providing access to quality rehabilitation services. An analysis of regulatory and legal acts confirmed that the legislative framework for the rehabilitation system partially integrates European standards, but remains insufficiently specific in terms of algorithms for interaction between system actors. The lack of coordination mechanisms between central and regional structures complicates the implementation of integration approaches. The use of factor analysis methods to model the interaction between actors in the rehabilitation system is a promising direction for improving the effectiveness of policy implementation at the local level. An assessment of statistical data revealed an overall improvement in the infrastructure capacity of the rehabilitation system, but staff shortages, especially in rural areas, remain a critical problem. Multivariate regression analysis was used to gain a deeper understanding of the impact of regional characteristics on staffing levels. This made it possible to quantitatively assess the relationships between funding indicators, the level of training of specialists, and the quality of rehabilitation services in different regions. The proposed structural model of interaction between actors in the integrated rehabilitation system in Ukraine is theoretically sound and has significant potential for practical application. At the same time, its successful implementation will require strengthening multidisciplinary coordination between medical, social, educational, and community structures with the active use of digital technologies. Methodologically sound application of system modeling allows for the assessment of various scenarios for the development of the rehabilitation system and the prediction of its effectiveness in the context of long-term national strategies.Conclusions. Thus, this work is an important contribution to the understanding of current trends in the reform of the rehabilitation system in Ukraine with regard to improving the quality of services for all segments of the population.

Main aspects of physical therapy in oncology patients in the paradigm of the biopsychosocial model

2025-10-31T08:38:20+02:00

Oncological diseases are one of the most pressing problems of modern medicine, as they not only threaten the lives of patients, but also significantly affect their physical and psychological state. The modern approach to the treatment of cancer patients involves not only combating the tumor process, but also ensuring the maximum quality of life and functional activity of patients. In this context, physical therapy plays an important role as a component of comprehensive treatment aimed at reducing physical symptoms, improving motor activity and supporting psychological well-being. Taking into account the biopsychosocial model of rehabilitation, physical therapy is considered a necessary tool for the harmonious recovery of cancer patients and their adaptation to a new lifestyle.The purpose is to study and analyze the main aspects of physical therapy in patients with cancer in the context of the biopsychosocial model of rehabilitation care organization in order to develop and improve physical therapy methods, contributing to the improvement of the quality of life and psychosocial state of patients with cancer.Materials and methods. The object of the study is physical therapy for oncology patients within the framework of the biopsychosocial model, which considers the physical, psychological, and social aspects of rehabilitation. The review focuses on an evidence-based approach to physical therapy in oncology, including modern techniques and their impact on patients’ quality of life.A bibliosemantic analysis of scientific sources indexed in international abstract databases such as Scopus, Web of Science, PubMed, and Google Scholar was conducted to examine contemporary approaches to the rehabilitation of oncology patients, with an emphasis on the effectiveness of physical therapy, the multidisciplinary approach, and the biopsychosocial model of recovery.Results. based on the results of observations and a review of scientific and methodological literature, the effectiveness of physical therapy as a component of comprehensive rehabilitation of patients with cancer was substantiated. The essence of the biopsychosocial approach to the treatment and rehabilitation of patients with cancer is considered and its importance in the formation of the goals of physical therapy is highlighted, the expediency of prescribing physical therapy in improving the quality of life of patients with cancer, in particular in reducing pain, restoring functional capacity and psychosocial support is substantiated. The application of physical therapy in combination with psychological support and social adaptation helps increase patient motivation for treatment, reduces stress and depression levels, and plays a crucial role in the recovery process.Conclusions. The inclusion of physical therapy in the treatment plan of patients with cancer in the context of the biopsychosocial model allows to achieve an integrated approach to treatment, contributing to the preservation and comprehensive restoration of health, and is an effective tool in improving the quality of life of patients with cancer, contributing to an increase in functional capacity, pain reduction and improvement of the psychosocial state of patients. The results of the literature analysis indicate that the combination of physical therapy with other methods of treatment and support can lead to a synergistic effect, which contributes to a more effective impact on the condition of patients.

Peculiarities of communication between participants in the provision of rehabilitation assistance at the level of the territorial community using modern information technologies

2025-10-31T08:42:45+02:00

In the minds of reformers of the health care system of Ukraine, the effective organization of providing rehabilitation assistance at the level of territorial masses is of special importance. In the minds of decentralization, communication mutual modification has become a more effective coordination of actions, as well as an important tool for ensuring accessibility, continuity and individualization of rehabilitation services. Ensuring effective interaction between all participants in this process is a key challenge for communities.Communication with patients – as active participants in the process – requires special attention. Personalizing the interaction is a key factor in achieving positive clinical outcomes.The dynamic development of digital technologies, telemedicine and electronic document management creates new opportunities for effective interaction between participants in the process. The formation of a digital healthcare system in Ukraine is an important stage in the modernization of medical services in the context of decentralization and development of territorial communities. As a result, effective integration of digital tools into the strategic communication process allows communities to quickly respond to residents' requests, report on resource use, and coordinate actions between medical, social, and administrative levels. Thus, this confirms the importance of building a well-thought-out digital communication system at the local level as a foundation for effective management of rehabilitation care.The use of these tools increases the efficiency of communication, the speed of response to patient needs, and the quality of clinical pathway management, which is especially important in a decentralized medical space. Implementing a unified approach to patient data management and ensuring its accessibility to all members of the multidisciplinary team is a prerequisite for improving the quality and safety of medical care. Further development of e-Health not only allows optimizing the processes of information exchange between participants in the medical process, but also opens up new opportunities for implementing a personalized approach to treatment and rehabilitation, including the implementation of telemedicine at the level of territorial communities.The purpose of this study is an analysis of the features of communication between participants in the provision of rehabilitation assistance at the level of the territorial community, taking into account the possibilities of modern information technologies.Materials and methods. The work uses the regulatory and legal framework of Ukraine, analytical data on the implementation of projects in the field of rehabilitation (in particular, the project «Medical Leaders»), scientific publications, as well as methods of systematic, comparative, descriptive-analytical and content analysis.Results. The study reveals that effective communication between patients, multidisciplinary teams, social services, community administration and NGOs is a key factor in the quality and continuity of rehabilitation care. Information technologies, in particular electronic medical records, e-Health systems, CRM platforms, telemedicine and electronic document management, significantly increase the efficiency of interaction. Particular attention is paid to the Resolution of the Cabinet of Ministers of Ukraine № 1268 as a mechanism for documenting rehabilitation activities in a digital environment.Conclusions. Digitalization of the communication system contributes to improved coordination of actions, reduced risks of errors, ensuring feedback and transparency of the process. The results obtained can be used to improve rehabilitation care at the local level.