Defining specific key criteria for the development of a model of rehabilitation assistance for patients post-stroke at the community level

Abstract

Objective: To identify and substantiate key criteria for developing a model of rehabilitation assistance for patients post-stroke at the community level, serving as the foundation for crafting the patient's rehabilitation pathway. Materials and Methods: This section encompasses findings derived from the research efforts of scholars and practitioners in the field of rehabilitation assistance to the population, legislative acts pertaining to rehabilitation within the healthcare system of Ukraine, and our own practical experience in organizing rehabilitation aid. The methodologies employed include content analysis, structurallogical analysis, and conceptual modeling. Findings. When formulating an individual rehabilitation plan and, accordingly, an individual rehabilitation route for patients by the members of the MRT (Multidisciplinary Rehabilitation Team) upon completion of the rehabilitation cycle at the rehabilitation facility and transitioning the patient to the community rehabilitation stage, it is necessary to consider a number of conditions under which this stage will be effective and achieve rehabilitation goals: the presence and functionality of community-based rehabilitation service providers; the availability within the community of rehabilitation service providers operating outside of the healthcare facility; the availability of opportunities for receiving rehabilitation services in a mobile mode and/or through tele-rehabilitation. Conclusions: At the level of each cluster of rehabilitation service providers, the existence of various models of rehabilitation assistance to patients within the territorial community is possible. The formation of these models should be based on identified key criteria of the community's capacity.